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Abstract
Pulmonary embolism is an extremely common and highly lethal condition that is a leading cause of death in all age groups, with a potentially serious outcome if left untreated.
In fact, the diagnosis of PE is mostly based on a combination of laboratory tests and imaging techniques.
Although pulmonary angiography is considered the gold standard for the diagnosis, it is an invasive method, requires an experienced operator, is burdened by possible procedural complications, and is not widely available.
Also, however the ventilation-perfusion scan has traditionally been the pivotal diagnostic test for PE, most V/Q scans are non diagnostic and further testing is usually required.
Multislice computed tomography has gained increased interest because of its higher resolution, allows the acquisition of the entire chest volume in a short time (just a single breath-hold) and permits extensive visualization of the proximal, lobar and more distal pulmonary arteries (segmental and subsegmental levels), with an improved accuracy in the detection of peripheral emboli and a precise quantification of the extent of embolism.
Furthermore, the short time of acquisition may facilitate the examination in patients with marked dyspnea.
Therefore the aim of this study was to ass the role of MSCT in diagnosis of suspected cases of pulmonary embolism.
This study was conducted in Chest Department, Faculty of Medicine,Minoufyia University from April 2006 to January 2009.
It was carried on 30 patients admitted to Chest Department, Minoufyia University with clinical or radiological suspicion of pulmonary embolism.