HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Loud, P. A. Articles by Grossman, Z. D. Search for Related Content PubMed PubMed Citation Articles by Loud, P. A. Articles by Grossman, Z. D. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

Combined CT Venography and Pulmonary Angiography in Suspected Thromboembolic Disease

Diagnostic Accuracy for Deep Venous Evaluation

¹ Department of Radiology, Roswell Park Cancer Institute, Elm and Carlton Sts., Buffalo, NY 14263.
² Department of Radiology, Winthrop University Hospital, 259 First St., Mineola, NY 11501.

OBJECTIVE. Combined CT venography and pulmonary angiography is a new diagnostic test that evaluates both pulmonary embolism and deep venous thrombosis (DVT) in a single study. Our purpose was to compare the CT venous findings with lower extremity venous sonography.

SUBJECTS AND METHODS. Seventy-one consecutive patients with suspected pulmonary embolism underwent helical CT pulmonary angiography during rapid IV infusion of contrast medium. Axial scans at 5-cm intervals from the patient's upper calves to the diaphragm were generated 3.5 min after the beginning of contrast medium injection. CT venous phase images were interpreted prospectively and compared with subsequent bilateral lower extremity venous sonography performed within 12 hr.

RESULTS. DVT was revealed by CT venous phase images in 19 patients, 12 of whom also had pulmonary embolism. CT and sonographic findings correlated exactly in the femoropopliteal deep venous system, where most pulmonary emboli originate. CT venous phase images also revealed pelvic extension of DVT in six patients and isolated vena cava thrombus in one patient.

CONCLUSION. CT venous phase imaging at the time of CT pulmonary angiography is comparable with venous sonography in the evaluation of femoropopliteal DVT. The iliac veins and vena cava, vessels poorly shown on sonography but sometimes the source of significant pulmonary emboli, are also depicted by CT venography.

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				H. Nazaroglu, C. A. Ozmen, H. O. Akay, I. Kilinc, and A. Bilici 64-MDCT Pulmonary Angiography and CT Venography in the Diagnosis of Thromboembolic Disease Am. J. Roentgenol., March 1, 2009; 192(3): 654 - 661. [Abstract] [Full Text] [PDF]

				A. R. Hunsaker, K. H. Zou, A. C. Poh, B. Trotman-Dickenson, F. L. Jacobson, R. R. Gill, and S. Z. Goldhaber Routine Pelvic and Lower Extremity CT Venography in Patients Undergoing Pulmonary CT Angiography Am. J. Roentgenol., February 1, 2008; 190(2): 322 - 326. [Abstract] [Full Text] [PDF]

				H. Arakawa, T. Kohno, T. Hiki, and Y. Kaji CT Pulmonary Angiography and CT Venography: Factors Associated with Vessel Enhancement Am. J. Roentgenol., July 1, 2007; 189(1): 156 - 161. [Abstract] [Full Text] [PDF]

				J. D. Dodd Evidence-based Practice in Radiology: Steps 3 and 4--Appraise and Apply Diagnostic Radiology Literature Radiology, February 1, 2007; 242(2): 342 - 354. [Abstract] [Full Text] [PDF]

				B. Ghaye, A. Nchimi, C. T. Noukoua, and R. F. Dondelinger Does Multi-Detector Row CT Pulmonary Angiography Reduce the Incremental Value of Indirect CT Venography Compared with Single-Detector Row CT Pulmonary Angiography? Radiology, July 1, 2006; 240(1): 256 - 262. [Abstract] [Full Text] [PDF]

				A. Kluge, C. Mueller, J. Strunk, U. Lange, and G. Bachmann Experience in 207 combined MRI examinations for acute pulmonary embolism and deep vein thrombosis. Am. J. Roentgenol., June 1, 2006; 186(6): 1686 - 1696. [Abstract] [Full Text] [PDF]

				T. Schertler, S. Wildermuth, H. Alkadhi, M. Kruppa, B. Marincek, and T. Boehm Sixteen-Detector Row CT Angiography for Lower-Leg Arterial Occlusive Disease: Analysis of Section Width Radiology, November 1, 2005; 237(2): 649 - 656. [Abstract] [Full Text] [PDF]

