PMID- 9757215 OWN - NLM STAT- MEDLINE DCOM- 19981124 LR - 20061115 IS - 0221-0363 (Print) IS - 0221-0363 (Linking) VI - 79 IP - 1 DP - 1998 Jan TI - [Diagnostic imaging of acute pulmonary embolism: critical analysis of the 1997 literature]. PG - 13-9 AB - With variable symptoms and a nonspecific radiographic appearance, acute pulmonary embolism (APE) is a frequent and often undiagnosed cause of mortality and morbidity; thus, availability of an accurate, noninvasive screening examination is highly desirable. Until recently, various noninvasive imaging procedures have been used to detect APE, including ventilation-perfusion scanning, MR imaging and phlebography (or sonography). The low specificity of scintigraphy explains why pulmonary angiography remains the usual "gold standard" modality for detection of APE. However, with this procedure morbidity and mortality not zero-Helical computed tomography (HCT) seems to be an accurate technique for diagnosis of pulmonary embolism except for distal thrombi. Nevertheless the exact position of HCT in the classic algorithms remains to be defined, particularly in terms or cost-benefit results. FAU - Amiel, M AU - Amiel M AD - Department d'Imagerine diagnostique et therapeutique, CREATIS-UMR CNRS 5515, Hopital L Pradel, Lyon. FAU - Revel, D AU - Revel D FAU - Chirossel, P AU - Chirossel P FAU - Berthezene, Y AU - Berthezene Y LA - fre PT - English Abstract PT - Journal Article PT - Review TT - Imagerie dans L'embolie pulmonaire algue (EPA): analyse critique de la litterature en 1997. PL - France TA - J Radiol JT - Journal de radiologie JID - 7906266 SB - IM MH - Cost-Benefit Analysis MH - *Diagnostic Imaging/economics MH - Humans MH - Pulmonary Embolism/*diagnosis/economics/etiology MH - Sensitivity and Specificity RF - 49 EDAT- 1998/10/03 00:00 MHDA- 1998/10/03 00:01 CRDT- 1998/10/03 00:00 PHST- 1998/10/03 00:00 [pubmed] PHST- 1998/10/03 00:01 [medline] PHST- 1998/10/03 00:00 [entrez] AID - 68502 [pii] PST - ppublish SO - J Radiol. 1998 Jan;79(1):13-9.