How necessary it is to perform a ventilation scan in patients with a history of COVID-19 to rule out pulmonary thromboembolism? | ||
Asia Oceania Journal of Nuclear Medicine and Biology | ||
مقاله 8، دوره 13، شماره 1، فروردین 2025، صفحه 70-76 اصل مقاله (1.17 M) | ||
نوع مقاله: Original Article | ||
شناسه دیجیتال (DOI): 10.22038/aojnmb.2024.77934.1550 | ||
نویسندگان | ||
Farivash Karamian1؛ Roham Nikkhah2؛ Mohammad Ghorbani3؛ Elham Rahmanipour4؛ Mohammad Mohammadi5؛ Emran Askari1؛ Ramin Sadeghi* 1 | ||
1Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
2Isfahan Medical Students Research Committee (MSRC), Isfahan University of Medical Sciences, Isfahan, Iran | ||
3Orthopedic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran | ||
4Immunology Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran | ||
5School of Medicine, Iran University of Medical Sciences, Tehran, Iran | ||
چکیده | ||
Objective(s): This study evaluated the necessity of a ventilation scan in patients suspected of PE with a history of COVID-19 infection. Methods: This was a cross-sectional study of patients with PCR-confirmed COVID-19 and suspected PE at a tertiary care hospital in 2020. They underwent ventilation/perfusion (V/Q) scintigraphy using single-photon emission computed tomography/computed tomography (SPECT/CT) and CT scans with or without contrast. Two blinded nuclear medicine physicians interpreted the images for PE and COVID-19. Clinical and laboratory data were extracted and analyzed. Results: 96 patients with suspected PE and COVID-19 infection. The study excluded eight patients who could not undergo ventilation scans and confirmed PE in five patients with multiple mismatched V/Q defects on SPECT/CT. The study ruled out PE in 83 patients who had either regular perfusion scans, perfusion defects with COVID-19 features, or matched V/Q defects. The study found that the prevalence of PE was 5.68%, and the necessity of ventilation scans was 28.40% in this population. Conclusion: It was found that PE was present in 5.68% of the patients, and ventilation scans were needed for 28.40% of the patients to confirm or exclude it. | ||
کلیدواژهها | ||
SPECT/CT scan؛ COVID-19؛ Pulmonary embolism؛ ventilation scan | ||
مراجع | ||
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