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KMID : 1103720100620020139
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Journal of the Korean Society of Radiology
2010 Volume.62 No. 2 p.139 ~ p.144
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CT Findings of Acute Pulmonary Thromboembolism as a Predictor of the Response to Anticoagulant Therapy
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Ahn Myeong-Im
Choi Jae-Jeong
Kim Hyo-Lim
Park Hyun-Jin
Song Sun-Hwa
Kim Ki-Jun
Kim Hyun-Sook
Park Seog-Hee
Jung Jung-Im
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Abstract
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Purpose: To determine the CT findings of an acute pulmonary thromboembolism for the prediction of response to anticoagulant therapy.
Materials and Methods : Forty-eight patients diagnosed with a pulmonary embolism underwent anticoagulant therapy, and underwent pre- and post-treatment CT scans, were selected to be part of the study. Pre-treatment CT scans were retrospectively reviewed for the number and degree of emboli, right ventricular to left ventricular (RV/LV) diameter ratio, pulmonary arterial to aorta (PA/aorta) diameter ratio, ventricular septal bowing, consolidation, mosaic perfusion, and pleural effusion. The response to anticoagulant therapy was assessed by a change in embolic burden on pre-and post-treatment CT scans. The 48 patients were divided into two groups: good responder and poor responder. The pre-treatment CT findings were compared by group to determine if there were any differences in the CT findings.
Results: Thirty patients were categorized as good responders (62.5%) and eighteen patients as poor responders (37.5%). A pleura-based wedge-shaped consolidation was observed in 9 of 18 cases (50%) from the poor responder group and one of 30 (3%) cases from the good responder group. The comparison of the finding by group was found to be significantly different (p<0.001). No other CT findings were significantly different between the good and poor responders.
Conclusion: The pre-treatment CT scans of patients with acute pulmonary embolism indicate that pleurabased wedge-shaped consolidations can predict a poor response to anticoagulant therapy.
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KEYWORD
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Pulmonary Embolism, Tomography, X-Ray Computed , Anticoagulants
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