8680

Assessment of Pulmonary Embolism Severity and Scoring Using Multi Slice CT in Correlation with Clinical Presentation and Echocardiography

Article

Last updated: 03 Jan 2025

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Abstract

Aim of the work: The aim of this study is to evaluate the correlation between pulmonary embolism severity and scoring obtained using multi slice CT (MSCT) and the clinical presentations and echocardiography in patients with pulmonary embolism (PE). Patients and method: this study was carried out in the Radiology Department of Ain Shams University Hospitals. 21 patients with PE. The CT obstruction index (OI) using Qanadli score and the RV/LV diameter Right ventricle dysfunction ratio (RVD-ratio) using the four-chamber view of the heart were calculated for all patients. The cut-off for the OI to detect RVD was constructed using ROC curve. They were 13 (61.9%) females and 8 (38.1%) males. Their age was ranged from 22 -83 years old. Results: Dyspnea and RVD (RVD-ratio >1) were significantly more common in patients with severe pulmonary embolism. Regarding the echo findings with PE high Right ventricular systolic pressure (RVSP) was the commonest echo finding among our studied patients. The cutoff point of obstruction index (OI) >15 (Qanadli score >37.5 %) has the highest prediction value of right ventricular dysfunction, indicating that most of the patients with a score of more than 37.5% had RVD that was agreed with echo findings.

Keywords

MSCT, OI, ECHO

Authors

First Name

Mohamed Mahmoud Noser, Maha Abdel Meguid El-Shinnawy,

Last Name

Ahmed Mohamed Osman.

MiddleName

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Affiliation

Radiology department, Ain Shams hospitals

Email

m_noser@rocketmail.com

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Orcid

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Volume

71

Article Issue

3

Related Issue

1663

Issue Date

2018-04-01

Receive Date

2018-01-06

Publish Date

2018-04-01

Page Start

2,681

Page End

2,688

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_8680.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=8680

Order

8

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Assessment of Pulmonary Embolism Severity and Scoring Using Multi Slice CT in Correlation with Clinical Presentation and Echocardiography

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Article

Created At

22 Jan 2023