肺栓塞的影像学诊断及研究进展
Imaging Diagnosis and Research Progress of Pulmonary Embolism
DOI: 10.12677/ACM.2023.133647, PDF,   
作者: 姚彦娥, 李建龙*：延安大学附属医院影像科，陕西 延安
关键词: 肺栓塞；影像学检查；肺动脉造影；Pulmonary Embolism； Imaging Examination； Pulmonary Angiography
摘要: 肺栓塞是一种常见的心血管疾病，也是其最常见的死亡原因之一，由于肺栓塞的临床表现缺乏特异性，因此，及时准确的诊断至关重要，目前，影像学检查已成为诊断肺栓塞的重要手段，本文旨在对不同的影像学检查技术对急性肺栓塞的诊断价值及最新的研究进展做一综合的阐述。
Abstract: Pulmonary embolism is a common cardiovascular disease and one of the most common causes of death. Due to the lack of specificity of clinical manifestations of pulmonary embolism, timely and accurate diagnosis is essential. At present, imaging examination has become an important means of diagnosing pulmonary embolism. This article aims to make a comprehensive exposition of the di-agnostic value of different imaging examination techniques for acute pulmonary embolism and the latest research progress.
文章引用：姚彦娥, 李建龙. 肺栓塞的影像学诊断及研究进展[J]. 临床医学进展, 2023, 13(3): 4511-4516. https://doi.org/10.12677/ACM.2023.133647

参考文献

[1] ISTH Steering Committee for World Thrombosis Day (2014) Thrombosis: A Major Contributor to Global Disease Burden. Throm-bosis and Haemostasis, 112, 843-852. [Google Scholar] [CrossRef] [PubMed]
[2] Wendelboe, A.M. and Raskob, G.E. (2016) Global Burden of Thrombosis: Epidemiologic Aspects. Circulation Research, 118, 1340-1347. [Google Scholar] [CrossRef] 
[3] Uchida, N., Kodama, H., Katayama, K., Takasaki, T., Katayama, A., Takahashi, S. and Sueda, T. (2013) Endovascular Aortic Repair as Second-Stage Surgery after Hybrid Open Arch Repair by the Frozen Elephant Trunk Technique for Extended Thoracic Aneurysm. Annals of Thoracic and Cardiovascular Surgery, 19, 257-261. [Google Scholar] [CrossRef] [PubMed]
[4] Lee, Y.-H., Cha, S.-I., Kim, H., Kim, C.-Y., Choi, S.H., Seo, H., Yoo, S.-S., Lee, S.Y., Lee, J., Kim, C.-H. and Park, J.-Y. (2020) Clinical Characteristics and Outcome in Patients with Pulmonary Embolism Undergo-ing Coronary Angiography. Vascular Medicine, 25, 157-159. [Google Scholar] [CrossRef] 
[5] Prandoni, P., Lensing, A.W., Prins, M.H., Ciammaichella, M., Perlati, M., Mumoli, N., Bucherini, E., Visonà, A., Bova, C., Imberti, D., Campostrini, S. and Barbar, S. (2016) Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope. New England Journal of Medi-cine, 375, 1524-1531. [Google Scholar] [CrossRef] 
[6] 程显声. 急性肺栓塞的现代诊断与治疗(1) [J]. 中国临床医生, 2003, 31(4): 12-14.
