Navigation Links
Nuclear medicine approach can be first choice for excluding pulmonary embolism in young women
Date:9/7/2007

RESTON, Va.Young women at risk of having a pulmonary embolisma potential life-threatening blockage in a lung arteryshould first undergo a ventilation/perfusion lung scan (V/Q scan) rather than a CT (computed tomography) angiogram, conclude authors in a paper published in the September Journal of Nuclear Medicine.

A V/Q scan can be the first choicebut the CT angiogram is the classic choicefor diagnosing a pulmonary embolism, noted H. Dirk Sostman, a professor of radiology and executive vice dean at Weill Cornell Medical College in New York City and chief academic officer at the Methodist Hospital in Houston, Texas. A very low probability V/Q lung scantogether with a low probability objective clinical assessmentis as reliable as a CT angiogram and allows a doctor to evaluate whether a pulmonary embolism is present or not, added Alexander Gottschalk, a professor of diagnostic radiology at Michigan State University in East Lansing.

A noninvasive V/Q scan involves two tests using radioactive material to measure breathing (ventilation) and circulation (perfusion) in all areas of the lungs, said Gottschalk, who has performed research with studies like the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) project for more than 30 years. V/Q scans reduce the radiation to the breast by about 70 times on average compared to higher-radiation procedures such as computed tomography pulmonary angiography (CTA), he explained.

While CTA is the major test used widely to detect pulmonary embolisms, it is associated with higher radiation risk, especially for young women of reproductive age, said Gottschalk. The combination of a low probability V/Q scan and low probability clinical assessment is extremely effective, said Sostman. Our study is important for doctorsand their patientssince tests show that high radiation doses to the breast from CT, especially important in young women, may increase their risk of breast cancer, he added.

A pulmonary embolism is a sudden blockage in a lung artery, usually occurring when a blood clot travels to the lung from a vein in the leg. This condition can cause permanent damage to a part of the lung. And, if a blood clot is largeor if they are numerousa pulmonary embolism can cause death. According to statistics, at least 100,000 cases of pulmonary embolism take place each year in this country, and it is considered the third most common cause of death in hospitalized patients. A persons risk at getting a pulmonary embolism doubles every 10 years after the age of 60.

In their study, Gottschalk and Sostman analyzed the prospectively gathered data from PIOPED II, a large-scale, multicenter trial. Very Low Probability Interpretation of Ventilation Perfusion Lung Scans in Combination With Low Probability Objective Clinical Assessment Reliably Excludes Pulmonary Embolism: Data From PIOPED II appears in the September issue of the Journal of Nuclear Medicine, which is published by SNM, the worlds largest molecular imaging and nuclear medicine society. Additional co-authors include Paul D. Stein, St. Joseph Mercy Oakland Hospital, Pontiac, Mich., Wayne State University, Detroit, Mich.; and Fadi Matta and Afzal Beemath, St. Joseph Mercy Oakland Hospital, Pontiac, Mich.


'/>"/>

Contact: Maryann Verrillo
mverrillo@snm.org
703-652-6773
Society of Nuclear Medicine
Source:Eurekalert

Related medicine news :

1. Cancer risk among nuclear industry workers
2. Nuclear magnetic resonance spectroscopy aids in mapping protein structure
3. A Novel Method Of Detection Of High Nuclear Grade Localized Renal Cell Carcinoma
4. SNM recognizes exemplary contributors in nuclear medicine
5. "New" Clear Advantages In Nuclear Medicine
6. Simi Valley Nuclear Meltdown Effects Greater than Suspected
7. Exposure to CT Scan Radiation may Be Equivalent to That of Nuclear Bomb
8. Nobel Prize for Medicine shared by Three scientists
9. Prince Charles lends support to Alternative Medicine
10. Alternative medicine more popular among HIV positive patients
11. Complementary and Alternative medicine
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/11/2016)... ... February 11, 2016 , ... ... 23 webinar, “Intel’s Direct-to-Employee Benefit Model: A Case Study for Plans and Purchasers.” ... care system that’s partnering with Intel on value-based health benefits program Connected Care, ...
(Date:2/11/2016)... ... February 11, 2016 , ... The Commission ... for the Board of Commissioners. Individuals interested in volunteer board service are encouraged ... of clinical practice settings and across allied health to contribute to its mission ...
(Date:2/11/2016)... ... , ... PharmMD CEO Robert Yeager announced today ... contract negotiations, corporate strategy and healthcare data law. Additional responsibilities will include healthcare ... breaches for the Part D Star Rating improvement and Medication Therapy Management firm. ...
(Date:2/11/2016)... ... February 11, 2016 , ... Greenfield Insurance ... program created to assist the people of their local community. The agency pledges ... and community leaders. Their hope is to bring awareness to important local causes ...
(Date:2/11/2016)... (PRWEB) , ... February 11, 2016 , ... ... and updated its hallmark resource, Infusion Therapy Standards of Practice, to include vascular ... vein illumination with an estimated 85% share of the market, facilitates adherence to ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... -- Laboratory glassware and plasticware include equipment, ... range from microscope slides to large storage boxes and ... glass because of its low weight and resistance to ... gaining popularity over the past decade when it was ... plastic in several applications due to its resistance to ...
(Date:2/11/2016)...   Health 2.0 , the premiere showcase and ... today " 10 Year Global Retrospective ", a platform ... past ten years.   --> ... has served as the preeminent thought-leader in the health ... technologies, companies, innovators, and patient-activists through an array of ...
(Date:2/11/2016)... 2016 AAIPharma Services Corp./Cambridge Major Laboratories, ... and development services for the pharmaceutical and biotechnology ... capacity in its Charleston, SC ... several recent investments. Charleston ... line with small-scale lyophilization. The site has invested ...
Breaking Medicine Technology: