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Title: Repeat perfusion imaging may differentiate airways obstruction from pulomonary embolic disease: report of two cases

Journal Article · · J. Nucl. Med. Technol.; (United States)
OSTI ID:5940904

Two cases are presented in which patients with obstructive lung disease were considered to have a pulmonary embolism (PE). Emergency lung perfusion scans supported the diagnosis of PE in both cases. However, rapid resolution of the symptoms and perfusion defects by repeat ventilation-perfusion scanning at 24 hr suggested that PE was unlikely. In selected cases of wheezing patients, repeat perfusion scans may obviate the need for pulmonary angiography. The authors report two cases in which repeat perfusion scans almost normalized by 24 hr. Review of the literature indicates that the rate of resolution of perfusion defects would have been much slower had pulmonary embolism occurred.

Research Organization:
Medical College of Pennsylvania, Philadelphia
OSTI ID:
5940904
Journal Information:
J. Nucl. Med. Technol.; (United States), Vol. 15:2
Country of Publication:
United States
Language:
English