The role of venous colour flow Doppler to aid the non-diagnostic lung scintigram for pulmonary embolism.

Abstract:

:Sixty patients admitted with a clinical diagnosis of pulmonary embolism underwent a prospective analysis of the value of lung ventilation/perfusion scintigraphy and lower limb colour flow venous Doppler. Twenty-two per cent of scintigrams gave a high probability of pulmonary embolus (PE) and 45% a low probability/normal. The remainder were classed as indeterminate scintigrams (33%) and of these, 55% showed leg thrombi on the ultrasound scan. These patients were therefore treated by anticoagulation. A small number of the low probability scintigrams also proved to have lower limb thrombi by ultrasound. As a result of these two investigations just over half of these patients with a clinical diagnosis of PE were anticoagulated (31 out of 60). In 62% of these the ultrasound suggested thrombi confined to the calf as a source of PE.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Bradley MJ,Alexander L

doi

10.1016/s0009-9260(05)83476-2

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

232-4

issue

4

eissn

0009-9260

issn

1365-229X

journal_volume

50

pub_type

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