Year 2024,
Volume: 4 Issue: 2, 28 - 31, 06.09.2024
Mahmut Süleymanoğlu
,
Zehra Pınar Koç
,
Pınar Pelin Özcan
,
Eylem Sercan Özgür
,
Ahmet Anıl Soylar
References
- Mortensen, J., & Gutte, H. (2014). SPECT/CT and pulmonary embolism. European journal of nuclear medicine and molecular imaging, 41 Suppl 1(Suppl 1), S81–S90. https://doi.org/10.1007/s00259-013-2614-5
- Currie, G. M., & Bailey, D. L. (2023). V/Q SPECT and SPECT/CT in Pulmonary Embolism. Journal of nuclear medicine technology, 51(1), 9–15. https://doi.org/10.2967/jnmt.122.264880
- Lu, Y., & Macapinlac, H. A. (2020). Perfusion SPECT/CT to diagnose pulmonary embolism during COVID-19 pandemic. European journal of nuclear medicine and molecular imaging, 47(9), 2064–2065. https://doi.org/10.1007/s00259-020-04851-6
- Suh M. (2022). In the COVID-19 Era, Is It OK to Perform a Perfusion-Only SPECT/CT for the Diagnosis of Pulmonary Embolism?. Nuclear medicine and molecular imaging, 56(2), 67–70. https://doi.org/10.1007/s13139-022-00740-y
- Thanuja, M., Maimanah, M., & Sara, U. (2020). Diagnosis of pulmonary embolism: A comparison between ventilation/perfusion SPECT/CT and perfusion-only SPECT/CT. The Medical journal of Malaysia, 75(5), 490–493.
- Gutte, H., Mortensen, J., Jensen, C. V., Johnbeck, C. B., von der Recke, P., Petersen, C. L., Kjaergaard, J., Kristoffersen, U. S., & Kjaer, A. (2009). Detection of pulmonary embolism with combined ventilation-perfusion SPECT and low-dose CT: head-to-head comparison with multidetector CT angiography. Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 50(12), 1987–1992. https://doi.org/10.2967/jnumed.108.061606
- Le Roux, P. Y., Robin, P., Delluc, A., Abgral, R., Palard, X., Tissot, V., Morel, A., Rousset, J., Couturaud, F., le Gal, G., & Salaun, P. Y. (2015). Additional value of combining low-dose computed tomography to V/Q SPECT on a hybrid SPECT-CT camera for pulmonary embolism diagnosis. Nuclear medicine communications, 36(9), 922–930. https://doi.org/10.1097/MNM.0000000000000351
- Conrad, T. J., Lau, H. X., Yerkovich, S. T., Alghamry, A., & Lee, J. C. (2024). Ventilation-perfusion scan for diagnosing pulmonary embolism: do chest x-rays matter?. Nuclear medicine communications, 45(3), 181–187. https://doi.org/10.1097/MNM.0000000000001802
- Le Roux, P. Y., Robin, P., Delluc, A., Abgral, R., Palard, X., Tissot, V., Morel, A., Rousset, J., Couturaud, F., le Gal, G., & Salaun, P. Y. (2015). Additional value of combining low-dose computed tomography to V/Q SPECT on a hybrid SPECT-CT camera for pulmonary embolism diagnosis. Nuclear medicine communications, 36(9), 922–930. https://doi.org/10.1097/MNM.0000000000000351
- Bajc, M., Schümichen, C., Grüning, T., Lindqvist, A., Le Roux, P. Y., Alatri, A., Bauer, R. W., Dilic, M., Neilly, B., Verberne, H. J., Delgado Bolton, R. C., & Jonson, B. (2019). EANM guideline for ventilation/perfusion single-photon emission computed tomography (SPECT) for diagnosis of pulmonary embolism and beyond. European journal of nuclear medicine and molecular imaging, 46(12), 2429–2451. https://doi.org/10.1007/s00259-019-04450-0
- Cengiz, T. B., Abdelrahman, A., Rohren, S. A., Doucette, J., & Ghesani, M. (2023). The diagnostic accuracy of perfusion-only scan in the diagnosis of pulmonary embolism in the era of COVID-19: A single-center study of 434 patients. Annals of thoracic medicine, 18(4), 199–205. https://doi.org/10.4103/atm.atm_42_23
Diagnostic Comparison of the Radionuclide Imaging Modalities in the Pulmonary Embolism
Year 2024,
Volume: 4 Issue: 2, 28 - 31, 06.09.2024
Mahmut Süleymanoğlu
,
Zehra Pınar Koç
,
Pınar Pelin Özcan
,
Eylem Sercan Özgür
,
Ahmet Anıl Soylar
Abstract
Aim: Special considerations have been made about the radionuclide imaging of pulmonary embolism in recent years with the recent viral pandemics. Besides increased frequency of the occlusive diseases including pulmonary embolism, the ventilation scintigraphy part of the radionuclide imaging modality was omitted. The aim of this study was to compare the accuracy of radionuclide diagnostic imaging modalities in diagnosis of pulmonary embolism.
