How necessary it is to perform a ventilation scan in patients with a history of COVID-۱۹ to rule out pulmonary thromboembolism?
- سال انتشار: 1404
- محل انتشار: مجله پزشکی هسته ای و زیست شناسی آسیا اقیانوسیه، دوره: 13، شماره: 1
- کد COI اختصاصی: JR_JNMB-13-1_008
- زبان مقاله: انگلیسی
- تعداد مشاهده: 131
نویسندگان
Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Isfahan Medical Students Research Committee (MSRC), Isfahan University of Medical Sciences, Isfahan, Iran
Orthopedic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Immunology Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
Objective(s): This study evaluated the necessity of a ventilation scan in patients suspected of PE with a history of COVID-۱۹ infection.Methods: This was a cross-sectional study of patients with PCR-confirmed COVID-۱۹ and suspected PE at a tertiary care hospital in ۲۰۲۰. They underwent ventilation/perfusion (V/Q) scintigraphy using single-photon emission computed tomography/computed tomography (SPECT/CT) and CT scans with or without contrast. Two blinded nuclear medicine physicians interpreted the images for PE and COVID-۱۹. Clinical and laboratory data were extracted and analyzed.Results: ۹۶ patients with suspected PE and COVID-۱۹ infection. The study excluded eight patients who could not undergo ventilation scans and confirmed PE in five patients with multiple mismatched V/Q defects on SPECT/CT. The study ruled out PE in ۸۳ patients who had either regular perfusion scans, perfusion defects with COVID-۱۹ features, or matched V/Q defects. The study found that the prevalence of PE was ۵.۶۸%, and the necessity of ventilation scans was ۲۸.۴۰% in this population.Conclusion: It was found that PE was present in ۵.۶۸% of the patients, and ventilation scans were needed for ۲۸.۴۰% of the patients to confirm or exclude it.کلیدواژه ها
SPECT/CT scan, COVID-۱۹, Pulmonary Embolism, ventilation scanاطلاعات بیشتر در مورد COI
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