An audit of ventilation and perfusion SPECT reporting for the diagnosis of pulmonary embolism in a tertiary cardiothoracic centre.
Shanthi KannanDavid S RoseJoseph C LeeFrancis Y F YeungPublished in: Internal medicine journal (2021)
The aim of the study was to identify reporting patterns of ventilation and perfusion single-photon emission computed tomography (V/Q SPECT) scans done in our department over 3 months in 2016. Factors impacting on reporting and patient groups that would most benefit from the addition of low-dose computed tomography (CT) to V/Q SPECT were analysed. Among 178 patients, 173 (97.2%) had a definitive (positive/negative) report and 2.8% had an equivocal report. As the majority of the equivocal reports were seen in patients aged ≥70 years, we believe that addition of low-dose CT with V/Q SPECT to this patient group will reduce the non-diagnostic rate.
Keyphrases
- computed tomography
- contrast enhanced
- low dose
- pulmonary embolism
- dual energy
- positron emission tomography
- adverse drug
- image quality
- pet ct
- magnetic resonance imaging
- end stage renal disease
- case report
- ejection fraction
- high dose
- chronic kidney disease
- squamous cell carcinoma
- inferior vena cava
- mechanical ventilation
- respiratory failure
- emergency department
- patient reported outcomes
- acute respiratory distress syndrome
- patient reported
- rectal cancer