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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This has potential to help reduce mortality rates and achieve better outcomes.

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Over-diagnosis may also result in treatments that might be dangerous for the unborn child and the mother. When voltage is decreased, the photoelectric effect dominates and contrast increases.

Angioscanner, Embolie pulmonaire, Anomalies cardiaques. This is why timing is considered so important: Moreover, lowering kV from to also considerably reduces radiation, given that the dose delivered to angikscanner patient is proportional to the square of the voltage at an identical mAs.

Voltage affects pulmohaire quality, particularly when contrast is involved. Journal page Archives Contents list. This reduced quality of CTPA in pregnant women is caused almost entirely by pregnancy related physiological changes that can last for several weeks postpartum.

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 in the general population.


Pulmonary CT angiography protocol adapted to the hemodynamic effects of pregnancy. In the following, pjlmonaire will take a closer look at these four parameters.

Case Report

CTPA for the diagnosis of pulmonaaire pulmonary embolism during pregnancy. As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data.

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

Not only is CTPA usually readily available, it also enables comprehensive assessment of the thorax and visualization of the thrombus to support differential diagnoses Fig. Prohibition of deep inspiration to prevent the Valsalva Maneuver, low voltage scan, appropriate injection volume and angioscahner, and early acquisition.

Angioscanner pulmonaire in English with examples

Image quality and radiation exposure at pulmonary CT angiography with or kVp protocol: When PE is suspected, a computed tomography CT scan may be recommended in some countries as a quick response. Short acquisition times make it possible to target an event such as an arterial phase. In addition to the survey, the department also retrospectively analyzed examinations and the conditions in which they pulmonairs performed.

Thorac Imaging ; 22 2. Quality of CT pulmonary angiography for suspected pulmonary embolus in pregnancy. Ann Fr Anesth Reanim.

Conversely, when voltage is increased, the dominant Compton Effect reduces contrast. You may thus request that your data, angiosacnner it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.


Outline Masquer le plan. Results showed that very few institutions had a specific protocol and levels of satisfaction varied widely. Baccouche abJ.

Pulmonary Embolism Diagnosis in Pregnancy: How Bicêtre Hospital Overcomes Imaging Challenges

Feuillets de Radiologie ; 47 3: With the improved diagnostic image quality, Pulmonaite could also potentially be ruled out faster allowing patients to possibly be discharged sooner and given peace of mind. With a mortality rate at approximately 25 percent, pulmonary embolism PE is one of the leading causes of maternal death during pregnancy and postpartum.

If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. Measurement of caval blood flow with MRI during respiratory maneuvers: The owners of this website hereby guarantee pulmnoaire respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties. Moreover, foetuses are especially sensitive to dose.

Grossesse et embolie pulmonaire: Contact Help Who are we? Embolie Pulmonaire et Grossesse. 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.