Universität zu Köln

Schuemichen, Carl, Schmidt, Matthias and Krause, Thomas (2018). Pulmonary Scintigraphy (Version 3). Nuklearmedizin, 57 (3). S. 74 - 92. STUTTGART: GEORG THIEME VERLAG KG. ISSN 2567-6407

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Abstract

The S1 guideline for lung scintigraphy has been updated and extended in order to emphasize the advantages oft the method in detecting acute pulmonary embolism (PE) in the periphery oft the lung (subsegmental PE), in underlying subacute and chronic pulmonary disorders, as well as in detecting chronic LE (CTEPH). Method of choice is ventilation / perfusion (V/P) SPECT or V/P SPECT/CT with even higher specificity. Because of its high sensitivity, a threshold (V/P mismatch in at least one segment or two subsegments) is introduced to avoid overtreatment. In case of a change in the therapeutic approach (observation only instead of anticoaculation) the threshold can be omitted. New data concerning the clinical and therapeutical impact of subsegmental PE are included, the chapters open questions have been extented. Other indications for V/P SPECT (secondary diagnoses, abnormalities in pulmonary perfusion, prediction of postoperative lung function) are presented with new data.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schuemichen, Carl UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Krause, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-185155
DOI:	10.1055/s-0038-1649553
Journal or Publication Title:	Nuklearmedizin
Volume:	57
Number:	3
Page Range:	S. 74 - 92
Date:	2018
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	2567-6407
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language VENTILATION-PERFUSION SCINTIGRAPHY; EMISSION COMPUTED-TOMOGRAPHY; DEEP VENOUS THROMBOSIS; QUALITY-OF-LIFE; EMBOLISM DIAGNOSIS; LUNG SCINTIGRAPHY; RADIATION-EXPOSURE; CLINICAL-PRACTICE; RETROSPECTIVE ANALYSIS; OUTPATIENT MANAGEMENT Multiple languages Radiology, Nuclear Medicine & Medical Imaging Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18515