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A comparison of spect and planar ventilation perfusion lung scanning

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Abstract

In order to define the role of Single Photon Emission Computed Tomography (SPECT) in the diagnosis of pulmonary embolus; SPECT and Planar ventilation and perfusion lung studies were performed consecutively on eleven patients referred with suspected embolus. Three patients were shown to have ‘high probability’ ventilation perfusion mismatches. SPECT imaging allowed segmental localisation of the perfusion defect and revealed additional defects not seen on planar scans. SPECT lung study was performed with minimal technical difficulty and was well tolerated by all patients studied. SPECT is likely to become the method of choice for investigating patients referred with suspected pulmonary embolus.

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References

  1. Hellman, R. S., Collier, B. D. Single photon emission computed tomography: A clinical experience. In: Freeman, L. M., Weissmann, H. S., eds. Nuclear Medicine Annual 1987, New York, Raven Press, 1985: 51–101.

    Google Scholar 

  2. Tanya, J. J., Corbus, H. F., Savala, K. M., Habbie, M. N. Single photon emission computed tomography in the diagnosis of pulmonary embolism. Semin. Nucl. Med. 1986: 16, 306–336.

    Article  Google Scholar 

  3. Donaldson, R. M., Khan, M. J., Raphael, M. J., Jarritt, P. H., Ell, P. J. Emission tomography in embolic lung disease angiographic correlations. Clin. Rad. 1982: 33, 389–393.

    Article  CAS  Google Scholar 

  4. Robinson, P. J. Lung scintigraphy — Doubt and certainty in the diagnosis of pulmonary embolism. Clin. Rad. 1989: 40, 557–560.

    Article  CAS  Google Scholar 

  5. Taplin, G. V., Chopra, S. K. Lung perfusion inhalation scintigraphy in obstructive airway disease and pulmonary embolism. Radiol. Clin. N. Amer. 1978: 16, 491–513.

    PubMed  CAS  Google Scholar 

  6. Carter, W. D., Brady, T. M., Keyes, J. W., Thrall, J. H., Greenhouse, J. B., Biello, D. R., Siegal, B. A., Alderson, P. O., Brady, T. J. Relative accuracy of two diagnostic schemes for detection of pulmonary embolism by ventilation perfusion scintigraphy. Radiology 1982: 145, 447–451.

    PubMed  CAS  Google Scholar 

  7. Spies, W. G., Burnstein, S. P., Dilleahay, G. L., Vogelzang, R. L., Spies, S. M. Ventilation perfusion scintigraphy in suspected pulmonary embolism: correlation with pulmonary angiography and refinement of criteria for interpretation. Radiology 1986: 159, 383–390.

    PubMed  CAS  Google Scholar 

  8. Alderson, P. O., Biello, D. R., Sachanah, K. G., Siegal, G. A. Scintigraphic detection of pulmonary disease. Radiology 1981: 128, 661–666.

    Google Scholar 

  9. The PIOPED investigators. Value of the ventilation perfusion scan in acute pulmonary embolism. Results of the prospective investigation pf pulmonary embolism diagnosis (PIOPED). JAMA 1990: 263, 20, 2753–2757.

    Article  Google Scholar 

  10. Biello, D. R., Mattar, A. G., McKnight, R. G., Siegal, B. A. Ventilation perfusion studies in suspected pulmonary embolism. A.J.R. 1979: 133, 1033–1037.

    CAS  Google Scholar 

  11. Khan, B. O., Ell, P. J., Jarritt, P. H., Cullum, I., Williams, E. S. Radionuclide section scanning of the lungs in pulmonary embolism. B.J.R. 1981: 54, 586–591.

    Article  CAS  Google Scholar 

  12. Kenny, P. A., Dowsett, D. J., Vernon, D., Ennis, J. T. A technique for digital image registration used prior to subtraction of lung images in nuclear medicine. Phys. Med. Biol. 1990: Vol. 35, No. 5, 679–685.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Institute of Radiological Sciences, Mater Misericordiae Hospital, Eccles Street, Dublin 7

    S. Eustace, N. Phelan, D. J. Dowsett & J. T. Ennis

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  1. S. Eustace
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  2. N. Phelan
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  3. D. J. Dowsett
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  4. J. T. Ennis
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Eustace, S., Phelan, N., Dowsett, D.J. et al. A comparison of spect and planar ventilation perfusion lung scanning. I.J.M.S. 162, 82–85 (1993). https://doi.org/10.1007/BF02942095

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