CT PAgram
n How good is good enough?
n Respiratory motion, lung disease, poor enhancement
may limit evaluation of small (subsegmental) vessels
n If only segmental vessels are well seen, and
scan is normal, can the workup stop?
n What is the risk of missing subsegmental
embolism?
n Only subsegmental PE in 6-30% of cases.
n Average number of emboli detected is 6.