Usefulness of multidetector spiral computed tomography according to age and gender for diagnosis of acute pulmonary embolism.
Usefulness of multidetector spiral computed tomography according to age and gender for diagnosis of acute pulmonary embolism.
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根据年龄和性别的多排螺旋计算机断层扫描对于诊断急性肺栓塞的有用性。
DOI：
10.1016/j.amjcard.2006.12.051
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Woodard,PamelaK
中科院分区：
文献类型：
--
作者：
Stein,PaulD;Beemath,Afzal;Quinn,DeborahA;Olson,RonaldE;Goodman,LawrenceR;Gottschalk,Alexander;Hales,CharlesA;Hull,RussellD;LeeperJr,KennethV;Sostman,HDirk;Weg,JohnG;Woodard,PamelaK
对肺栓塞诊断II（PIOPED II）前瞻性研究的数据进行了评价，以检验多排螺旋CT（CT）肺血管造影和CT静脉造影的性能与患者的年龄和性别无关的假设。在773例CT肺血管造影充分的患者和737例CT肺血管造影和CT静脉造影充分的患者中，18 - 59岁、60 - 79岁和80 - 99岁患者组的肺栓塞敏感性和特异性无统计学显著差异，性别差异也无显著差异。然而，总体而言，CT肺血管造影的特异性在女性中略高，但在男性和女性中均≥ 93%。总之，结果表明，多排CT肺血管造影、CT肺血管造影和CT静脉造影可与各种诊断策略一起用于所有年龄段和两种性别的成年人。
Data from the Prospective Investigation of Pulmonary Embolism Diagnosis II (PIOPED II) were evaluated to test the hypothesis that the performance of multidetector computed tomographic (CT) pulmonary angiography and CT venography is independent of a patient’s age and gender. In 773 patients with adequate CT pulmonary angiography and 737 patients with adequate CT pulmonary angiography and CT venography, the sensitivity and specificity for pulmonary embolism for groups of patients aged 18 to 59, 60 to 79, and 80 to 99 years did not differ to a statistically significant extent, nor were there significant differences according to gender. Overall, however, the specificity of CT pulmonary angiography was somewhat greater in women, but in men and women, it was ≥93%. In conclusion, the results indicate that multidetector CT pulmonary angiography and CT pulmonary angiography and CT venography may be used with various diagnostic strategies in adults of all ages and both genders.