Clinical consequences of an indeterminate CT pulmonary angiogram in cancer patients Journal Article


Authors: Hayes, S. A.; Soff, G. A.; Zabor, E. C.; Moskowitz, C. S.; Liu, C. C.; Ginsberg, M. S.
Article Title: Clinical consequences of an indeterminate CT pulmonary angiogram in cancer patients
Abstract: Our aim was to evaluate clinical management and outcomes in cancer patients who had an indeterminate Computed Tomographic Pulmonary Angiogram (CTPA) for the assessment of pulmonary embolus. We reviewed 1000 CTPA studies and identified 251 limited (indeterminate) CTPA. We examined follow-up imaging and reviewed clinical management decisions and any positive diagnosis of venous thromboembolic disease (VTE) within the subsequent 90days.60 patients (23.9%) had a follow-up imaging study within five days. 8 had a positive study for VTE disease within 5days. 3 patients (1.2%) were placed on anticoagulation therapy based on the limited CT result. © 2014 Elsevier Inc.
Keywords: adult; controlled study; middle aged; major clinical study; cancer patient; outcome assessment; computer assisted tomography; anticoagulant therapy; deep vein thrombosis; doppler echography; medical record review; retrospective study; clinical management; lung embolism; computerized tomography; diagnosis; iohexol; incidental finding; patient treatment; diseases; computed tomography; venous thromboembolism; anticoagulant agent; multidetector computed tomography; computed tomography scanner; lung angiography; cancer patients; computed tomographic; indeterminate; pulmonary embolus; human; male; female; priority journal; article; ct pulmonary angiogram; anticoagulation therapy; computed tomographic pulmonary angiogram; superior cava vein obstruction
Journal Title: Clinical Imaging
Volume: 38
Issue: 5
ISSN: 0899-7071
Publisher: Elsevier Inc.  
Date Published: 2014-09-01
Start Page: 637
End Page: 640
Language: English
DOI: 10.1016/j.clinimag.2014.04.015
PROVIDER: scopus
PUBMED: 24928823
PMCID: PMC4431545
DOI/URL:
Notes: Export Date: 2 September 2014 -- CODEN: CLIME -- Source: Scopus
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MSK Authors
  1. Michelle S Ginsberg
    158 Ginsberg
  2. Chaya S. Moskowitz
    172 Moskowitz
  3. Emily Craig Zabor
    121 Zabor
  4. Gerald A Soff
    59 Soff
  5. Sara Anne Hayes
    19 Hayes