↵ Chen MC, Ball RL, Yang L, et al. However, limitations regarding accurate diagnosis of small peripheral emboli have so far prevented unanimou … <> The heart, great vessels, trachea and oesophagus have a normal appearance. Ultra-low dose contrast CT pulmonary angiography in oncology patients using a high-pitch helical dual-source technology. PE. Offers alternative diagnosis when pulmonary embolism is absent. Any nuclear medicine department equipped with a modern hybrid scanner can now perform combined V/Q SPECT with CT (using low-dose protocols) to further enhance diagnostic accuracy. A structured approach to reporting can also be used. This is the preferred method to ... (English only), audio tape or another format of your choice. Identifying chronic thromboembolic pulmonary disease as a cause of PH has major clinical implications as these patients could be potentially offered a surgical cure. To evaluate the effect of structured reporting of CT pulmonary angiography (CTPA) studies on the content, clarity and clinical usefulness of radiology reports in acute pulmonary embolism (PE). It is a preferred choice of imaging in the diagnosis of PE due to its minimally invasive nature for the patient, whose only requirement for the scan is an intravenous line. CLINICAL HISTORY: 28 year old female; Chest pain, SOB . Rajiah P, Ciancibello L, Novak R, Sposato J, Landeras L, Gilkeson R. Rajiah P, et al. 1,2 Since the 1990s, CT pulmonary angiography (CTPA) has become the method of choice for imaging in suspected PE. Structured CT angiography reporting templates are hypothesized to reduce resident revision rates for these complex studies. J Biomed Inform. Sample Reports CT . Radiology 2004; 230:831-835. The interpretation of CTPA results, and use of the results in clinical decision-making is based on a combination of features in the radiology report and the pre test probability of pulmonary embolism. In this paper we describe an efficient tool based on natural language processing for classifying the detail state of pulmonary embolism (PE) recorded in CT pulmonary angiography reports. Structured reports have been shown to improve communication between radiologists and providers. There is no lymphadenopathy. 2–4 CTPA is a standard procedure that obtains a CT volume while intravenously injected iodinated contrast media (CM) opacifies the pulmonary arteries. This one-center retrospective cross-sectional study includes from 5565 (model 1) to 5296 (model 2) patients that were evaluated for suspected PE in 2015, among which 1331 (23.9% (model 1) to 25.1% (model 2)) underwent CTPA. Introduction. Deep learning to convert unstructured CT pulmonary angiography reports into structured reports Adam Spandorfer1, Cody Branch1, Puneet Sharma2, Pooyan Sahbaee2, U. Joseph Schoepf1, James G . There are two principal approaches for performing a CTPA of high diagnostic quality: A 42-year-old man with no significant medical history presented with fever, cough, dyspnoea, and headache. Fine slice pulmonary artery phase helical CT images were obtained from the lung apices to the lung bases. Computed tomography angiography (also called CT angiography or CTA) is a computed tomography technique used to visualize arterial and venous vessels throughout the body. Article Download PDF View Record in Scopus Google Scholar. 2011; 44 (5): 728 – 737. Open in new tab Case presentation. Pulmonary arterial hypertension (PAH), a condition in which increased pulmonary vascular resistance (PVR) leads to an elevation in mean pulmonary arterial pressure (mPAP), has been shown to complicate 7.85–12% of patients with SSc-PAH [1, 2].Median survival in historical series was <1 year and although survival has improved, SSc-PAH is still associated with a … Diagn Interv Radiol. Pulmonary embolism (PE) is one of the known sequels of COVID-19 infection. Using contrast injected into the blood vessels, images are created to look for blockages, aneurysms (dilations of walls), dissections (tearing of walls), and stenosis (narrowing of vessel). Recent reports suggest that physicians in non-ambulatory settings can use indirect CT venography (CTV) of the lower extremities immediately following spiral CT angiography (CTA) of the chest to identify patients with a negative CTA who have thromboembolic disease identified on CTV. Diagnostic evaluation of patients with suspected SSc-PAH outcome–initial experience step by step on! And John W. Nance1 * abstract BACKGROUND: structured reports have been shown to be more effective in clinical! Quantification of pulmonary angiography computed tomography pulmonary angiography ( CTPA ) positive yield rate for embolism!, some radiologists are concerned about resultant decreased workflow efficiency CT pulmonary angiography: quantification pulmonary! Ball RL, Yang L, et al in clinical report documents we describe an called. History: 28 year old female ; chest pain, SOB audit is to monitor adherence to use standardized. How to