[7] Elliott, C.G., Goldhaber, S.Z., Visani, L. and DeRosa, M. (2000) Chest Radiographs in Acute Pul-monary Embolism. Results from the International Cooperative Pulmonary Embolism Registry. CHEST, 118, 33-38. [Google Scholar] [CrossRef] [PubMed]
[8] Konstantinides, S.V., Meyer, G., Becattini, C., Bueno, H., Geersing, G.-J., Harjola, V.-P., Huisman, M.V., Humbert, M., Jennings, C.S., Jiménez, D., Kucher, N., Lang, I.M., Lankeit, M., Lorusso, R., Mazzolai, L., Meneveau, N., Áinle, F.N., Prandoni, P., Pruszczyk, P., Righini, M., Torbicki, A., Van Belle, E. and Zamorano, J.L. (2019) 2019 ESC Guidelines for the Diagnosis and Management of Acute Pulmonary Embolism Developed in Collaboration with the European Respira-tory Society (ERS). European Respiratory Journal, 54, Article ID: 1901647. [Google Scholar] [CrossRef] [PubMed]
[9] Medson, K., Vargas-Paris, R., Nordgren-Rogberg, A., Sigbergsdottir, A., Nyrén, S. and Lindholm, P. (2019) Primary Diagnosis of Pulmonary Embolism with Unenhanced MRI for Patients Not Eligible for CTPA: Clinical Outcome. European Journal of Radiology Open, 6, 315-319. [Google Scholar] [CrossRef] [PubMed]
[10] Nyrén, S., Nordgren Rogberg, A., Vargas Paris, R., Bengtsson, B., Westerlund, E. and Lindholm, P. (2017) Detection of Pulmonary Embolism Using Repeated Mri Acquisitions Without Respiratory Gating: A Prelimi-nary Study. Acta Radiologica, 58, 272-278. [Google Scholar] [CrossRef] [PubMed]
[11] Pasin, L., Zanon, M., Moreira, J., Moreira, A.L., Watte, G., Marchiori, E. and Hochhegger, B. (2017) Magnetic Resonance Imaging of Pulmonary Embolism: Diagnostic Accuracy of Unenhanced MR and Influence in Mortality Rates. Lung, 195, 193-199. [Google Scholar] [CrossRef] [PubMed]
[12] Stein, P.D., Chenevert, T.L., Fowler, S.E., Goodman, L.R., Gottschalk, A., Hales, C.A., Hull, R.D., Jablonski, K.A., Leeper Jr., K.V., Naidich, D.P., Sak, D.J., Sostman, H.D., Tapson, V.F., Weg, J.G. and Woodard, P.K. (2010) Gadolinium-Enhanced Magnetic Resonance Angiography for Pulmonary Embolism: A Multicenter Prospective Study (PIOPED III). Annals of Internal Medicine, 152, 434-443. [Google Scholar] [CrossRef] [PubMed]
[13] Moore, A.J.E., Wachsmann, J., Chamarthy, M.R., Panjikaran, L., Tanabe, Y. and Rajiah, P. (2018) Imaging of Acute Pulmonary Embolism: An Update. Cardiovascular Diagnosis and Therapy, 8, 225-243. [Google Scholar] [CrossRef] [PubMed]
[14] Trivedi, S.J., Terluk, A.D., Kritharides, L., Chow, V., Chia, E.M., Byth, K., Mussap, C.J., Ng, A.C.C. and Thomas, L. (2020) Right Ventricular Speckle Tracking Strain Echocardiography in Patients with Acute Pulmo-nary Embolism. The International Journal of Cardiovascular Imaging, 36, 865-872. [Google Scholar] [CrossRef] [PubMed]
[15] Andrade, I., García, A., Mercedes, E., León, F., Velasco, D., Rodríguez, C., Pintado, B., Pérez, A. and Jiménez, D. (2020) Need for Transthoracic Echocardiogram in Patients with Low-Risk Pulmonary Throm-boembolism: A Systematic Review and Meta-Analysis. Archivos de Bronconeumología (English Edition), 56, 306-313. [Google Scholar] [CrossRef] 
[16] Jelic, T., Baimel, M. and Chenkin, J. (2017) Bedside Identification of Massive Pulmonary Embolism with Point-of-Care Transesophageal Echocardiography. Journal of Emergency Medicine, 53, 722-725. [Google Scholar] [CrossRef] [PubMed]
[17] Bertini, P., Ribechini, A. and Guarracino, F. (2020) Improved Diagnosis of Pulmonary Embolism Causing Cardiac Arrest by Combined Endobronchial Ultrasound and Echocardiography. Cardiovascular Ultra-sound, 18, Article No. 25. [Google Scholar] [CrossRef] [PubMed]
[18] Bonnefoy, P.-B., Prevot, N., Mehdipoor, G., Sanchez, A., Lima, J., Font, L., Gil-Díaz, A., Llamas, P., Aibar, J., Bikdeli, B., Bertoletti, L. and Monreal, M. (2022) Ventilation/Perfusion (V/Q) Scanning in Con-temporary Patients with Pulmonary Embolism: Utilization Rates and Predictors of Use in a Multinational Study. Journal of Thrombosis and Thrombolysis, 53, 829-840. [Google Scholar] [CrossRef] [PubMed]
[19] Mahaletchumy, T., Muhamad, M. and Umar, S. (2020) Diagnosis of Pulmonary Embolism: A Comparison between Ventilation/Perfusion SPECT/CT and Perfusion-Only SPECT/CT. Medical Journal of Malaysia, 75, 490-493.
