The diagnostic yield of CTPA: pulmonary embolism, alternative diagnoses and incidental findings.
| Title: | The diagnostic yield of CTPA: pulmonary embolism, alternative diagnoses and incidental findings. |
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| Authors: | Faruqi S; Department of Respiratory Medicine, Mid Yorkshire Hospitals NHS Trust, Aberford Road, Wakefiled, WF1 4DG.; Kishore N; Department of Respiratory Medicine, Mid Yorkshire Hospitals NHS Trust, Aberford Road, Wakefiled, WF1 4DG.; Bodington R; University of Hull and the Hull York Medical School, Department of Respiratory Medicine, Castle Hill Hospital, Castle Road, Cottingham, HU16 5JQ.; Meghjee S; Department of Respiratory Medicine, Mid Yorkshire Hospitals NHS Trust, Aberford Road, Wakefiled, WF1 4DG.; Thirumaran M; Department of Respiratory Medicine, Mid Yorkshire Hospitals NHS Trust, Aberford Road, Wakefiled, WF1 4DG. |
| Source: | Acute medicine [Acute Med] 2016; Vol. 15 (3), pp. 130-133. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Rila Country of Publication: England NLM ID: 101553725 Publication Model: Print Cited Medium: Internet ISSN: 1747-4892 (Electronic) Linking ISSN: 17474884 NLM ISO Abbreviation: Acute Med Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : Rila, 2005- |
| MeSH Terms: | Incidental Findings*; Computed Tomography Angiography/*methods ; Pulmonary Embolism/*diagnostic imaging ; Pulmonary Embolism/*epidemiology; Pulmonary Embolism/physiopathology ; Age Factors ; Aged ; Aged, 80 and over ; Cohort Studies ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Humans ; Incidence ; Male ; Middle Aged ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Sex Factors |
| Abstract: | Aims: In this retrospective study we assess the diagnostic yield of computed tomography pulmonary angiogram (CTPA) and the incidence of alterative and incidental diagnoses.; Methods: The results of all CTPA scans performed in our trust over a period of 18 months were reviewed and all diagnoses noted. Data collected was descriptively analysed.; Results: A total of 1138 scans were performed (56.5% men, mean age 59 years). A diagnosis of pulmonary embolism (PE) was made in 20.2%, an alternative aetiology for presenting symptoms in 26.4% and incidental findings in 19.5%. The commonest alternative diagnosis was pneumonia (9.5%).; Conclusions: Significant numbers of CTPA yield unexpected findings, which may provide an explanation for the clinical presentation. Furthermore substantial numbers of incidental pathologies are also diagnosed which may lead to inappropriate resource utilization and increased patient anxiety. |
| Entry Date(s): | Date Created: 20161021 Date Completed: 20180126 Latest Revision: 20180126 |
| Update Code: | 20260130 |
| PMID: | 27759747 |
| Database: | MEDLINE |
Journal Article