Literature DB >> 17077044

Pulmonary perfusion in acute pulmonary embolism: agreement of MRI and SPECT for lobar, segmental and subsegmental perfusion defects.

A Kluge1, T Gerriets, E Stolz, T Dill, K-D Mueller, C Mueller, G Bachmann.   

Abstract

PURPOSE: To assess prospectively the agreement of magnetic resonance (MR) pulmonary perfusion with single-photon emission computed tomography (SPECT) perfusion for perfusion defects down to the subsegmental level in patients with suspected pulmonary embolism (PE).
MATERIAL AND METHODS: In 41 patients with suspected PE, contrast-enhanced MR pulmonary perfusion (3D-FLASH, TR/TE 1.6/0.6 ms) was compared to SPECT perfusion on a per-examination basis as well as at the lobar, segmental, and subsegmental level.
RESULTS: The MRI protocol was completed in all patients, and mean examination time was 3 min 56 s. MR perfusion showed a very high agreement with SPECT (kappa value per examination 0.98, and 0.98, 0.83, and 0.69 for lobar, segmental, and subsegmental perfusion defects, respectively). Of 15 patients with PE, MR perfusion detected 14 cases.
CONCLUSION: The very high agreement of MR perfusion with SPECT perfusion enables the detection of subtle findings in suspected PE.

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Mesh:

Year:  2006        PMID: 17077044     DOI: 10.1080/02841850600885377

Source DB:  PubMed          Journal:  Acta Radiol        ISSN: 0284-1851            Impact factor:   1.990


  11 in total

Review 1.  [MRI of pulmonary embolism].

Authors:  C Fink; S Thieme; S Ley; D Clevert; M F Reiser; H-U Kauczor; S O Schoenberg
Journal:  Radiologe       Date:  2007-08       Impact factor: 0.635

2.  Diagnostic accuracy of unenhanced, contrast-enhanced perfusion and angiographic MRI sequences for pulmonary embolism diagnosis: results of independent sequence readings.

Authors:  Marie Pierre Revel; Olivier Sanchez; Catherine Lefort; Guy Meyer; Sophie Couchon; Anne Hernigou; Ralph Niarra; Gilles Chatellier; Guy Frija
Journal:  Eur Radiol       Date:  2013-05-08       Impact factor: 5.315

3.  Pulmonary perfusion imaging using MRI: clinical application.

Authors:  Sebastian Ley; Julia Ley-Zaporozhan
Journal:  Insights Imaging       Date:  2011-12-29

4.  MRI of the lung (2/3). Why … when … how?

Authors:  J Biederer; M Beer; W Hirsch; J Wild; M Fabel; M Puderbach; E J R Van Beek
Journal:  Insights Imaging       Date:  2012-02-13

5.  MRI of the lung (3/3)-current applications and future perspectives.

Authors:  Jürgen Biederer; S Mirsadraee; M Beer; F Molinari; C Hintze; G Bauman; M Both; E J R Van Beek; J Wild; M Puderbach
Journal:  Insights Imaging       Date:  2012-01-15

6.  Ventilation and perfusion magnetic resonance imaging of the lung.

Authors:  Grzegorz Bauman; Monika Eichinger
Journal:  Pol J Radiol       Date:  2012-01

7.  Single photon emission computed tomography in pulmonary embolism - estimation of selected, scintigraphic regions of interests.

Authors:  Stanisław Pilecki; Marcin Gierach; Władysław Lasek; Przemysław Drobik; Roman Junik
Journal:  Pol J Radiol       Date:  2010-01

Review 8.  Magnetic resonance angiography for the primary diagnosis of pulmonary embolism: A review from the international workshop for pulmonary functional imaging.

Authors:  Nanae Tsuchiya; Edwin Jr van Beek; Yoshiharu Ohno; Hiroto Hatabu; Hans-Ulrich Kauczor; Andrew Swift; Jens Vogel-Claussen; Jürgen Biederer; James Wild; Mark O Wielpütz; Mark L Schiebler
Journal:  World J Radiol       Date:  2018-06-28

Review 9.  Magnetic resonance imaging of acute pulmonary embolism.

Authors:  Christian Fink; Sebastian Ley; Stefan O Schoenberg; Maximilian F Reiser; H U Kauczor
Journal:  Eur Radiol       Date:  2007-05-08       Impact factor: 7.034

10.  Comparison between CT and MRI in the assessment of pulmonary embolism: A meta-analysis.

Authors:  Feng Chen; Yi-Hong Shen; Xu-Qing Zhu; Jing Zheng; Feng-Jie Wu
Journal:  Medicine (Baltimore)       Date:  2017-12       Impact factor: 1.889

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