				S. Patel and E. A. Kazerooni Helical CT for the Evaluation of Acute Pulmonary Embolism Am. J. Roentgenol., July 1, 2005; 185(1): 135 - 149. [Abstract] [Full Text] [PDF]

				S. J. Michel, A. M. Fried, S. Sinha, J. Willson, E. Bensadoun, S. Arnold, and J. L. Buck Comparison of Iodixanol with Iohexol for Delayed Pelvic Venous Opacification: A Preliminary Study of Potential Use for CT Venography Am. J. Roentgenol., July 1, 2004; 183(1): 123 - 126. [Abstract] [Full Text] [PDF]

				C. Catalano, F. Fraioli, A. Laghi, A. Napoli, M. Bezzi, F. Pediconi, M. Danti, I. Nofroni, and R. Passariello Infrarenal Aortic and Lower-Extremity Arterial Disease: Diagnostic Performance of Multi-Detector Row CT Angiography Radiology, May 1, 2004; 231(2): 555 - 563. [Abstract] [Full Text] [PDF]

				J. P. Kanne and T. A. Lalani Role of Computed Tomography and Magnetic Resonance Imaging for Deep Venous Thrombosis and Pulmonary Embolism Circulation, March 30, 2004; 109(12_suppl_1): I-15 - I-21. [Abstract] [Full Text]

				E. E. Coche, F. D. Hammer, P. P. Goffette, P. Schnyder, P. Chevallier, A. Denys, and S. Qanadli CT Venography Performed with Elastic Stockings Am. J. Roentgenol., February 1, 2004; 182(2): 528 - 529. [Full Text] [PDF]

				B. Trotman-Dickenson Radiology in the Intensive Care Unit (Part 2) J Intensive Care Med, September 1, 2003; 18(5): 239 - 252. [Abstract] [PDF]

				Y. Abdelmoumene, P. Chevallier, G. Barghouth, F. Portier, S. D. Qanadli, F. Doenz, P. Schnyder, and A. Denys Optimization of Multidetector CT Venography Performed with Elastic Stockings on Patients' Lower Extremities: A Preliminary Study of Nonthrombosed Veins Am. J. Roentgenol., April 1, 2003; 180(4): 1093 - 1094. [Full Text] [PDF]

				D. G. W. Fraser, A. R. Moody, I. R. Davidson, A. L. Martel, and P. S. Morgan Deep Venous Thrombosis: Diagnosis by Using Venous Enhanced Subtracted Peak Arterial MR Venography versus Conventional Venography Radiology, March 1, 2003; 226(3): 812 - 820. [Abstract] [Full Text] [PDF]

				R. H. Gottlieb, S. L. Voci, L. Syed, C. Shyu, P. J. Fultz, D. J. Rubens, J. G. Strang, N. Carson, W. J. DiGrazio, and C. W. Francis Randomized Prospective Study Comparing Routine Versus Selective Use of Sonography of the Complete Calf in Patients with Suspected Deep Venous Thrombosis Am. J. Roentgenol., January 1, 2003; 180(1): 241 - 245. [Abstract] [Full Text] [PDF]

				D. S. Katz, P. A. Loud, D. Bruce, A. M. Gittleman, R. Mueller, D. L. Klippenstein, and Z. D. Grossman Combined CT Venography and Pulmonary Angiography: A Comprehensive Review RadioGraphics, October 1, 2002; 22(90001): S3 - 19. [Abstract] [Full Text] [PDF]

				B. Ghaye, D. Szapiro, V. Willems, and R. F. Dondelinger Pitfalls in CT Venography of Lower Limbs and Abdominal Veins Am. J. Roentgenol., June 1, 2002; 178(6): 1465 - 1471. [Full Text] [PDF]

				U J Schoepf, C R Becker, R D Bruening, B M Ohnesorge, A Huber, L-G Haw, H Hildebrandt, and M F Reiser Multislice CT angiography Imaging, December 15, 2001; 13(5): 357 - 365. [Abstract] [Full Text] [PDF]

				S Yoshida, H Akiba, M Tamakawa, N Yama, M Takeda, and M Hareyama Spiral CT venography of the lower extremities by injection via an arm vein in patients with leg swelling Br. J. Radiol., November 1, 2001; 74(887): 1013 - 1016. [Abstract] [Full Text] [PDF]

