FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4205147572> ?p ?o ?g. }

• W4205147572 endingPage "38S" @default.
• W4205147572 startingPage "33S" @default.
• W4205147572 abstract "It is maintained that pulmonary angiography is required for confirmation or exclusion of pulmonary embolism in the majority of patients suspected of having pulmonary embolism. The aim of this study was to reappraise the role of perfusion scan in conjunction with clinical assessment in the diagnosis of pulmonary embolism and to identify subsets of patients in whom angiography is strictly required for definitive diagnosis. At the time of referral, each of 252 consecutive patients was assigned a clinical probability of pulmonary embolism (very likely, possible, unlikely). Perfusion scan was subsequently obtained and assigned to one of the following categories: (1) normal; (2) near normal; (3) single or multiple wedge-shaped perfusion defects compatible with pulmonary embolism (PE+); (4) perfusion defects other than wedge-shaped not compatible with pulmonary embolism (PE–). By protocol, angiography had to be obtained in all patients with abnormal scan (PE+ and PE–). The protocol was completed in 176 patients (107 with normal/near normal and 69 with abnormal scan in whom a definitive diagnosis was reached). The overall rate of correct clinical classification was 86%. Sensitivity and specificity of PE+ perfusion scan were 89 and 92%, respectively. Pulmonary embolism was present in all 37 patients with very likely or possible clinical presentation and PE+ scan (positive predictive value 100%) and in 2 of 17 cases with low likelihood of pulmonary embolism and PE– scan (negative predictive value of 88%). These preliminary results indicate that pulmonary embolism can be diagnosed noninvasively in the majority of cases and that angiography is strictly required only for a minority of patients (21% in this study) in whom clinical and perfusion scan assessment are discordant. It is maintained that pulmonary angiography is required for confirmation or exclusion of pulmonary embolism in the majority of patients suspected of having pulmonary embolism. The aim of this study was to reappraise the role of perfusion scan in conjunction with clinical assessment in the diagnosis of pulmonary embolism and to identify subsets of patients in whom angiography is strictly required for definitive diagnosis. At the time of referral, each of 252 consecutive patients was assigned a clinical probability of pulmonary embolism (very likely, possible, unlikely). Perfusion scan was subsequently obtained and assigned to one of the following categories: (1) normal; (2) near normal; (3) single or multiple wedge-shaped perfusion defects compatible with pulmonary embolism (PE+); (4) perfusion defects other than wedge-shaped not compatible with pulmonary embolism (PE–). By protocol, angiography had to be obtained in all patients with abnormal scan (PE+ and PE–). The protocol was completed in 176 patients (107 with normal/near normal and 69 with abnormal scan in whom a definitive diagnosis was reached). The overall rate of correct clinical classification was 86%. Sensitivity and specificity of PE+ perfusion scan were 89 and 92%, respectively. Pulmonary embolism was present in all 37 patients with very likely or possible clinical presentation and PE+ scan (positive predictive value 100%) and in 2 of 17 cases with low likelihood of pulmonary embolism and PE– scan (negative predictive value of 88%). These preliminary results indicate that pulmonary embolism can be diagnosed noninvasively in the majority of cases and that angiography is strictly required only for a minority of patients (21% in this study) in whom clinical and perfusion scan assessment are discordant." @default.
• W4205147572 created "2022-01-25" @default.
• W4205147572 date "1995-01-01" @default.
• W4205147572 modified "2023-09-28" @default.
• W4205147572 title "Invasive and Noninvasive Diagnosis of Pulmonary Embolism" @default.
• W4205147572 cites W1824881015 @default.
• W4205147572 cites W1979370364 @default.
• W4205147572 cites W1982553374 @default.
• W4205147572 cites W1983666926 @default.
• W4205147572 cites W1993638819 @default.
• W4205147572 cites W1996153814 @default.
• W4205147572 cites W2009548970 @default.
• W4205147572 cites W2021593045 @default.
• W4205147572 cites W2024198289 @default.
• W4205147572 cites W2038964708 @default.
• W4205147572 cites W2041647650 @default.
• W4205147572 cites W2042988671 @default.
• W4205147572 cites W2053298944 @default.
• W4205147572 cites W2055489661 @default.
• W4205147572 cites W2063661889 @default.
• W4205147572 cites W2065088448 @default.
• W4205147572 cites W2080720066 @default.
• W4205147572 cites W2088527449 @default.
• W4205147572 cites W2095479030 @default.
• W4205147572 cites W2102266862 @default.
• W4205147572 cites W2152647994 @default.
• W4205147572 cites W2162631927 @default.
• W4205147572 cites W2318414906 @default.
• W4205147572 cites W2335993342 @default.
• W4205147572 cites W2339010498 @default.
• W4205147572 cites W4235098291 @default.
• W4205147572 cites W74544974 @default.
• W4205147572 doi "https://doi.org/10.1378/chest.107.1_supplement.33s" @default.
• W4205147572 hasPublicationYear "1995" @default.
• W4205147572 type Work @default.
• W4205147572 citedByCount "14" @default.
• W4205147572 countsByYear W42051475722013 @default.
• W4205147572 countsByYear W42051475722017 @default.
• W4205147572 crossrefType "journal-article" @default.
• W4205147572 hasConcept C126322002 @default.
• W4205147572 hasConcept C126838900 @default.
• W4205147572 hasConcept C135691158 @default.
• W4205147572 hasConcept C146957229 @default.
• W4205147572 hasConcept C164705383 @default.
• W4205147572 hasConcept C2776265017 @default.
• W4205147572 hasConcept C2777185221 @default.
• W4205147572 hasConcept C2780149156 @default.
• W4205147572 hasConcept C2780643987 @default.
• W4205147572 hasConcept C71924100 @default.
• W4205147572 hasConceptScore W4205147572C126322002 @default.
• W4205147572 hasConceptScore W4205147572C126838900 @default.
• W4205147572 hasConceptScore W4205147572C135691158 @default.
• W4205147572 hasConceptScore W4205147572C146957229 @default.
• W4205147572 hasConceptScore W4205147572C164705383 @default.
• W4205147572 hasConceptScore W4205147572C2776265017 @default.
• W4205147572 hasConceptScore W4205147572C2777185221 @default.
• W4205147572 hasConceptScore W4205147572C2780149156 @default.
• W4205147572 hasConceptScore W4205147572C2780643987 @default.
• W4205147572 hasConceptScore W4205147572C71924100 @default.
• W4205147572 hasIssue "1" @default.
• W4205147572 hasLocation W42051475721 @default.
• W4205147572 hasOpenAccess W4205147572 @default.
• W4205147572 hasPrimaryLocation W42051475721 @default.
• W4205147572 hasRelatedWork W104630177 @default.
• W4205147572 hasRelatedWork W1880215041 @default.
• W4205147572 hasRelatedWork W2044945895 @default.
• W4205147572 hasRelatedWork W2045420848 @default.
• W4205147572 hasRelatedWork W2062773625 @default.
• W4205147572 hasRelatedWork W2070307478 @default.
• W4205147572 hasRelatedWork W2366705787 @default.
• W4205147572 hasRelatedWork W2390456823 @default.
• W4205147572 hasRelatedWork W2403263073 @default.
• W4205147572 hasRelatedWork W250184490 @default.
• W4205147572 hasVolume "107" @default.
• W4205147572 isParatext "false" @default.
• W4205147572 isRetracted "false" @default.
• W4205147572 workType "article" @default.