Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1999-4-16
pubmed:abstractText
This study attempted to assess the accuracy and potential of lung magnetic resonance (MR) perfusion imaging compared with perfusion scintigraphy in the evaluation of patients with suspected lung perfusion defects. The technique, which uses an inversion recovery turbo-FLASH sequence with ultra-short TE (1.4 msec), was tested in 24 patients suspected clinically of having acute pulmonary embolism (n = 19) and in patients with severe pulmonary emphysema (n = 5). Perfusion lung scintigraphy was performed within 48 hours prior to the MRI examination in both groups of patients. The dynamic study was acquired in the coronal plane and consisted of 10 images of 6 slices (a total of 60 images per series). Gadopentetate dimeglumine (0.1 mmol/kg) was manually injected as a compact bolus during the acquisition of the first image. Three senior radiologists reviewed all unprocessed two-dimensional coronal sections. They were blinded to clinical data and other imaging modalities. For the three observers, the average sensitivity and specificity of MR were 69% and 91%, respectively. The overall agreement between MR and scintigraphy appears to be good, with a good correlation between the two modalities (kappa = 0.63). However, the data showed variability depending on the location of the perfusion defect, with higher accuracy in the upper lobes. The agreement between MR perfusion and scintigraphy appears to be moderate in the left inferior lobe (kappa = 0.48). The data showed an overall good interobserver agreement (kappa = 0.66). MR perfusion of the lung is a promising technique in detecting lung perfusion defects.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1053-1807
pubmed:author
pubmed:issnType
Print
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
61-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:10030651-Adult, pubmed-meshheading:10030651-Aged, pubmed-meshheading:10030651-Aged, 80 and over, pubmed-meshheading:10030651-Contrast Media, pubmed-meshheading:10030651-Female, pubmed-meshheading:10030651-Gadolinium DTPA, pubmed-meshheading:10030651-Humans, pubmed-meshheading:10030651-Lung, pubmed-meshheading:10030651-Magnetic Resonance Imaging, pubmed-meshheading:10030651-Male, pubmed-meshheading:10030651-Middle Aged, pubmed-meshheading:10030651-Predictive Value of Tests, pubmed-meshheading:10030651-Prospective Studies, pubmed-meshheading:10030651-Pulmonary Circulation, pubmed-meshheading:10030651-Pulmonary Embolism, pubmed-meshheading:10030651-Pulmonary Emphysema, pubmed-meshheading:10030651-Radiopharmaceuticals, pubmed-meshheading:10030651-Sensitivity and Specificity, pubmed-meshheading:10030651-Technetium Tc 99m Aggregated Albumin, pubmed-meshheading:10030651-Tomography, Emission-Computed
pubmed:year
1999
pubmed:articleTitle
Prospective comparison of MR lung perfusion and lung scintigraphy.
pubmed:affiliation
Department of Radiology, CREATIS UMR 5515, Hôpital Cardiologique, Lyon, France. yves.berthezene@creatis.univ-lyon1.fr
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't