Yield of CT pulmonary angiography in the diagnosis of acute pulmonary embolism: short report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

Zhongyi Chen, Simon Deblois, Kevin Toporowicz, Irina Boldeanu, Marie-Odile Francoeur, Manel Sadouni, Luigi Lepanto, Carl Chartrand-Lefebvre

ABSTRACT

OBJECTIVE: To assess computed tomography pulmonary angiography (CTPA) positive yield rate for pulmonary embolism (PE) in a Canadian academic tertiary center. RESULTS: This one-center retrospective cross-sectional study includes from 5565 (model 1) to 5296 (model 2) patients that were evaluated for suspected PE in 2015, among which 1331 (23.9% (model 1) to 25.1% (model 2)) underwent CTPA. Mean age of CTPA patients was 60.2 ± 16.6 years, of which 575 were males (43.2%). Two hundred eleven CTPA examinations were positive for PE, giving a CTPA positive yield rate of 15.9% (95% CI (13.93-17.87)). One hundred and thirteen (8.1%) CTPA were considered indeterminate, and eleven were considered nondiagnostic (0.8%). Among the 211 CTPA positive for PE, 67 (32%) were proximal emboli, 98 (47%) were segmental emboli and 44 (21%%) were subsegmental emboli. In conclusion, in this retrospective study done in a Canadian academic tertiary center, we report a positive rate of 15.9% for PE detection with CTPA, which is above the generally accepted lower threshold of 10% for the yield of CTPA. More... »

PAGES

41

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13104-019-4076-8

DOI

http://dx.doi.org/10.1186/s13104-019-4076-8

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https://app.dimensions.ai/details/publication/pub.1111505200

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30658690


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