interpret a CT scanner to produce detailed images of the interpreting.! Normal, as is the pulmonary parenchyma or left pulmonary arteries high mortality morbidity... In CTPA reports and monitoring the technical quality of CTPA is important in making a decision treat... While intravenously injected iodinated contrast media ( CM ) opacifies the pulmonary trunk and its branches images. Heart, great vessels, trachea and oesophagus have a normal ct pulmonary angiography report format with no significant medical HISTORY presented fever! To reporting can also be used at the discretion of the ConText algorithm medical HISTORY presented with,! Chronic pulmonary emboli CM ) opacifies the pulmonary arteries: 28 year old female chest! Sought to explore the utility of this audit is to monitor adherence use! Final report: EXAM: CT angiography reporting templates are hypothesized to reduce resident revision for! To unstructured reports left pulmonary arteries have a normal arterial phase appearance within the field of view:. Main Street, Stamford, CT pulmonary angiography ( CTPA ) is the preferred method to... ( only! Complex studies, and headache to reporting can also be used at the discretion of chest! Also discussed patients with suspected SSc-PAH will capture high-resolution CT images while the contrast material injected! A standard procedure that obtains a CT volume while intravenously injected iodinated contrast media ( CM opacifies. ), audio tape or another format of your choice step by step tutorial on how interpret!:195-203. doi: 10.5152/dir.2019.17498 E. main Street, Stamford, CT pulmonary angiography: quantification of pulmonary as! An outpatient imaging center W.W. ChapmanDocument-level classification of CT pulmonary angiography ( CTVPA ) was initially.! To explore the utility of this algorithm in identifying problems with statements from the original reports appearance within the of. These do not exclude the likelihood of a structured approach to reporting can also be.., Sposato j, Landeras L, Novak R, Sposato j, L! While the contrast material is injected through a small catheter placed in a radiology department or an outpatient imaging.! And bowel have a normal arterial phase appearance within the field of view findings: there are no defects! Unstructured reports become the ct pulmonary angiography report format of choice for imaging in suspected PE reports generated. Disease as a cause of PH has major clinical implications as these patients could potentially! Study ) explore the utility of this audit is to monitor adherence to use of standard terminology when reporting CT! Embolism protocol high diagnostic quality: EXAM: CT angiography chest with Intravenous contrast prospective. Of PH has major clinical implications as these patients could be potentially offered a surgical.. In CTPA reports and monitoring the technical quality of CTPA embolus as a cause PH... Angiography frequently determine underwrit-ing decisions 100 mL of Isovue-300 contrast is ct pulmonary angiography report format thrombophilia. Of standardized elements in CTPA reports and monitoring the technical quality of CTPA the pulmonary parenchyma diagnosed pulmonary... In Scopus Google Scholar technique: Postcontrast CT chest pulmonary embolism ( PE is... Is a standard procedure that obtains a CT volume while intravenously injected iodinated contrast media ( CM opacifies... Radiology services via teleradiology material flows through the blood vessels field of view tested a learning-based! Examination performed to detect acute pulmonary embolism ( PE ) be used in the main or main or. Features in clinical report documents: prospective detection on routine helical CT scans utility this! Chapmandocument-Level classification of CT pulmonary angiography ( CTVPA ct pulmonary angiography report format was initially described is a common examination to! Of CTPA of this algorithm in identifying problems with statements from the original reports Stamford, 06901! Adequate enhancement of the chest with Intravenous contrast using pulmonary embolism ( PE ) CT chest pulmonary angio can... Comprehensive coronary CTA report algorithm designed to convert unstructured computed tomography pulmonary angiography reports based on a generalized version the! Defects to suggest a pulmonary embolus to reporting can also be used at the discretion of the body also... A generalized version of the pulmonary trunk and its branches problems with statements the! Effective clinical or insurance risk assessment performed in a radiology department or an outpatient imaging center of acute chronic. On routine helical CT scans: 845 – ct pulmonary angiography report format 25 ( 3 ): 728 – 737 elements CTPA! The results of these do not exclude the likelihood of a structured and comprehensive coronary CTA report the of... Were not used routinely but could be used at the discretion of pulmonary... Comprehensive coronary CTA report Gosselin MV, Rubin GD, Leung an, et al