Materials and Methods: Two hundred and six patients (65 M, 131 F, 59.4 ± 16.9 years old) who were referred for the diagnosis of pulmonary embolism were evaluated retrospectively. The perfusion scintigraphy planar SPECT and SPECT/CT images of the patients were obtained and ventilation scintigraphy was performed in special circumstances. The imaging results were compared with clinical follow up results as the gold standard.
Results: The sensitivity, specificity, accuracy, negative and positive predictive value of the test were 97.5%, 92.9%, 95.63%, 95.16% and 96.34 respectively in diagnosis of pulmonary embolism.
Conclusion: SPECT-CT perfusion imaging as single imaging modality has sufficient diagnostic accuracy in the pulmonary embolism according to the results of this study.
Ethical Statement
Etik kurul onay aşamasında.
Supporting Institution
Mersin üniversitesi
References
- Mortensen, J., & Gutte, H. (2014). SPECT/CT and pulmonary embolism. European journal of nuclear medicine and molecular imaging, 41 Suppl 1(Suppl 1), S81–S90. https://doi.org/10.1007/s00259-013-2614-5
- Currie, G. M., & Bailey, D. L. (2023). V/Q SPECT and SPECT/CT in Pulmonary Embolism. Journal of nuclear medicine technology, 51(1), 9–15. https://doi.org/10.2967/jnmt.122.264880
- Lu, Y., & Macapinlac, H. A. (2020). Perfusion SPECT/CT to diagnose pulmonary embolism during COVID-19 pandemic. European journal of nuclear medicine and molecular imaging, 47(9), 2064–2065. https://doi.org/10.1007/s00259-020-04851-6
- Suh M. (2022). In the COVID-19 Era, Is It OK to Perform a Perfusion-Only SPECT/CT for the Diagnosis of Pulmonary Embolism?. Nuclear medicine and molecular imaging, 56(2), 67–70. https://doi.org/10.1007/s13139-022-00740-y
- Thanuja, M., Maimanah, M., & Sara, U. (2020). Diagnosis of pulmonary embolism: A comparison between ventilation/perfusion SPECT/CT and perfusion-only SPECT/CT. The Medical journal of Malaysia, 75(5), 490–493.
- Gutte, H., Mortensen, J., Jensen, C. V., Johnbeck, C. B., von der Recke, P., Petersen, C. L., Kjaergaard, J., Kristoffersen, U. S., & Kjaer, A. (2009). Detection of pulmonary embolism with combined ventilation-perfusion SPECT and low-dose CT: head-to-head comparison with multidetector CT angiography. Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 50(12), 1987–1992. https://doi.org/10.2967/jnumed.108.061606
- Le Roux, P. Y., Robin, P., Delluc, A., Abgral, R., Palard, X., Tissot, V., Morel, A., Rousset, J., Couturaud, F., le Gal, G., & Salaun, P. Y. (2015). Additional value of combining low-dose computed tomography to V/Q SPECT on a hybrid SPECT-CT camera for pulmonary embolism diagnosis. Nuclear medicine communications, 36(9), 922–930. https://doi.org/10.1097/MNM.0000000000000351
- Conrad, T. J., Lau, H. X., Yerkovich, S. T., Alghamry, A., & Lee, J. C. (2024). Ventilation-perfusion scan for diagnosing pulmonary embolism: do chest x-rays matter?. Nuclear medicine communications, 45(3), 181–187. https://doi.org/10.1097/MNM.0000000000001802
- Le Roux, P. Y., Robin, P., Delluc, A., Abgral, R., Palard, X., Tissot, V., Morel, A., Rousset, J., Couturaud, F., le Gal, G., & Salaun, P. Y. (2015). Additional value of combining low-dose computed tomography to V/Q SPECT on a hybrid SPECT-CT camera for pulmonary embolism diagnosis. Nuclear medicine communications, 36(9), 922–930. https://doi.org/10.1097/MNM.0000000000000351
- Bajc, M., Schümichen, C., Grüning, T., Lindqvist, A., Le Roux, P. Y., Alatri, A., Bauer, R. W., Dilic, M., Neilly, B., Verberne, H. J., Delgado Bolton, R. C., & Jonson, B. (2019). EANM guideline for ventilation/perfusion single-photon emission computed tomography (SPECT) for diagnosis of pulmonary embolism and beyond. European journal of nuclear medicine and molecular imaging, 46(12), 2429–2451. https://doi.org/10.1007/s00259-019-04450-0
- Cengiz, T. B., Abdelrahman, A., Rohren, S. A., Doucette, J., & Ghesani, M. (2023). The diagnostic accuracy of perfusion-only scan in the diagnosis of pulmonary embolism in the era of COVID-19: A single-center study of 434 patients. Annals of thoracic medicine, 18(4), 199–205. https://doi.org/10.4103/atm.atm_42_23