Navigation Links
CT Scans Catch More Clots in Lungs
Date:12/18/2007

Study finds newer method slightly more effective than traditional lung scans,,,,

TUESDAY, Dec. 18 (HealthDay News) -- Pulmonary embolism -- a life-threatening blood clot in the lungs -- can be very difficult to diagnose, but new research suggests a technique using CT scanning might be slightly more effective than lung scans at spotting such clots.

Canadian researchers found that computed tomographic pulmonary angiography (CTPA) detected pulmonary embolisms in 19.2 percent of a group of study volunteers who'd had symptoms of a pulmonary embolism, compared to 14.2 percent of the group who underwent the more standard test, ventilation/perfusion (V/Q) lung scanning.

More important, a pulmonary embolism was missed in only two out of the 561 people who underwent CTPA versus six out of 611 people who'd had V/Q scans. If a pulmonary embolism goes undetected and untreated, almost one-third of people with this type of blood clot will die.

"CTPA can safely be used to exclude the diagnosis of pulmonary embolism," said study author Dr. David R. Anderson, head of the division of hematology at Dalhousie University and Capitol Health in Halifax, Nova Scotia.

"We ended up diagnosing more patients with pulmonary embolism with CTPA rather than V/Q scanning. That was a bit of a surprise," said Anderson, who added that this finding needs to be investigated further. "Sometimes, when you detect very small blood clots that are isolated to single vessels, clinically, we wonder if such a small abnormality is the cause of symptoms."

Results of the study are published in the Dec. 19 issue of the Journal of the American Medical Association.

"In general, the tendency is that when a clot is found, unless there's a specific contraindication, the clot is treated, because we recognize that clots can be very serious, and they can recur," said Dr. Jeffrey Glassroth, vice dean and chief academic officer at the Feinberg School of Medicine at Northwestern University in Chicago. Glassroth is also the author of an accompanying editorial.

However, the anticoagulant medicines used to treat blood clots aren't without risk. In some people, these medications can cause excessive bleeding that can be life-threatening. So, it's important to accurately diagnose pulmonary embolism. "There's a definite downside to treating unnecessarily," Anderson noted.

For the past 30 years, V/Q scanning has been the tool most often used to diagnose pulmonary embolisms. The test requires an injection of a radioactive tracer and the inhalation of radioactive gas. CTPA has been around for about 10 years and also involves using an injected radioactive tracer but doesn't require the inhalation portion included in V/Q scans. The cost of the two procedures is similar, but there's a slightly higher chance of a reaction to the contrast material used in CTPA, and the radiation dose from the imaging technique is higher with CTPA, according to Glassroth.

While CTPA quickly became an accepted alternative, it wasn't clear how the two methods compared to each other. To answer that question, Anderson and his colleagues recruited 1,417 people being treated for symptoms of pulmonary embolism.

Seven hundred and one of the study volunteers had CTPA to rule out pulmonary embolism, while 716 had V/Q scans. Almost 20 percent of those undergoing CTPA were diagnosed with a pulmonary embolism, compared to 14.2 percent of the V/Q volunteers.

A pulmonary embolism was missed in just 0.4 percent of those who had CTPA versus 1 percent of those who had V/Q scanning, according to the study.

"We did confirm that the newer modality (CTPA) was at least as safe as V/Q," said Anderson.

And, although doctors may still be debating which clots need immediate treatment, Glassroth said the good news from this study is that "we have ever-improving capabilities for detecting clots."

More information

To learn more about pulmonary embolism, visit the National Heart, Lung, and Blood Institute.



SOURCES: David Anderson, M.D., professor, medicine, and head, division of hematology, Dalhousie University and Capitol Health, Halifax, Nova Scotia, Canada; Jeffrey Glassroth, M.D., vice dean, chief academic officer, and professor, medicine, Feinberg School of Medicine, Northwestern University, Chicago; Dec. 19, 2007, Journal of the American Medical Association


'/>"/>
Copyright©2007 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. European directive will halt use of MRI scans; cancer diagnosis and treatment will suffer
2. PET scans can accurately detect a breast tumors response to chemotherapy
3. High-tech CT scans: not a bad choice to test for clogged arteries
4. New Computerized Scans Effective for Spotting Clogged Arteries
5. PET scans useful for some cancer treatment, but how do patients fare?
6. PET Scans Can Spot Cervical Cancers Return
7. Post-treatment PET scans can reassure cervical cancer patients
8. CT scans to determine heart disease in the emergency room
9. Obesity Keeps Patients From Needed CT Scans After Surgery
10. PET Scans Could Boost Lung Cancer Diagnosis
11. Rise in CT Scans Poses Cancer Risk
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
CT Scans Catch More Clots in Lungs
(Date:8/18/2017)... ... August 18, 2017 , ... More than 20,000 pairs of shoes made their ... to an ambitious venture that conjoined the passions of an NBA star, a Liberty ... Liberty community. These shoes will save lives from the rampant infections transmitted through the ...
(Date:8/18/2017)... York, NY (PRWEB) , ... August 18, 2017 ... ... launch of this summer’s edition of “Vision & Hearing,” advocating for active, healthy ... campaign focuses on resources available for individuals with hearing impairments and shares the ...
(Date:8/18/2017)... ... August 18, 2017 , ... Hernandez ... consultations to communities throughout the greater DC region, is inaugurating a “New Leash ... rescuing local animals and training them to be companions for veterans in need. ...
(Date:8/18/2017)... ... 18, 2017 , ... The Brian Gifford Agency, an Indiana-based firm providing asset ... of Campagna Academy in a charity drive to provide for at-risk children and teens ... Campagna Academy is a nonprofit organization that has offered critical programs to at-risk and ...
(Date:8/18/2017)... ... August 18, 2017 , ... With over 16,000 active ... hormone replacement therapy and integrative medicine, has become a frontrunner for people seeking ... as menopause, andropause, thyroid disorder and adrenal insufficiencies. , Founded in 2003 ...
Breaking Medicine News(10 mins):
(Date:8/15/2017)... Aug. 15, 2017   Mostyn Law and Gulf Coast ... Houston, Texas . The Mostyn Law family has ... years. That is why Mostyn Law is partnering with ... to show its appreciation. Blood supplies are running low. ... short of hospital needs in August. That is why the blood ...
(Date:8/15/2017)... 15, 2017  AOTI Inc. announced today that its fully owned ... recently opened a New York City Office in Yonkers, ... unique Topical Wound Oxygen (TWO 2 ) homecare therapy. This new ... for Health Care (ACHC) under the company,s DMEPOS accreditation for Home/Durable ... Advanced ...
(Date:8/8/2017)... AVIV, Israel, Aug. 8, 2017  BioLineRx Ltd. (NASDAQ/TASE: ... immunology, today reports its financial results for the second ... achievements during the second quarter 2017 and to date: ... multiple clinical development programs for the Company,s lead project, ... 3 pivotal study with BL-8040 as novel stem cell ...
Breaking Medicine Technology: