evaluation of acute pulmonary embolism using spiral ct scan

EVALUATION OF ACUTE PULMONARY EMBOLISM USING SPIRAL CT SCAN

1Sudan University of Science and Technology, College of Medical Radiologic Science, P.O.Box 1908, Khartoum. Sudan. 2 Sudan Atomic Energy Commission P.O.Box3001 Khartoum. *Corresponding Author: Tel: +249122273487; E-mail mohnajwan@yahoo.com

M.YOUSEF1 A. SULIEMAN1 S. ABDULBAGI1, A. ELMAHDI2

5th Arab Radiology Congress (ARC5) 26 - 28 April & 6th PAIRS Meeting 25 - 26

April 2012 - Hammamet - Tunisia

CH14

Objectives: The study aimed to determine the role of spiral CT Angiography in suspected cases of acute Pulmonary Embolism at duration (August –November 2011)

5th Arab Radiology Congress (ARC5) 26 - 28 April & 6th PAIRS Meeting 25 - 26

April 2012 - Hammamet - Tunisia

Materials and Methods: The study was conducted at EL-Nilin center, Royal care hospital and Faisal center where there were enough cases to study and the availability of required machine and materials to perform proper examination. Fifty patients of suspected pulmonary embolism (PE) of different ages and genders underwent spiral CT angiography from the level of arch of aorta to the dome of diaphragm . Scanning was done using Semince(4 multi slice) and Toshiba (64 multi slice ) machines with collimation of 1-2mm and an interval of 2mm at 60-160 mA and 120-135kV 100ml of contrast was injected at a flow rate of 3-4 ml sec with a scan delay of 12-16 second . Figure (1)

5th Arab Radiology Congress (ARC5) 26 - 28 April & 6th PAIRS Meeting 25 - 26

April 2012 - Hammamet - Tunisia

Figure(1) shows CT Equipment

Results: Out of 50 patient 38 (76%) were positively identified with pulmonary embolism,male 32% and females 68% fig (2) ,Shortness of breath is the most clinical indication with (54%) incidence, followed by Cyanosis (14%), Chest pain (12%), Couph (12%),and Haemoptysis Additionally during the study, it was noted that the right pulmonary artery was affected more than the Lt pulmonary artery.figur(1,2, and 3)

5th Arab Radiology Congress (ARC5) 26 - 28 April & 6th PAIRS Meeting 25 - 26

April 2012 - Hammamet - Tunisia

Figure(2) : gender distribution

Figure(3)Female 35 years old with bilateral pulmonary embolism in main (Lt) and (Rt) Pulmonary arteries

Figure (4)male 61 year old with Bilateral pulmonary embolism in main (Lt) and (Rt) pulmonary arteries

Figure(5) Female 37 years with pulmonary embolism in(Rt) main pulmonary artery

Conclusion: The study confirmed that, the spiral CT scanner more accurate modality in detection of pulmonary embolism , it is non –invasive procedure , low cost , and has a high specificity , for that preferred it used as the first line of investigations in diagnosing of Pulmonary embolism.

5th Arab Radiology Congress (ARC5) 26 - 28 April & 6th PAIRS Meeting 25 - 26

April 2012 - Hammamet - Tunisia