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September 17, 2004Investigative Radiology

CT Perfusion Image of the Lung

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Why the study?

Does the addition of CT perfusion imaging to CT angiography improve the detection of pulmonary emboli in a porcine model?

Population

6 pigs with an experimental pulmonary embolism model created by injecting type-A and type-B emboli

Comparison

CT angiography combined with CT perfusion image… vs CT angiography (CTA) alone

Design

Preclinical, Three independent observers

Key result

The combination of CTA and CTPI improved the sensitivity of detecting pulmonary emboli to 87% compared to 59% with CTA alone.

Authors

MCMyung Jin ChungJGJin Mo GooJIJung-Gi Im

Discussion

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Overview

Hypothesis-generating in porcine PE model; clinical adoption of CTA-CTPI requires prospective human validation.

Structured PICO

Does the addition of CT perfusion imaging to CT angiography improve the detection of pulmonary emboli in a porcine model?

P
Population
6 pigs with an experimental pulmonary embolism model evaluated for diagnostic accuracy of CTPI.
I
Intervention
CT angiography (CTA) combined with CT perfusion image (CTPI) obtained by data subtraction
C
Comparator
CT angiography (CTA) alone
O
Outcome
Sensitivity and positive predictive value in the detection of pulmonary embolisurrogate

Main Result

Absolute Event Rate: 87% vs 59%

CT perfusion imaging obtained by digital subtraction enhances the diagnostic accuracy of pulmonary embolism detection compared to CTA alone in a porcine model.

Cite This Study

Chung et al. (2004) studied Pulmonary embolism (n=6). CTA and CTPI (computed tomography perfusion image) vs. CTA alone was evaluated on Sensitivity in the detection of pulmonary emboli. The combination of CTA and CTPI improved the sensitivity of detecting pulmonary emboli to 87% compared to 59% with CTA alone.

synapsesocial.com/papers/6a7316fccdd331ef01acb5d8https://doi.org/10.1097/01.rli.0000138672.35942.49
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Also Consider

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  1. 1Comparison of Contrast-Enhanced Ct Angiography and Gadolinium-Enhanced Mr Angiography in the Detection of Subsegmental-Sized Pulmonary Embolism. An experimental study in a pig model2003 · 11 citations
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