The publication of medical images.
نویسندگان
چکیده
We read with interest the informative case report regarding the role of thrombolysis in massive pulmonary embolus (PE) in the Irish Medical Journal by Nagi and Hayes 1 . We agree with the authors that the role of thrombolysis in PE is still unclear. The article does, however, raise several important issues regarding the use of diagnostic images in medical literature without direct input from a radiologist. The authors provide preand post-thrombolysis images from a computed tomography pulmonary angiogram (CTPA) protocol and claim that there is a significant improvement in clot burden following anticoagulation. The images provided are not comparable, being taken at different anatomical levels thus preventing direct correlation. Furthermore, it is accepted practice that angiographic images are viewed with wide window settings allowing more accurate assessment of intraluminal clot. On the images provided there remains a large clot burden that cannot be said to have significantly improved following treatment. Indeed, in the post-treatment image no contrast is appreciated in the lower order pulmonary arteries and there has been interval development of a right side pulmonary infarct. The use of clot burden as a radiological assessment of pulmonary embolus is controversial.
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عنوان ژورنال:
- Irish medical journal
دوره 103 5 شماره
صفحات -
تاریخ انتشار 2010