				G. D. Rubin, A. J. Schmidt, L. J. Logan, and M. C. Sofilos Multi-Detector Row CT Angiography of Lower Extremity Arterial Inflow and Runoff: Initial Experience Radiology, October 1, 2001; 221(1): 146 - 158. [Abstract] [Full Text] [PDF]

				K. Garg and J. Mao Deep Venous Thrombosis: Spectrum of Findings and Pitfalls in Interpretation on CT Venography Am. J. Roentgenol., August 1, 2001; 177(2): 319 - 323. [Full Text] [PDF]

				A. Perrier, N. Howarth, D. Didier, P. Loubeyre, P.-F. Unger, P. de Moerloose, D. Slosman, A. Junod, and H. Bounameaux Performance of Helical Computed Tomography in Unselected Outpatients with Suspected Pulmonary Embolism Ann Intern Med, July 17, 2001; 135(2): 88 - 97. [Abstract] [Full Text] [PDF]

				P. A. Loud, D. S. Katz, D. A. Bruce, D. L. Klippenstein, and Z. D. Grossman Deep Venous Thrombosis with Suspected Pulmonary Embolism: Detection with Combined CT Venography and Pulmonary Angiography Radiology, May 1, 2001; 219(2): 498 - 502. [Abstract] [Full Text]

				D. Bruce, P. A. Loud, D. L. Klippenstein, Z. D. Grossman, and D. S. Katz Combined CT Venography and Pulmonary Angiography: How Much Venous Enhancement Is Routinely Obtained? Am. J. Roentgenol., May 1, 2001; 176(5): 1281 - 1285. [Abstract] [Full Text] [PDF]

				E. E. Coche, X. L. Hamoir, F. D. Hammer, P. Hainaut, and P. P. Goffette Using Dual-Detector Helical CT Angiography to Detect Deep Venous Thrombosis in Patients with Suspicion of Pulmonary Embolism: Diagnostic Value and Additional Findings Am. J. Roentgenol., April 1, 2001; 176(4): 1035 - 1039. [Abstract] [Full Text] [PDF]

				K. Garg, J. L. Kemp, P. D. Russ, and A. E. Baron Thromboembolic Disease: Variability of Interobserver Agreement in the Interpretation of CT Venography with CT Pulmonary Angiography Am. J. Roentgenol., April 1, 2001; 176(4): 1043 - 1047. [Abstract] [Full Text] [PDF]

				K. M. Duwe, M. Shiau, N. E. Budorick, J. H. M. Austin, and Y. M. Berkmen Evaluation of the Lower Extremity Veins in Patients with Suspected Pulmonary Embolism: A Retrospective Comparison of Helical CT Venography and Sonography Am. J. Roentgenol., December 1, 2000; 175(6): 1525 - 1531. [Abstract] [Full Text] [PDF]

				K. Garg, J. L. Kemp, D. Wojcik, S. Hoehn, R. J. Johnston, L. C. Macey, and A. E. Baron Thromboembolic Disease: Comparison of Combined CT Pulmonary Angiography and Venography with Bilateral Leg Sonography in 70 Patients Am. J. Roentgenol., October 1, 2000; 175(4): 997 - 1001. [Abstract] [Full Text] [PDF]

				E. K. Fishman and K. M. Horton CT of Suspected Pulmonary Embolism: Study Design Optimization Am. J. Roentgenol., October 1, 2000; 175(4): 1002 - 1003. [Full Text] [PDF]

				L. R. Goodman 1999 Plenary Session: Friday Imaging Symposium : CT Diagnosis of Pulmonary Embolism and Deep Venous Thrombosis RadioGraphics, July 1, 2000; 20(4): 1201 - 1205. [Full Text] [PDF]

				P. K. Woodard CT Scan Negative for Pulmonary Embolism: Where Do We Go from Here? Radiology, May 1, 2000; 215(2): 325 - 326. [Full Text]

				U. J. Schoepf, N. Holzknecht, T. K. Helmberger, A. Crispin, C. Hong, C. R. Becker, and M. F. Reiser Subsegmental Pulmonary Emboli: Improved Detection with Thin-Collimation Multi-Detector Row Spiral CT Radiology, February 1, 2002; 222(2): 483 - 490. [Abstract] [Full Text] [PDF]