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 want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: Prohibition of deep inspiration to prevent the Valsalva Maneuver, low voltage scan, appropriate injection volume and rate, and early acquisition.

You can move this window by clicking on the headline. 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. During CTPA, radiologists and radiographers subjectively evaluate injection quality to check for sufficient contrast enhancement of the pulmonary arteries.

The most frequent abnormalities were dilatation of the heart chambers and coronary calcifications. Prise en charge des principales urgences thoraciques et abdominales durant la grossesse. 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.

With the improved diagnostic image quality, PE could also potentially be ruled out faster allowing patients to possibly be discharged sooner and given peace of mind. Quality of CT pulmonary angiography for suspected pulmonary embolus in pregnancy.

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It almost completely dilutes the contrast agent coming from the superior vena cava SVC. Thorac Imaging ; 22 2. Pulmonary CT angiography protocol adapted to the hemodynamic effects of pregnancy. Baccouche abJ. Overcoming CT imaging limitations. This reduced quality of CTPA in pregnant women is caused almost entirely by pregnancy related physiological changes that can last for several weeks postpartum. Embolie Pulmonaire et Grossesse.

If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. Contact Help Who are we? 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.

Lastly, conventional imaging modalities are more complicated when used for pregnant patients. Angioscaner may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, pulkonaire corrected, clarified, updated or deleted.

Over-diagnosis may also result in treatments that might be dangerous for the unborn child and the mother. The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties. Outline Masquer le plan. For further information, please refer to the original article: Does pregnancy affect vascular enhancement in patients undergoing CT pulmonary angiography?

Short acquisition times make it possible to target an event such as an arterial phase.

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This has potential to help reduce mortality rates and achieve better outcomes. This is known as the Valsalva Maneuver. When PE is suspected, a computed tomography CT scan may be recommended in some countries as a quick response. 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.


Ann Fr Anesth Reanim. The disadvantage is that if the acquisition window misses the point of maximum enhancement, the arteries will not be fully opacified and it becomes difficult to rule out pulmonary embolism. In addition to the survey, the department also retrospectively analyzed examinations and the conditions in which they were performed. Moreover, foetuses are especially sensitive to dose.

Access to the text HTML. Measurement of caval blood flow with MRI during respiratory maneuvers: CTPA for the pu,monaire of acute pulmonary embolism during pregnancy. Angioscanner, Embolie pulmonaire, Anomalies cardiaques.

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When voltage is decreased, the photoelectric effect dominates and contrast increases. In the case of pregnancy, the increased speed of blood flow requires an earlier acquisition that starts when the superior vena cava is opacified vs the opacification of the pulmonary trunk pilmonaire the general population.

Computed tomography angiography, Pulmonary embolism, Heart abnormalities. Mescape, Aug 09, Access to the full text of this article requires a subscription.

Personal information regarding our website’s visitors, including their identity, is confidential. Grossesse et embolie pulmonaire: Image quality and radiation exposure at pulmonary CT angiography with or kVp protocol: In the following, we will take a closer look at these four parameters.

This is why timing is considered so important: Feuillets de Radiologie ; 47 3: As a result, they proposed adjustment of these four parameters to improve pulmonary arterial contrast enhancement and, therefore, image quality.