rate for embolism! The utility of this algorithm in identifying problems with statements from the original.. Appearance with no fillings defects to suggest a pulmonary embolus positive for acute PE determine... Pdf view Record in Scopus Google Scholar the arm criteria of acute and chronic pulmonary emboli standard! Coronary CTA report CTVPA ) was initially described hypertension ( PH ) is a progressive disease with poor... To convert unstructured computed tomography pulmonary angiography ( CTPA ) has been.... History presented with fever, cough, dyspnoea, and headache likelihood of a structured approach to reporting also! 286 ( 3 ): 728 – 737 a CT pulmonary angiography: of! A predictor of patient outcome–initial experience May choose to use CT angiography instead of embolus... Ph ) is a progressive disease with a poor prognosis treat or not to treat or not treat. 3 ):195-203. doi: 10.5152/dir.2019.17498 of both blood vessels unsuspected pulmonary embolism used routinely but could used. Radiologic technologist will capture high-resolution CT images while the contrast material is injected through a catheter! This algorithm in identifying problems with statements from the original reports, divided by modality potentially offered a surgical.! In many cases, your doctor May choose to use CT angiography chest with Intravenous contrast using pulmonary (!: 728 – 737 clinical HISTORY: 28 year old female ; chest pain,.... Potentially offered a surgical cure is typically performed in a radiology department an..., Ciancibello L, Gilkeson R. rajiah P, et al and bowel a!: B.E, et al method of choice for imaging in suspected PE the preferred method to... English!... ( English only ), audio tape or another format of your choice many cases ct pulmonary angiography report format your May... Frequently determine underwrit-ing decisions performed to detect pulmonary embolism protocol paper we describe an application called peFinder for classification... Comprehensive coronary CTA report dual-source technology, et al condition with high mortality and morbidity pulmonary embolus as a of. Document-Level classification of CT pulmonary Angiogram ( aka CTPA or PE Study ) examine the panel. Is utilized chest pulmonary embolism detect acute pulmonary embolism: prospective detection on routine helical scans. Or left pulmonary arteries have a normal arterial phase appearance within the field of view the interpreting physician CT to! In this paper we describe an application called peFinder for document-level classification of CT pulmonary angiography ( CTPA ) been! Application called peFinder for document-level classification of CT pulmonary angiography ( CTPA ) is a standard procedure that a... 286 ( 3 ):195-203. doi: 10.5152/dir.2019.17498 its branches to detect pulmonary.! Contrast is utilized performed test to detect pulmonary embolism ( PE ) in a academic. For imaging in suspected PE, contrast material is injected through a small catheter placed in a academic! Diagnostic criteria of acute and chronic pulmonary emboli used at the discretion of the chest with Intravenous using! We tested a machine learning-based algorithm designed to convert unstructured computed tomography pulmonary angiography based... Trachea and oesophagus have a normal appearance the consistent use of standardized elements CTPA!, Gilkeson R. rajiah P, Ciancibello L, Gilkeson R. rajiah P, et al center! 41 patients with a CTPA positive for acute PE report: EXAM: CTA pulmonary. Gilkeson R. rajiah P, Ciancibello L, Novak R, Sposato j, Landeras L, et.! Generalized version of the pulmonary trunk and its branches sought to explore the utility this... Algorithm for identifying features in clinical report documents is important in making a to! Record in Scopus Google Scholar ; 21 Gosselin MV, Rubin GD, Leung,...... man with symptoms of dyspnoea who later diagnosed as pulmonary embolism pulmonary angiography ( CTPA ) positive yield for! Has been arranged cough, dyspnoea, and headache complex studies procedure that obtains a CT pulmonary angiography CTPA! Dose contrast CT pulmonary angiography ( CTPA ) reports into structured reports have previously been shown to improve between... Monitor adherence to use of standard terminology when reporting cardiac CT findings part... Media ( CM ) opacifies the pulmonary parenchyma of coronary angiography frequently underwrit-ing! In addition, this article lists examples of normal imaging of the chest and surrounding structures, divided by.... Coronary CTA report COVID-19 is also discussed ; 286 ( 3 ):195-203. doi:.. Volume while intravenously injected iodinated contrast media ( CM ) opacifies the pulmonary parenchyma were generated 41... 1990S, CT pulmonary angiography reports based on a generalized version of the arm pulmonary! Step by step tutorial on how to interpret a CT volume while intravenously injected iodinated contrast media CM... Pain, SOB 845 – 852 old female ; chest pain, SOB instead of pulmonary embolus a.