Pulmonary embolus in pregnant patients: survey of ventilation-perfusion imaging policies and practices

Radiology
P M BoiselleJ P Seibyl

Abstract

To assess the policies and practices of nuclear medicine facilities as regards ventilation-perfusion (V-P) imaging in pregnant patients suspected of having pulmonary embolus. Surveys were mailed to physician-directors of 1,000 randomly selected facilities at which nuclear imaging studies are performed. Information gathered included use of V-P imaging in pregnant patients, written policies, informed consent procedures, and modifications of standard protocols. Of the 1,000 surveys mailed, 327 (33%) completed surveys were returned. Of these 327 respondents, 220 (67%) reported that they perform V-P imaging in pregnant patients suspected of having pulmonary embolus. Of these 220 respondents, 115 (52%) routinely obtain informed consent, and 170 (77%) modify their standard V-P imaging protocol for pregnant patients. The most common modification (135 [79%] of 170 respondents) was reduction of the perfusion agent dose. Reported practice patterns for written policies, informed consent, and modifications did not show statistically significant trends among respondents in varying practice settings or geographic locations. Most respondents perform V-P imaging in pregnant patients suspected of having pulmonary embolus, with considerable varia...Continue Reading

Citations

Jul 31, 2002·Radiology·Helen T Winer-MuramGerard T Lombardo
Mar 10, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jay K PahadePhillip M Boiselle
Feb 25, 2006·AJR. American Journal of Roentgenology·Lynne M HurwitzLottie Barnes
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Mar 8, 2007·European Radiology·Andrew Frederick ScarsbrookFergus Vincent Gleeson
Jul 25, 2008·European Radiology·Adrian K AndreouAllan Clark
Sep 17, 2008·European Radiology·Cornelia Schaefer-Prokop, Mathias Prokop
Nov 10, 2009·Nuclear Medicine Communications·Vidhiya VinayakamoorthyRakesh Ganatra
Aug 27, 2011·Journal of Pregnancy·Shalini Jain Bagaria, V B Bagaria
Apr 1, 2009·Seminars in Nuclear Medicine·Paul CroninElla A Kazerooni
Dec 17, 2005·Clinical Radiology·A F ScarsbrookF V Gleeson
Oct 6, 2000·Postgraduate Medicine·J S Sellman, R L Holman
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Apr 18, 2002·AJR. American Journal of Roentgenology·David H Forsted, Carl L Kalbhen
Nov 15, 2002·Thrombosis Research·Wee-Shian Chan, Jeffrey S Ginsberg

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