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Educating Physicians About Ventilation-Perfusion Scanning Leads to Reduced Patient Radiation Exposure
April 24, 2009Educating physicians about ventilation-perfusion scanning (VQ) as an alternative to CT for the diagnosis of pulmonary embolisms led to a 23% decrease in patient exposure, according to a study performed at Albert Einstein College of Medicine, Montefiore Medical Center in Bronx, NY. "VQ scanning is a nuclear test which shows blood flow to the lung and airflow. When there is a pulmonary embolism, the air can enter normally, but the blood flow will be disrupted, resulting in an abnormal scan,"ť said Linda Haramati, MD, lead author of the study.
"We are very conscious of radiation exposure in our population,"ť said Dr. Haramati. Collaborative and educational seminars were held between radiology, nuclear medicine and emergency medicine departments regarding the radiation dose and comparable sensitivities of VQ and CT pulmonary angiography for pulmonary emboli. "The proportion of CT to VQ changed dramatically after our seminars. In 2006 about 60% of the studies were CT, while in 2007, about 60% were VQ. When we looked at radiation exposure, the mean effective dose was reduced by 23%, from 11.5 mSv in 2006 to 8.9 mSv in 2007,"ť she said.
"CT confers a much higher radiation exposure than VQ scans. However VQ scans are harder to interpret in patients with abnormal chest x-rays, so we, along with our emergency department physicians have decided to perform VQ scans as the preferred imaging modality in patients with normal chest x-rays who were suspected of having pulmonary embolism--in order to decrease radiation exposure,"ť said Dr. Haramati.
This study will be presented at the 2009 ARRS Annual Meeting in Boston, MA, on Thursday, April 30. For a copy of the full study, please contact Heather Curry via email at hcurry@arrs.org.
About ARRS
The American Roentgen Ray Society (ARRS) was founded in 1900 and is the oldest radiology society in the United States. Its monthly journal, the American Journal of Roentgenology, began publication in 1906. Radiologists from all over the world attend the ARRS annual meeting to participate in instructional courses, scientific paper presentations and scientific and commercial exhibits related to the field of radiology. The Society is named after the first Nobel Laureate in Physics, Wilhelm Röentgen, who discovered the x-ray in 1895.
American Roentgen Ray Society
This study will be presented at the 2009 ARRS Annual Meeting in Boston, MA, on Thursday, April 30. For a copy of the full study, please contact Heather Curry via email at hcurry@arrs.org.
About ARRS
The American Roentgen Ray Society (ARRS) was founded in 1900 and is the oldest radiology society in the United States. Its monthly journal, the American Journal of Roentgenology, began publication in 1906. Radiologists from all over the world attend the ARRS annual meeting to participate in instructional courses, scientific paper presentations and scientific and commercial exhibits related to the field of radiology. The Society is named after the first Nobel Laureate in Physics, Wilhelm Röentgen, who discovered the x-ray in 1895.
American Roentgen Ray Society
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Drugs to treat anemia in cancer patients linked to thromboembolism
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Study shows hormone replacement therapy decreases mortality in younger postmenopausal woman
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Stanford study recommends change in treating pulmonary embolisms
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Lung scintigraphy more reliable than CTA in excluding pulmonary embolism in pregnant patients
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Blood clots in lungs might not always originate in deep veins of legs and pelvis in trauma patients
Few trauma patients who develop potentially deadly blood clots in the lungs (pulmonary embolism) also have clots in the deep veins of their pelvis and legs (deep venous thrombosis), challenging commonly held beliefs about the association between the two conditions.
U-M researchers find those with severe H1N1 at risk for pulmonary emboli
University of Michigan researchers have found that patients with severe cases of the H1N1 virus are at risk for developing severe complications, including pulmonary emboli, according to a study published today in the American Journal of Roentgenology.
CT scans show patients with severe cases of H1N1 are at risk for developing acute pulmonary emboli
Researchers utilizing computed tomography (CT) scans have found that patients with severe cases of the H1N1 virus are at risk for developing severe complications, including pulmonary emboli (PE).
Pulmonary CT angiography identifies disease and injury beyond the pulmonary arteries in children
Computed tomography angiography (CTA) can identify abnormalities and injury beyond the pulmonary arteries, including broken bones and heart disease, according to a study published in the September issue of the American Journal of Roentgenology (AJR)
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