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September 1, 1976Radiology

The Role of133Xe Ventilation Studies in the Scintigraphic Detection of Pulmonary Embolism

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Authors

PAPhilip O. AldersonNational Jewish HealthNRNaris RujanaveehThe King's CollegeRSRoger H. Seeker-WalkerSaint Louis University Hospital

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Implication

Diagnostic accuracy study reveals adding xenon-133 ventilation imaging to perfusion scans improves specificity for pulmonary embolism, indicating superior diagnostic value.

Key Points

  • To define the diagnostic role and value of adding xenon-133 ventilation studies to perfusion scintigraphy for detecting pulmonary embolism.
  • Reviewed angiographic, scintigraphic, and clinical records of 40 patients (N=40).
  • Two independent observers evaluated perfusion scans alone and later re-evaluated them paired with xenon-133 ventilation studies.
  • Inclusion of xenon-133 ventilation studies significantly improved overall diagnostic accuracy (p < 0.05).
  • Combined ventilation-perfusion imaging yielded slightly higher sensitivity and significantly greater specificity (p < 0.05) for pulmonary embolism than perfusion imaging alone.

Cite This Study

Alderson et al. (1976) studied this question.

synapsesocial.com/papers/6a6f5faca2d7cf2e39c28c55https://doi.org/10.1148/120.3.633
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