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Usefulness of Multidetector Spiral Computed Tomography According to Age and Gender for Diagnosis of Acute Pulmonary Embolism
Data from the Prospective Investigation of Pulmonary Embolism Diagnosis II (PIOPED II) were evaluated to test the hypothesis that the performance of multidetector computed tomographic (CT) pulmonary angiography and CT venography is independent of a patient’s age and gender. In 773 patients with adeq...
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| Published in: | The American journal of cardiology 2007-05, Vol.99 (9), p.1303-1305 |
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| container_end_page | 1305 |
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| container_title | The American journal of cardiology |
| container_volume | 99 |
| creator | Stein, Paul D., MD Beemath, Afzal, MD Quinn, Deborah A., MD Olson, Ronald E., PhD Goodman, Lawrence R., MD Gottschalk, Alexander, MD Hales, Charles A., MD Hull, Russell D., MBBS, MSc Leeper, Kenneth V., MD Sostman, H. Dirk, MD Weg, John G., MD Woodard, Pamela K., MD |
| description | Data from the Prospective Investigation of Pulmonary Embolism Diagnosis II (PIOPED II) were evaluated to test the hypothesis that the performance of multidetector computed tomographic (CT) pulmonary angiography and CT venography is independent of a patient’s age and gender. In 773 patients with adequate CT pulmonary angiography and 737 patients with adequate CT pulmonary angiography and CT venography, the sensitivity and specificity for pulmonary embolism for groups of patients aged 18 to 59, 60 to 79, and 80 to 99 years did not differ to a statistically significant extent, nor were there significant differences according to gender. Overall, however, the specificity of CT pulmonary angiography was somewhat greater in women, but in men and women, it was ≥93%. In conclusion, the results indicate that multidetector CT pulmonary angiography and CT pulmonary angiography and CT venography may be used with various diagnostic strategies in adults of all ages and both genders. |
| doi_str_mv | 10.1016/j.amjcard.2006.12.051 |
| format | article |
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In 773 patients with adequate CT pulmonary angiography and 737 patients with adequate CT pulmonary angiography and CT venography, the sensitivity and specificity for pulmonary embolism for groups of patients aged 18 to 59, 60 to 79, and 80 to 99 years did not differ to a statistically significant extent, nor were there significant differences according to gender. Overall, however, the specificity of CT pulmonary angiography was somewhat greater in women, but in men and women, it was ≥93%. In conclusion, the results indicate that multidetector CT pulmonary angiography and CT pulmonary angiography and CT venography may be used with various diagnostic strategies in adults of all ages and both genders.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2006.12.051</identifier><identifier>PMID: 17478162</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute Disease ; Adolescent ; Adult ; Age ; Age Factors ; Aged ; Aged, 80 and over ; Angiography ; Cardiovascular ; Cardiovascular disease ; Female ; Gender ; Humans ; Male ; Medical diagnosis ; Medical imaging ; Middle Aged ; Prospective Studies ; Pulmonary Embolism - diagnostic imaging ; Reproducibility of Results ; Sensitivity and Specificity ; Sex Factors ; Tomography, Spiral Computed</subject><ispartof>The American journal of cardiology, 2007-05, Vol.99 (9), p.1303-1305</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>Copyright Elsevier Sequoia S.A. 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Dirk, MD</creatorcontrib><creatorcontrib>Weg, John G., MD</creatorcontrib><creatorcontrib>Woodard, Pamela K., MD</creatorcontrib><title>Usefulness of Multidetector Spiral Computed Tomography According to Age and Gender for Diagnosis of Acute Pulmonary Embolism</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Data from the Prospective Investigation of Pulmonary Embolism Diagnosis II (PIOPED II) were evaluated to test the hypothesis that the performance of multidetector computed tomographic (CT) pulmonary angiography and CT venography is independent of a patient’s age and gender. 