The role of multi-detector computer tomography in diagnostic of venous thromboembolism


如何引用文章

全文:

详细

The venous thromboembolism comprising thrombosis of deep veins and thromboembolism of pulmonary artery remains one of main problems of modern medicine. The multi-detector computer tomography - angiopulmonography is the most effective technique of diagnostic of thromboembolism of pulmonary artery and as appropriate it can be amplified with indirect multi-detector computer tomography - venography of pelvic and abdominal veins which visualization can be complicated under ultrasound examination. The article considers characteristics of application of mentioned above techniques of radiodiagnostics on suspicion on venous thromboembolism. The advantages, limitations and technical difficulties of these techniques are considered too.

作者简介

A. Yudin

The N.I. Pirogov Russian national research medical university Minzdrav of Russia

117997 Moscow, Russia

Andrey Uchevatkin

The N.I. Pirogov Russian national research medical university Minzdrav of Russia; The central clinical hospital of the Russian academy of sciences

Email: uchevatkin@mail.ru
radiologist of CT and MRT department, post-graduate student of radiology department 117997 Moscow, Russia

N. Afanasieva

The N.I. Pirogov Russian national research medical university Minzdrav of Russia

117997 Moscow, Russia

E. Yumatova

The N.I. Pirogov Russian national research medical university Minzdrav of Russia; The central clinical hospital of the Russian academy of sciences

117997 Moscow, Russia

A. Kulagin

The N.I. Pirogov Russian national research medical university Minzdrav of Russia

117997 Moscow, Russia

参考

  1. Гринфельд Е.С. Современные подходы к лечению венозной тромбоэмболии. Русский медицинский журнал. 2010; 3: 131-6.
  2. Sinner W.N. Computed tomographic patterns of pulmonary thromboembolism and infarction. J. Comput. Assist. Tomogr. 1978; 2: 395-9.
  3. Sinner W.N. Computed tomography ofpulmonary thromboembolism. Eur. Radiol. 1982; 2: 8-13.
  4. Remy-Jardin M., Remy J., Wattinne L., Giraud F. et al. Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with the single-breathhold technique - comparison with pulmonary angiography. Radiology. 1992; 185: 381-7.
  5. Труфанов Г.Е., Хубулава Г.Г., Перец В.И. Лучевая диагностика и хирургическая профилактика ТЭЛА. СПб.: ЭЛБИ-СПб.; 2006.
  6. Поляев Ю.А., Юдин А.Л., Шимановский Н.Л. Применение контрастных средств в лучевой диагностике. М.: Калганов, 2010.
  7. Королева И.М. Спиральная и мультиспиральная компьютерная томография в диагностике тромбоэмболии легочной артерии. Медицинская визуализация. 2013; 2: 50-4.
  8. Goodman L.R., Curtin J.J., Mewissen M.W., Foliy W.D., Lipchik R.J., Crain M.R. et al. Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography. AJR. 1995; 164: 1369-74.
  9. Мершина Е.А., Синицын В.Е., Фролова Ю.В. Диагностика и оценка результатов лечения хронической тромбоэмболической легочной гипертензии (ХТЭЛГ) с помощью двухэнергетической МСКТ. REJR. 2013; 3(3): 52-6.
  10. Dalen J.E., Alpert J.S. Natural history of pulmonary embolism. Prog. Cardiovasc. Dis. 1975; 17: 257-70.
  11. Moser K.M. Venous thromboembolism. Am. Rev. Respir. Dis. 1990; 141: 235-49.
  12. Марущак Е.А., Щеголев А.А., Зубарев А.А. Ультразвуковое исследование как основа определения ангиохирургической тактики в экстренной флебологии. Амбулаторная хирургия. 2011; 43-44 (3-4): 59-61.
  13. Lensing A.W., Prandoni P., Prins M.H., Buller H.R. Diagnosis of venous thrombosis. Lancet. 1999; 353: 479-85.
  14. Kearon C., Julian J.A., Newman T.E., Ginsberg J.S. Noninvasive diagnosis of deep venous thrombosis. McMaster Diagnostic Imaging Practice Guidelines Initiative. Ann. Intern. Med. 1998; 128: 663-77.
  15. Fraser D.G., Moody A.R., Morgan R.S., Martel A.L., Davidson I. Diagnosis of lower-limb deep venous thrombosis: a prospective blinded study of magnetic resonance direct thrombus imaging. Ann. Intern. Med. 2002; 136: 89-98.
  16. Fraser D.G., Baldt M.A., Zontsich T., Kainberger F., Flieschmann G., Mostbeck G. Spiral CT evaluation of deep venous thrombosis. Semin Ultrasound CTMR. 1997; 18: 369-75.
  17. Марущак Е.А., Юматова Е.А., Юдин А.Л. Лучевая диагностика атипичного локального тромбоза in situ vena iliaca communis. Радиология-практика. 2013; 5: 47-52.
  18. Loud P.A., Katz D.S., Klippenstein D.L., Shah R.D., Grassman Z.D. Combined CT venography and pulmonary angiography in suspected thromboembolic disease: diagnostic accuracy for deep venous evaluation. AJR. 2000; 174: 61-5.
  19. Loud P.A., Grossman Z.D., Klippenstein D.L., Ray C.E. Combined CT venography and pulmonary angiography: a new diagnostic technique for suspected thromboembolic disease. AJR. 1998; 170: 951-4.
  20. Loud P.A., Katz D.S., Bruce D.A., Klippenstein D.L., Grossman Z.D. Deep venous thrombosis with suspected pulmonary embolism: detection with combined CT venography and pulmonary angiography. Radiology. 2001; 219: 498-502.
  21. Cham M.D., Yankelevitz D.F., Shaman D., Shah A.A., Sherman L., Levis A. et al. Deep venous thrombosis: detection by using indirect CT venography. The Pulmonary Angiography - Indirect CT Venography Cooperative Group. Radiology. 2000; 216: 744-51.
  22. Patel S., Kazerooni E.A. Helical CT for the Evaluation of Acute Pulmonary Embolism. AJR. 2005; 185: 135-49.
  23. Abdelmoumene Y., Chevallier P., Bardkouth G., Portier F., Ganadli S.D., Doenz F. et al. Optimization of multidetector CT venography performed with elastic stockings on patients’ lower extremities: a preliminary study of nonthrombosed veins. AJR. 2003; 180: 1093-4.
  24. Quinlan D.J., Alikhan R., Gishen P., Sidhu P.S. Variations in lower limb venous anatomy: implications for US diagnosis of deep vein thrombosis. Radiology. 2003; 228: 443-8.
  25. Patel S., Kazerooni E.A., Cascade P.N. Pulmonary embolism: optimization of small pulmonary artery visualization at multi-detector row CT. Radiology. 2003; 227: 455-60.
  26. Paul J.F., Dambrin G., Gaussin C., Lancelin B., Angel C. Sixteenslice computed tomography after acute myocardial infarction: from perfusion defect to the culprit lesion. Circulation. 2003; 108: 373-4.

版权所有 © Eco-Vector, 2015


 


##common.cookie##