GuidelineEuropean journal of nuclear medicine and molecular imaging2009
EANM guidelines for ventilation/perfusion scintigraphy : Part 2. Algorithms and clinical considerations for diagnosis of pulmonary emboli with V/P(SPECT) and MDCT.
Guideline in European journal of nuclear medicine and molecular imaging, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 196 citations in OpenAlex.
- D-dimer to rule out venous thromboembolism during pregnancy: A systematic review and meta-analysis.Journal of thrombosis and haemostasis : JTH · 2021Pooled it
- The essence of the Japan Radiological Society/Japanese College of Radiology Imaging Guideline.Japanese journal of radiology · 2016Guideline
- EANM guidelines for ventilation/perfusion scintigraphy : Part 1. Pulmonary imaging with ventilation/perfusion single photon emission tomography.European journal of nuclear medicine and molecular imaging · 2009Guideline
- Ventilation/perfusion SPECT in chronic obstructive pulmonary disease: an evaluation by reference to symptoms, spirometric lung function and emphysema, as assessed with HRCT.European journal of nuclear medicine and molecular imaging · 2011Trial
- Diagnosing Pulmonary Embolism During Pregnancy.Chest · 2025Review
- How to exclude pulmonary embolism in patients hospitalized with COVID-19: a comparison of predictive scores.Thrombosis journal · 2023Article
- Bridging the gap: Communicating the results of ventilation: perfusion scans to clinicians.African journal of thoracic and critical care medicine · 2023Article
- Joint Guideline on Venous Thromboembolism - 2022.Arquivos brasileiros de cardiologia · 2022Article
- Imaging modalities for confirming pulmonary embolism during pregnancy: results from a multicenter international study.European radiology · 2022Article
- Pulmonary Embolism and Pregnancy-Challenges in Diagnostic and Therapeutic Decisions in High-Risk Patients.Frontiers in cardiovascular medicine · 2022Review
- Clinical utility of perfusion (Q)-single-photon emission computed tomography (SPECT)/CT for diagnosing pulmonary embolus (PE) in COVID-19 patients with a moderate to high pre-test probability of PE.European journal of nuclear medicine and molecular imaging · 2021Review
- Ventilation/Perfusion Relationships and Gas Exchange: Measurement Approaches.Comprehensive Physiology · 2020Review
- Radioaerosols and the updated EANM guideline in ventilation/perfusion imaging.European journal of nuclear medicine and molecular imaging · 2020Article
- Guide for Nuclear Medicine Applications During the COVID-19 Outbreak.Molecular imaging and radionuclide therapy · 2020Article
- Comparison of MRI and VQ-SPECT as a Screening Test for Patients With Suspected CTEPH: CHANGE-MRI Study Design and Rationale.Frontiers in cardiovascular medicine · 2020Article
- EANM guideline for ventilation/perfusion single-photon emission computed tomography (SPECT) for diagnosis of pulmonary embolism and beyond.European journal of nuclear medicine and molecular imaging · 2019Article
- A guide for a brave future for lung ventilation/perfusion tomography: the most important pulmonary nuclear medicine technique.European journal of nuclear medicine and molecular imaging · 2019Article
- The Economic Value of Hybrid Single-photon Emission Computed Tomography With Computed Tomography Imaging in Pulmonary Embolism Diagnosis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2017Article
- Identifying the heterogeneity of COPD by V/P SPECT: a new tool for improving the diagnosis of parenchymal defects and grading the severity of small airways disease.International journal of chronic obstructive pulmonary disease · 2017Article
- Diagnosing venous thromboembolism in pregnancy.The British journal of radiology · 2016Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As emphasized in Part 1 of these guidelines, the diagnosis of pulmonary embolism (PE) is confirmed or refuted using ventilation/perfusion scintigraphy (V/P(SCAN)) or multidetector computed tomography of the pulmonary arteries (MDCT). To reduce the costs, the risks associated with false-negative and false-positive diagnoses, and unnecessary radiation exposure, preimaging assessment of clinical probability is recommended. Diagnostic accuracy is approximately equal for MDCT and planar V/P(SCAN) and better for tomography (V/P(SPECT)). V/P(SPECT) is feasible in about 99% of patients, while MDCT is often contraindicated. As MDCT is more readily available, access to both techniques is vital for the diagnosis of PE. V/P(SPECT) gives an effective radiation dose of 1.2-2 mSv. For V/P(SPECT), the effective dose is about 35-40% and the absorbed dose to the female breast 4% of the dose from MDCT performed with a dose-saving protocol. V/P(SPECT) is recommended as a first-line procedure in patients with suspected PE. It is particularly favoured in young patients, especially females, during pregnancy, and for follow-up and research.
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