Apport du scanner multidétecteur dans le diagnostic de l’embolie pulmonaire: techniques de l’angioscanner thoracique. F. Fadhlaoui, M. Grissa, M. Souei. La sensibilité de la technique est bonne pour le diagnostic d’embolie pulmonaire jusqu’au niveau segmentaire (78 à 98 %) et la spécificité excellente (de 86 à. Objectif La pratique de l’angioscanner thoracique spiralé la performance des procédures diagnostiques d’embolie pulmonaire (EP).

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If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. When voltage is decreased, the photoelectric effect dominates and contrast increases. This has potential to help reduce mortality rates and achieve better outcomes. Diagnosing cases of PE presents particular challenges, however; pregnancy-related physiological changes have the potential to impair image quality to such an extent that a diagnosis may no longer be possible.

As evidenced in the literature, CTPA in pregnant women tends to produce images of lower quality with weaker contrast enhancement compared with scans of non-pregnant patients. Moreover, lowering kV from to also considerably reduces radiation, given that the dose delivered to the patient is proportional to the square of the voltage at an identical mAs.

Ann Fr Anesth Reanim. Short acquisition times make it possible to target an event such as an arterial phase. You can move this window by clicking on the headline.

Embolie Pulmonaire by Lee Ra on Prezi

With a pulmonaite rate at approximately 25 percent, pulmonary embolism PE is one of the leading causes of maternal death during pregnancy and postpartum. Prise en charge des principales urgences thoraciques et abdominales durant la grossesse.

Moreover, amgioscanner are especially sensitive to dose. Contact Help Who are we? As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data.

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Voltage affects image quality, particularly when contrast is involved. Pulmonary Embolism Diagnosis in Pregnancy: Look at the heart! Access to the text HTML. In the case of pregnancy, the increased speed of blood pulnonaire requires an earlier acquisition that starts when the superior vena cava is opacified pulmonair the opacification of the pulmonary trunk in the general population.

Journal page Archives Contents list. Lastly, conventional imaging modalities are more complicated when used for pregnant patients. If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: The researchers identified four fundamental factors that could improve contrast enhancement of pulmonwire pulmonary arteries during CT angiography in pregnant women: Does pregnancy affect vascular enhancement in patients undergoing CT pulmonary angiography?

When PE is suspected, a computed tomography CT scan may be recommended in some countries as a quick response. Access to the PDF text.

During CTPA, radiologists and radiographers subjectively evaluate injection quality to check for sufficient contrast enhancement of the pulmonary arteries. Mescape, Aug 09, Top of the page – Article Outline.

Case Report

Researchers conducted a survey to find out whether other imaging facilities had a specific protocol for CT pulmonary angiography in pregnant women and how satisfied they were with the quality of these types of examinations. This reduced quality of CTPA in pregnant women is caused almost entirely by pregnancy related physiological changes that can last for several weeks postpartum. Computed tomography angiography, Pulmonary embolism, Heart abnormalities. In addition to the survey, the department also retrospectively analyzed examinations and the conditions in which they were performed.

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This remarkable speed means that time is now also a key factor in pulmonary imaging. Image quality and radiation exposure at pulmonary CT angiography with or kVp protocol: Objective evidence would be when a region of interest ROI placed at the pulmonary artery indicates a density higher than HU.


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Feuillets de Radiologie ; 47 3: Hantous-Zannad abI. This is known as the Valsalva Maneuver.

The disadvantage is that pilmonaire the acquisition window misses the point of maximum pulmoniare, the arteries will not be fully opacified and it becomes difficult to rule out pulmonary embolism. For further information, please refer to the original article: Overcoming CT imaging limitations.

Measurement of caval blood flow with MRI during respiratory maneuvers: You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted. Baccouche abJ.

In the following, we will take a closer look at these four parameters. Results showed that very few institutions had a specific protocol and levels of satisfaction varied widely.

It is important to carefully examine pulmonary angiographies in search of cardiac abnormalities that can cause chest symptoms unrelated to pulmonary embolism.

Case Report – Page 2 – MJEM ONLINE

Grossesse et embolie pulmonaire: Outline Masquer le plan. Pulmonary CT angiography protocol adapted to the hemodynamic effects of pregnancy. As a result, they proposed adjustment of these four parameters to improve pulmonary arterial contrast enhancement and, therefore, image quality. Prohibition of deep inspiration to prevent the Valsalva Maneuver, low voltage scan, appropriate injection volume and rate, and early acquisition.