EVALUATION OF ACUTE PULMONARY EMBOLISM USING SPIRAL CT SCAN 1 Sudan University of Science and Technology, College of Medical Radiologic Science, P.O.Box.

Slides:



Advertisements
Similar presentations
Joint Hospital Grand Round Topic : Adult Intussusception Dr. Eric Lai Department of Surgery Prince of Wales Hospital.
Advertisements

Diagnosis of Pulmonary Embolism
By: Sara al-lithey, Nora Alanazi
Student’s Research Group at the Department of Internal Medicine, Hypertension and Angiology The Medical University in Warsaw PULMONARY EMBOLISM – TOUGH.
Cardiosurgery - Skopje Usefulness of 64 –detector-row scanner peripheral angiography in patients with skeletal tumors of lower extremities Special Hospital.
Thoracoscopic treatment of primary spontaneous pneumothorax in children Maria Marciniak Students' Scientific Society at the Department of Surgery and Oncology.
1.A 33 year old female patient admitted to the ICU with confirmed pulmonary embolism. It was noted that she had elevated serum troponin level. Does this.
Screening for Coronary Artery Calcium with Computed Tomography: Angiography and Intervention in Patients with Scores Over 400 Screening for Coronary Artery.
TITLE EFFICACY OF UNENHANCED MAGNETIC RESONANCE RENAL ANGIOGRAPHY IN PATIENTS WITH ACUTE /CHRONIC KIDNEY DISEASE WITH CLINICAL SUSPICION OF RENOVASCULAR.
Medical Image Analysis Medical Imaging Modalities: X-Ray Imaging Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan,
1 Sarah Fowler Res. Professor of Biostat. & Epi. Director, Biostatistics Center PhD in Mathematical Statistics Specialties: statistical design, conduct,
Management of Rib Fractures. Clinical Anatomy 12 pairs of ribs Attach posteriorly to vertebrae Rib 8-12 are “false ribs” Ribs 1-3 are relatively well.
Incidental diagnosis of diseases on un- enhanced helical computed tomography performed for ureteric colic Author: Nazim A Ahmad1, M Hammad Ather*1 and.
Retrospective Audit of Delayed Diagnosis of Hydronephrosis in Acute Kidney Injury John Dreisbach Radiology ST3 West of Scotland Deanery Acknowledgements:
Case Report Pneumology Dr. David Tran A&E, FVHospital Medical meeting September 28 th, 2011.
Knowledge of radiation exposure in common radiological examinations amongst radiology department staff AL Chang, LH Cope, DH Keane, S Wood Presented by.
The Role of Thromboprophylaxis in Elective Spinal Surgery The Role of Thromboprophylaxis in Elective Spinal Surgery VA Elwell, N Koo Ng, D Horner & D Peterson.
Revision Dr Mohamed El Safwany, MD.. Liver CT Blood circulation in the liver comprises two major components: the hepatic artery and the portal vein. After.
Radiographic Evaluation of a Pulmonary Embolism Dr Mohamed El Safwany, MD.
Incidental findings in CT angiography performed in acute stroke patients and change of management: single center observation Sabou TC., Höltje J., Bonk.
Computed Tomography Angiography (CTA). What is CT Angiography? An examination that uses x-rays to visualize blood flow in arterial and venous vessels.
The Application of Multi-detector Computed Tomography in RVOT Ablation in BRUGADA’ s Syndrome Paweena Mapinta R.T, Cardiac Imaging Unit, Bangkok Heart.
Intended learning outcome The student should learn at the end of this lecture procedures of CT pulmonary angiography.
Secondary Thoracic Insufficiency Syndrome in None Ambulatory Myelodisplastic Children.
MEASUREMENTS OF RADIATION DOSES IN MULTISLICES COMPUTED TOMOGRAPHY EXAMINATIONS A. ELMAHDI*, A. SULIEMAN *Presenting author 1 Sudan Atomic Energy Commission,
Objective To assess the impact of the increasing use of MDCT angiography in the setting of blunt and penetrating neck trauma on the use of digital subtraction.
Prof. Mona Mansour Professor of Pulmonary Medicine Ain Shams University.
Managing suspected pulmonary embolism in primary care Referral for all? G.J. Geersing, M.D. PhD. Julius Center for Health Sciences and Primary Care EPCCS.
Radiology “Dos and Don’ts” Clinical Governance Medical Division 18 July 2013.
1 Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 21 Documentation of Patient Assessment.
CT ANGIOGRAPHY Dr Mohamed El Safwany, MD. Intended learning outcome The student should learn at the end of this lecture CT IMAGE OF THE BLOOD VESSEL OPACIFIED.
Impact of Contrast Media Concentration and kVp settings on Image Quality in CT Angiography of the Intracranial Vessels Birgitta Ramgren MD Roger Siemund.
Evaluation of Brucellosis Surveillance System in the West Bank - Palestine, June 2015 Huda Lahham, PharmD Palestinian Ministry of Health Funded.
History: A 61-year-old man with suspected thoracic aneurysm underwent ECG-gated chest CT angiogram. He was instructed to hold his breath during the exam.
Pulmonary Embolism Pulmonary Embolism Ma hong Depart. of Medical Imaging, Xuzhou Medical College.
Cerebral Angiography Radiological study of the blood vessels of the brain to enable physicians to localized and diagnose pathology or anomalies of the.
Radiology Training Course. Timing of Imaging Studies.
Introduction Intravenous urography (IVU) has long been the major and first-line modality in evaluating GU tract abnormalities. The imaging findings are.
Wednesday Case of the Day History: CT pulmonary angiography (image shown) was performed on a 24-year-old female patient with pleuritic chest pain and increased.
Oncology Institute of Vojvodina Department of anaesthesiology and intensive care Institutski put 4, Sremska Kamenica, SERBIA
Pulmonary Embolism in Patients with Unexplained Exacerbation of COPD: Prevalence and Risk Factors Isabelle Tillie-Leblond, MD, PhD; Charles-Hugo Marquette,
Global Clinical Engineering Success Stories Maintenance of medical devices Name: Ledina Picari Affiliation: CED Collaborator Location: Tirana, Albania.
Respiratory Problems - 1
King’s College Hospital, London, UK
Figure 1 Image reconstruction in prospectively ECG-triggered high-pitch spiral coronary CT angiography using dual-source CT. The entire period of data.
Choosing Wisely : Radiology Perspective
Figure 1. Onset of PIV catheter complications
45-year-old woman with BMI of 23.1 and chest circumference of 94.0 cm. Axial CT images obtained at 120 kV and 200 mAs show ascending aorta with image noise.
Usefullness of flow composite image in Raynaud scan(201Tl)
Interesting Case Presentation
Pulmonary Embolism: CT-ANGIOGRAPHY
Sunday Case of the Day Physics
The Evaluation of Suspected Pulmonary Embolism
Aortic Dissection.
5th Meeting on Acute Cardiac Care and Emergency Medicine, 2016 Vilnius
Mark Tulchinsky, M.D., Jack A. Zeller, M.D., Richard C. Reba, M.D. 
Lung Ventilation-Perfusion Scan (V/Q Scan) 2015/2016
Computer-aided detection of pulmonary embolism (CAD):
Gateways to the heart – Incidental CT findings of anomalous systemic venous connections and the clinical challenges they present Hanzhou Li, Christopher.
Prevalence of Pulmonary Embolism in Acute Exacerbations of COPD
Learning About PET/CT Scans:
Imaging of Chest Pain and the Acute Chest
POEM Group Online Case Discussion Date: April 1, 2014
A 77-Year-Old Woman With Acute Shortness of Breath and Chest Pain
The use of 80 kV versus 100 kV in pulmonary CT angiography: An evaluation of the impact on radiation dose and image quality on two CT scanners  A. Rusandu,
INTRO AMI. INTEGRILIN AND. REDUCED DOSE. OF THROMBOLYTIC IN. ACUTE
Gregory Piazza et al. JCIN 2015;8:
Pál Maurovich-Horvat et al. JIMG 2010;3:
Presentation transcript:

