Diagnosis of pulmonary embolism: planar images generated from V/Q SPECT are not a reliable substitute for traditional planar V/Q scan.

Pierre-Yves Le Roux 1 Ronan Abgral Morgan Jaffrelot 2 Aurelien Delluc 3, 4 Christophe Gut-Gobert 4 Solène Querellou 5 Jean-Christophe Cornily 6 Grégoire Le Gal 3, 7 Pierre-Yves Salaün 1, 3
1 Department of Nuclear Medicine
2 MG - Service des Urgences
3 GETBO - Groupe d'Etude de la Thrombose de Bretagne Occidentale
4 DMIP - Brest - Département de Médecine Interne et Pneumologie [Brest]
5 Department of Nuclear Medicine
6 CHRU - Cardio - Département de Cardiologie
7 CIC - Brest - Centre d'Investigation Clinique
Abstract : OBJECTIVES: The use of summed planar images generated from single-photon emission computed tomography (SPECT) ventilation/perfusion (V/Q) scintigraphy has been proposed as a substitute for planar V/Q scans in order to use the revised PIOPED interpretation criteria when only SPECT acquisition is performed in patients with suspected pulmonary embolism. The aim was to evaluate the accuracy of angular summed planar scans in comparison with true planar images. METHODS: Patients included in the 'SPECT study' assessing the diagnostic performance of V/Q SPECT were analysed. Angular summed planar images were generated from SPECT acquisition data and compared with true planar scans. RESULTS: Angular summed planar images were successfully generated for 246 patients. Regarding interobserver variability, the interpretation result was different for 15 (6%) summed planar scans with an excellent degree of agreement (κ=0.92; 95% confidence interval 0.88-0.96). With regard to intermodality interpretation variability between conventional planar and angular summed images, the result was different for 63 (26%) of 246 patients with an intermodality degree of agreement of κ=0.66 (95% confidence interval 0.58-0.73). CONCLUSION: Planar images generated from SPECT V/Q scintigraphy are not a reliable substitute for true planar V/Q images.
Type de document :
Article dans une revue
Nuclear Medicine Communications, Lippincott, Williams & Wilkins, 2012, 33 (7), pp.695-700. 〈10.1097/MNM.0b013e328352c7d2〉
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https://hal.univ-brest.fr/hal-00720710
Contributeur : Ghislaine Calvez <>
Soumis le : mercredi 25 juillet 2012 - 14:37:10
Dernière modification le : jeudi 29 novembre 2018 - 16:09:20

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Pierre-Yves Le Roux, Ronan Abgral, Morgan Jaffrelot, Aurelien Delluc, Christophe Gut-Gobert, et al.. Diagnosis of pulmonary embolism: planar images generated from V/Q SPECT are not a reliable substitute for traditional planar V/Q scan.. Nuclear Medicine Communications, Lippincott, Williams & Wilkins, 2012, 33 (7), pp.695-700. 〈10.1097/MNM.0b013e328352c7d2〉. 〈hal-00720710〉

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