| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Radiology, Vol 193, 103-107, Copyright © 1994 by Radiological Society of North America
ARTICLES |
HD Sostman, RE Coleman, DM DeLong, GE Newman and S Paine
Department of Radiology, Duke University Medical Center, Durham, NC 27710.
PURPOSE: To evaluate the accuracy of the revised PIOPED (Prospective Investigation of Pulmonary Embolism Diagnosis) criteria for categorization of ventilation-perfusion lung scans and to compare the diagnostic accuracy of the revised criteria with that of the original PIOPED criteria and subjective probability estimates. MATERIALS AND METHODS: The ventilation-perfusion scans of 104 consecutive patients with suspected pulmonary embolism were reviewed. All patients had also undergone pulmonary angiography. The scans were categorized according to the original and revised PIOPED criteria, and a "gestalt" percent probability estimate was made. In addition, the official clinical interpretation (made with the original PIOPED criteria) was recorded. RESULTS: The gestalt percent probability estimate was the most accurate for assessing the likelihood of pulmonary embolism (area under the receiver operating characteristic [ROC] curve = 0.836). The revised PIOPED criteria (area under the ROC curve = 0.753) were more accurate than the original PIOPED criteria. CONCLUSION: The revised PIOPED criteria are more accurate than the original PIOPED criteria. Experienced readers of lung scans can achieve higher accuracy after applying formal criteria by using their experience and subjective judgment.
This article has been cited by other articles:
|
|
 |
|
  H. D. Sostman, M. Miniati, A. Gottschalk, F. Matta, P. D. Stein, and M. Pistolesi Sensitivity and Specificity of Perfusion Scintigraphy Combined with Chest Radiography for Acute Pulmonary Embolism in PIOPED II J. Nucl. Med., November 1, 2008; 49(11): 1741 - 1748. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Manganaro, G. Ando, D. Lembo, L. Sutera Sardo, and D. Buda A Retrospective Analysis of Hospitalized Patients With Documented Deep-Venous Thrombosis and Their Risk of Pulmonary Embolism Angiology, October 1, 2008; 59(5): 599 - 604. [Abstract] [PDF]
|
|
|
|
 |
|
 Authors/Task Force Members, A. Torbicki, A. Perrier, S. Konstantinides, G. Agnelli, N. Galie, P. Pruszczyk, F. Bengel, A. J.B. Brady, D. Ferreira, et al. Guidelines on the diagnosis and management of acute pulmonary embolism: The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC) Eur. Heart J., September 2, 2008; 29(18): 2276 - 2315. [Full Text] [PDF]
|
|
|
|
 |
|
 J. Kjaergaard, B. K. Schaadt, J. O. Lund, and C. Hassager Quantification of right ventricular function in acute pulmonary embolism: relation to extent of pulmonary perfusion defects Eur J Echocardiogr, September 1, 2008; 9(5): 641 - 645. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Kjaergaard, B. K. Schaadt, J. O. Lund, and C. Hassager Prognostic importance of quantitative echocardiographic evaluation in patients suspected of first non-massive pulmonary embolism Eur J Echocardiogr, May 25, 2008; (2008) jen169v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. D. Sostman, P. D. Stein, A. Gottschalk, F. Matta, R. Hull, and L. Goodman Acute Pulmonary Embolism: Sensitivity and Specificity of Ventilation-Perfusion Scintigraphy in PIOPED II Study Radiology, March 1, 2008; 246(3): 941 - 946. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. T. Bjornara, T. E. Gudmundsen, and O. E. Dahl Frequency and timing of clinical venous thromboembolism after major joint surgery J Bone Joint Surg Br, March 1, 2006; 88-B(3): 386 - 391. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R G McLean, M Carolan, C Bui, O Arvela, J C Ford, M Chew, S Wadhwa, and B S Elison Comparison of new clinical and scintigraphic algorithms for the diagnosis of pulmonary embolism Br. J. Radiol., May 1, 2004; 77(917): 372 - 376. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. F. Vidal Melo, D. Layfield, R. S. Harris, K. O'Neill, G. Musch, T. Richter, T. Winkler, A. J. Fischman, and J. G. Venegas Quantification of Regional Ventilation-Perfusion Ratios with PET J. Nucl. Med., December 1, 2003; 44(12): 1982 - 1991. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Han, K. S. Lee, T. Franquet, N. L. Muller, T. S. Kim, H. Kim, O J. Kwon, and H. S. Byun Thrombotic and Nonthrombotic Pulmonary Arterial Embolism: Spectrum of Imaging Findings RadioGraphics, November 1, 2003; 23(6): 1521 - 1539. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Schulman, K. Wahlander, T. Lundstrom, S. B. Clason, H. Eriksson, and the THRIVE III Investigators Secondary Prevention of Venous Thromboembolism with the Oral Direct Thrombin Inhibitor Ximelagatran N. Engl. J. Med., October 30, 2003; 349(18): 1713 - 1721. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. J. Hagen, I. J.C. Hartmann, O. S. Hoekstra, M. P.M. Stokkel, P. E. Postmus, and M. H. Prins Comparison of Observer Variability and Accuracy of Different Criteria for Lung Scan Interpretation J. Nucl. Med., May 1, 2003; 44(5): 739 - 744. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. J. Hagen, I. J.C. Hartmann, O. S. Hoekstra, M. P.M. Stokkel, G. J.J. Teule, and M. H. Prins How to Use a Gestalt Interpretation for Ventilation-Perfusion Lung Scintigraphy J. Nucl. Med., October 1, 2002; 43(10): 1317 - 1323. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Perrier, N. Howarth, D. Didier, P. Loubeyre, P.-F. Unger, P. de Moerloose, D. Slosman, A. Junod, and H. Bounameaux Performance of Helical Computed Tomography in Unselected Outpatients with Suspected Pulmonary Embolism Ann Intern Med, July 17, 2001; 135(2): 88 - 97. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Guidelines on diagnosis and management of acute pulmonary embolism Eur. Heart J., August 2, 2000; 21(16): 1301 - 1336. [PDF]
|
|
|
|
 |
|
 J. A. Scott, E. L. Palmer, and A. J. Fischman How Well Can Radiologists Using Neural Network Software Diagnose Pulmonary Embolism? Am. J. Roentgenol., August 1, 2000; 175(2): 399 - 405. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Meignan, J. Rosso, H. Gauthier, F. Brunengo, S. Claudel, L. Sagnard, P. d'Azemar, G. Simonneau, and B. Charbonnier Systematic Lung Scans Reveal a High Frequency of Silent Pulmonary Embolism in Patients With Proximal Deep Venous Thrombosis Arch Intern Med, January 24, 2000; 160(2): 159 - 164. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. C. Davey, T. P. Smith, M. W. Hanson, V. S. Lee, D. J. Stackhouse, and R. E. Coleman Ventilation-Perfusion Lung Scintigraphy as a Guide for Pulmonary Angiography in the Localization of Pulmonary Emboli Radiology, October 1, 1999; 213(1): 51 - 57. [Abstract] [Full Text]
|
|
|
|
|
|
S. K. Gerard, H.-R. Frey, J. F.M. Meaney, J. G. Weg, and M. R. Prince Diagnosis of Pulmonary Embolism with Magnetic Resonance Angiography N. Engl. J. Med., September 18, 1997; 337(12): 859 - 860. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
