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Billeddiagnostisk udredning ved mistanke om akut lungeemboli

Forfattere
Jonas Munch Nielsen1 & Jann Mortensen1, 2, 3 1) Klinik for Klinisk Fysiologi, Nuklearmedicin & PET, Diagnostisk Center, Rigshospitalet 2) Det Sundhedsfaglige Fakultet, Københavns Universitet 3) Klinisk Fysiologi og Nuklearmedicin, Medicinsk Center, Landsygehuset, Torshavn Ugeskr Læger 2018;180:V05170391
Reference: 
Ugeskr Læger 2018;180:V05170391
Sidetal: 
2-5
The choice of diagnostic modality for acute pulmonary embolism
The diagnosis of pulmonary embolism (PE) relies on clinical assessment, D-dimer test and diagnostic imaging. Modern CT pulmonary angiography (CTPA), ventilation/perfusion single-photon emission computed tomography (SPECT) and SPECT/CT are rather equal in terms of sensitivity, specificity and inconclusive results for the diagnosis of PE, outper­forming planar lung scintigraphy. Furthermore, SPECT/CT and CTPA can both provide important information regarding differential diagnoses. Thus, the choice of primary diag­nostic modality relies on local expertise, availability and special circumstances like radiation dose, contraindications and the clinical urgency.

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