Clinical results of high probability ventilation/perfusion scintigraphy in the diagnosis of pulmonary embolism

dc.authorid0000-0002-2450-6378en_US
dc.authorid0000-0003-1010-3073en_US
dc.contributor.authorAfşin, Emine
dc.contributor.authorAfşin, Hamdi
dc.date.accessioned2024-05-28T06:24:16Z
dc.date.available2024-05-28T06:24:16Z
dc.date.issued2023en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose: While computed tomography pulmonary angiography plays an effective role in the diagnosis and prognosis of pulmonary embolism (PE), there are not enough studies regarding ventilation/perfusion (V/Q) scintigraphy. We aimed to evaluate the clinical outcomes of PE patients whose V/Q scintigraphy was reported as high probability for PE. Method: Demographic data, Simplified Pulmonary Embolism Severity Index (SPESI), radiological findings, V/Q scintigraphy and echocardiographic (ECHO) findings, laboratory data, treatment information and comorbidities of 43 patients whose V/Q scintigraphy was reported as high probability for PE between January 2020 and January 2023 was recorded. Perfusion scintigraphy defects were classified as subsegmental, multiple subsegmental, segmental, and multiple segmental. Those with subsegmental, multiple subsegmental, and segmental perfusion defects were classified as Group 1, and those with multiple segmental defects as Group 2. Results: The mean age of the patients was 74 years (31-94), being 27 women (62.8 %) and 16 men (37.2 %), and there was no significant difference between the two groups. Multisegmental perfusion defect was detected in 23 (53.5 %) patients. 25 % of patients reported as highprobability PE had a SPESI score of >= 2. There was no significant difference between Groups 1 and 2 in terms of SPESI scoring. Perfusion defect had no significant correlation with SPESI score, D-Dimer, Troponin, pulmonary artery systolic pressure, right ventricular dilatation, and length of hospital stay. The presence of comorbidity was significantly positively correlated only with the SPESI score. There was no difference between the two groups regarding laboratory, radiological, echocardiographic findings, presence of comorbidity, unit of treatment, and duration of hospitalization. Conclusion: Parameters predicting clinical severity and providing treatment benefits are required in PE patients diagnosed with V/Q scintigraphy.en_US
dc.identifier.citationAfsin, E., & Afsin, H. (2023). Clinical results of high probability ventilation/perfusion scintigraphy in the diagnosis of pulmonary embolism. Heliyon, 9(11).en_US
dc.identifier.doi10.1016/j.heliyon.2023.e22065
dc.identifier.endpage8en_US
dc.identifier.issn2405-8440
dc.identifier.issue11en_US
dc.identifier.pmid38045153en_US
dc.identifier.scopus2-s2.0-85177803071en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1en_US
dc.identifier.urihttp://dx.doi.org/10.1016/j.heliyon.2023.e22065
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12174
dc.identifier.volume9en_US
dc.identifier.wosWOS:001121291000001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAfşin, Emine
dc.institutionauthorAfşin, Hamdi
dc.language.isoenen_US
dc.publisherCell Pressen_US
dc.relation.ispartofHeliyonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectV/Q Scintigraphyen_US
dc.subjectPulmonary Embolismen_US
dc.subjectHigh Probabilityen_US
dc.subjectComputed-Tomographyen_US
dc.subjectAngiographyen_US
dc.subjectGuidelinesen_US
dc.titleClinical results of high probability ventilation/perfusion scintigraphy in the diagnosis of pulmonary embolismen_US
dc.typeArticleen_US

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