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In conclusion, the results indicate that multidetector CT pulmonary angiography and CT pulmonary angiography and CT venography may be used with various diagnostic strategies in adults of all ages and both genders.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiography</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Female</subject><subject>Gender</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Pulmonary Embolism - diagnostic imaging</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Sex Factors</subject><subject>Tomography, Spiral Computed</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNqFklFrFDEUhYModlv9CUrwwbcZk8xMsvOiLGutQkWh7XPIJjdrxkyyJjPCQn-8WXdR6EufwoXvnHDPuQi9oqSmhPJ3Q63GQatkakYIrymrSUefoAVdir6iPW2eogUhhFU9bfszdJ7zUEZKO_4cnVHRiiXlbIHu7zLY2QfIGUeLv85-cgYm0FNM-GbnkvJ4HcfdPIHBt3GM26R2P_Z4pXVMxoUtniJebQGrYPAVBAMJ2yL96NQ2xOz-uq50kePvsx9jUGmPL8dN9C6PL9Azq3yGl6f3At19urxdf66uv119Wa-uK90KPlWCEcsbQxkw0wrNe2F6RVnftIYoYcFyppYt7dWGWM0sMRw2nBHeaiI6bW1zgd4efXcp_pohT3J0WYP3KkCcsxSk7UTfskfBEjURrBMFfPMAHOKcQllCsoY0gjaCFKg7QjrFnBNYuUtuLAFISuShRDnIU4kHZy4pk6XEont9Mp83I5j_qlNrBfhwBKCE9ttBklk7CBqMS6U5aaJ79Iv3Dxy0d8Fp5X_CHvK_ZajMRSBvDpd0OCQiyg1xxpo_TPvFZQ</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>Stein, Paul D., MD</creator><creator>Beemath, Afzal, MD</creator><creator>Quinn, Deborah A., MD</creator><creator>Olson, Ronald E., PhD</creator><creator>Goodman, Lawrence R., MD</creator><creator>Gottschalk, Alexander, MD</creator><creator>Hales, Charles A., MD</creator><creator>Hull, Russell D., MBBS, MSc</creator><creator>Leeper, Kenneth V., MD</creator><creator>Sostman, H. 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Dirk, MD</au><au>Weg, John G., MD</au><au>Woodard, Pamela K., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Usefulness of Multidetector Spiral Computed Tomography According to Age and Gender for Diagnosis of Acute Pulmonary Embolism</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>99</volume><issue>9</issue><spage>1303</spage><epage>1305</epage><pages>1303-1305</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>ObjectType-Article-2</notes><notes>ObjectType-Feature-1</notes><abstract>Data from the Prospective Investigation of Pulmonary Embolism Diagnosis II (PIOPED II) were evaluated to test the hypothesis that the performance of multidetector computed tomographic (CT) pulmonary angiography and CT venography is independent of a patient’s age and gender. In 773 patients with adequate CT pulmonary angiography and 737 patients with adequate CT pulmonary angiography and CT venography, the sensitivity and specificity for pulmonary embolism for groups of patients aged 18 to 59, 60 to 79, and 80 to 99 years did not differ to a statistically significant extent, nor were there significant differences according to gender. Overall, however, the specificity of CT pulmonary angiography was somewhat greater in women, but in men and women, it was ≥93%. In conclusion, the results indicate that multidetector CT pulmonary angiography and CT pulmonary angiography and CT venography may be used with various diagnostic strategies in adults of all ages and both genders.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>17478162</pmid><doi>10.1016/j.amjcard.2006.12.051</doi><tpages>3</tpages></addata></record> |
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| ispartof | The American journal of cardiology, 2007-05, Vol.99 (9), p.1303-1305 |
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| source | ScienceDirect Freedom Collection |
| subjects | Acute Disease Adolescent Adult Age Age Factors Aged Aged, 80 and over Angiography Cardiovascular Cardiovascular disease Female Gender Humans Male Medical diagnosis Medical imaging Middle Aged Prospective Studies Pulmonary Embolism - diagnostic imaging Reproducibility of Results Sensitivity and Specificity Sex Factors Tomography, Spiral Computed |
| title | Usefulness of Multidetector Spiral Computed Tomography According to Age and Gender for Diagnosis of Acute Pulmonary Embolism |
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