[20] Liu, J. and Larcos, G. (2019) Radionuclide Lung Scans for Suspected Acute Pulmonary Embolism: Single Photon Emission Computed Tomography (SPECT) or Hybrid SPECT/Ct? Journal of Medical Imaging and Radiation Oncology, 63, 731-736. [Google Scholar] [CrossRef] [PubMed]
[21] Zantonelli, G., Cozzi, D., Bindi, A., Cavigli, E., Moroni, C., Luvarà, S., Grazzini, G., Danti, G., Granata, V. and Miele, V. (2022) Acute Pulmonary Embolism: Prog-nostic Role of Computed Tomography Pulmonary Angiography (CTPA). Tomography, 8, 529-539. [Google Scholar] [CrossRef] [PubMed]
[22] Cho, S.-U., Cho, Y.-D., Choi, S.-H., Yoon, Y.-H., Park, J.-H., Park, S.-J. and Lee, E.-S. (2020) Assessing the Severity of Pulmonary Embolism among Patients in the Emergency Department: Utility of RV/LV Diameter Ratio. PLOS ONE, 15, e0242340. [Google Scholar] [CrossRef] [PubMed]
[23] Cozzi, D., Moroni, C., Cavigli, E., Bindi, A., Caviglioli, C., Nazerian, P., Vanni, S., Miele, V. and Bartolucci, M. (2021) Prognostic Value of CT Pulmonary Angiography Parameters in Acute Pulmonary Embolism. La Radiologia Medica, 126, 1030-1036. [Google Scholar] [CrossRef] [PubMed]
[24] Meinel, F.G., Nance Jr., J.W., Schoepf, U.J., Hoffmann, V.S., Thierfelder, K.M., Costello, P., Goldhaber, S.Z. and Bamberg, F. (2015) Predictive Value of Computed Tomography in Acute Pulmonary Embo-lism: Systematic Review and Meta-Analysis. The American Journal of Medicine, 128, 747-759. [Google Scholar] [CrossRef] [PubMed]
[25] 邢媛媛, 赵佳佳, 曹宏伟, 等. CT肺动脉阻塞指数在急性肺栓塞患者病情评估中的作用[J]. 山东医药, 2018, 58(20): 50-52.
[26] Abdellatif, W., Ebada, M.A., Alkanj, S., Negida, A., Murray, N., Khosa, F. and Nicolaou, S. (2021) Diagnostic Accuracy of Dual-Energy CT in Detection of Acute Pulmonary Embolism: A Systematic Review and Meta-Analysis. Canadian Association of Radiologists Journal, 72, 285-292. [Google Scholar] [CrossRef] [PubMed]
[27] Weidman, E.K., Plodkowski, A.J., Halpenny, D.F., Hayes, S.A., Pe-rez-Johnston, R., Zheng, J., Moskowitz, C. and Ginsberg, M.S. (2018) Dual-Energy CT Angiography for Detection of Pulmonary Emboli: Incremental Benefit of Iodine Maps. Radiology, 289, 546-553. [Google Scholar] [CrossRef] [PubMed]
[28] Rajiah, P., Abbara, S. and Halliburton, S.S. (2017) Spectral Detector CT for Cardiovascular Applications. Diagnostic and Interventional Radiolo-gy, 23, 187-193. [Google Scholar] [CrossRef] [PubMed]
[29] Sun, Z.-T., Hao, F.-E., Guo, Y.-M., Liu, A.S. and Zhao, L. (2020) Assessment of Acute Pulmonary Embolism by Computer-Aided Technique: A Reliability Study. Medical Science Monitor, 26, e920239. [Google Scholar] [CrossRef] 
[30] 吴继雄, 张良金, 张文俊, 等. CT定量检测技术对COP D合并肺栓塞患者的诊断价值研究[J]. 齐齐哈尔医学院学报, 2019, 40(3): 271-274.
[31] 沈聪, 周晟, 于楠, 等. 基于计算机辅助检测对急性肺栓塞栓子的定量研究[J]. 中华结核和呼吸杂志, 2018, 41(5): 370-373.

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