CT detection of pulmonary embolism and aortic dissection

Cardiol Clin. 2012 Feb;30(1):103-16. doi: 10.1016/j.ccl.2011.11.006. Epub 2011 Dec 12.

Abstract

Triage of patients with acute, potentially life-threatening chest pain is one of the most daunting challenges currently facing emergency department physicians. Acute aortic syndrome and pulmonary embolism are two potentially underlying causes. For both, computed tomography has become the de facto clinical reference standard for diagnosis. This article discusses state-of-the-art computed tomography for the detection of these disorders, including recent advances and future perspectives.

MeSH terms

  • Absorptiometry, Photon / methods
  • Aged
  • Aortic Aneurysm, Thoracic / diagnostic imaging*
  • Aortic Dissection / diagnostic imaging*
  • Chest Pain / diagnostic imaging
  • Chest Pain / etiology
  • Electrocardiography
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multidetector Computed Tomography / methods
  • Pulmonary Circulation / physiology
  • Pulmonary Embolism / diagnostic imaging*
  • Pulmonary Embolism / physiopathology
  • Radiation Dosage
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed / methods*
  • Ventricular Dysfunction, Right / diagnostic imaging