EVALUATION OF ACUTE PULMONARY EMBOLISM USING SPIRAL CT SCAN 1 Sudan University of Science and Technology, College of Medical Radiologic Science, P.O.Box 1908, Khartoum. Sudan. 2 Sudan Atomic Energy Commission P.O.Box3001 Khartoum. *Corresponding Author: Tel: ; M.YOUSEF 1 A. SULIEMAN 1 S. ABDULBAGI 1, A. ELMAHDI 2 5th Arab Radiology Congress (ARC5) April & 6th PAIRS Meeting April Hammamet - Tunisia CH14

Objectives: The study aimed to determine the role of spiral CT Angiography in suspected cases of acute Pulmonary Embolism at duration (August – November 2011) 5th Arab Radiology Congress (ARC5) April & 6th PAIRS Meeting April Hammamet - Tunisia

Materials and Methods: The study was conducted at EL-Nilin center, Royal care hospital and Faisal center where there were enough cases to study and the availability of required machine and materials to perform proper examination. Fifty patients of suspected pulmonary embolism (PE) of different ages and genders underwent spiral CT angiography from the level of arch of aorta to the dome of diaphragm. Scanning was done using Semince(4 multi slice) and Toshiba (64 multi slice ) machines with collimation of 1- 2mm and an interval of 2mm at mA and kV 100ml of contrast was injected at a flow rate of 3-4 ml sec with a scan delay of second. Figure (1) 5th Arab Radiology Congress (ARC5) April & 6th PAIRS Meeting April Hammamet - Tunisia

Figure(1) shows CT Equipment

Results: Out of 50 patient 38 (76%) were positively identified with pulmonary embolism,male 32% and females 68% fig (2),Shortness of breath is the most clinical indication with (54%) incidence, followed by Cyanosis (14%), Chest pain (12%), Couph (12%),and Haemoptysis Additionally during the study, it was noted that the right pulmonary artery was affected more than the Lt pulmonary artery.figur(1,2, and 3) 5th Arab Radiology Congress (ARC5) April & 6th PAIRS Meeting April Hammamet - Tunisia

Figure(2) : gender distribution

Figure(3)Female 35 years old with bilateral pulmonary embolism in main (Lt) and (Rt) Pulmonary arteries

Figure (4)male 61 year old with Bilateral pulmonary embolism in main (Lt) and (Rt) pulmonary arteries

Figure(5) Female 37 years with pulmonary embolism in (Rt) main pulmonary artery

Conclusion: The study confirmed that, the spiral CT scanner more accurate modality in detection of pulmonary embolism, it is non – invasive procedure, low cost, and has a high specificity, for that preferred it used as the first line of investigations in diagnosing of Pulmonary embolism. 5th Arab Radiology Congress (ARC5) April & 6th PAIRS Meeting April Hammamet - Tunisia