Parenchymal density changes in acute pulmonary embolism: Can quantitative CT be a diagnostic tool? A preliminary study.

Abstract:

PURPOSE:Determine the ability of quantitative CT (QCT) in defining parenchymal density changes in acute pulmonary embolism (PE). MATERIAL & METHODS:Mean lung density (MLD) and percentage distribution values (PDV) were calculated in 34 patients suspected of PE using software application based on computerized volumetric anatomical segmentation. RESULTS:Total, left, and right MLD differed significantly between emboli positive(n=23) and negative(n=11) groups(p<0.006, p<0.009, p<0.014). PDVs differed between groups (p<0.05) except for LUZ and RLZ. When PE was present in lobe &/segment branches, PDVs were significantly lower except RUZ. CONCLUSION:QCT is a promising application for defining parenchymal density changes in PE revealing potential functional impact of emboli. This preliminary study suggests QCT could provide added value to CTPA in peripheral PE.

journal_name

Clin Imaging

journal_title

Clinical imaging

authors

Duman IE,Cimsit C,Yildizeli SO,Cimsit NC

doi

10.1016/j.clinimag.2016.11.005

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

157-163

eissn

0899-7071

issn

1873-4499

pii

S0899-7071(16)30169-3

journal_volume

41

pub_type

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