Diagnosing pulmonary embolism: establishing and
consolidating the role of spiral CT
Strijen, M. van
Citation
Strijen, M. van. (2007, March 22). Diagnosing pulmonary embolism:
establishing and consolidating the role of spiral CT. Department of
Radiology, Leiden University Medical Center (LUMC), Faculty of Medicine, Leiden University. Retrieved from https://hdl.handle.net/1887/11452
Version: Corrected Publisher’s Version
License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden
Downloaded from: https://hdl.handle.net/1887/11452
Note: To cite this publication please use the final published version (if applicable).
Diagnosing pulmonary embolism:
establishing and consolidating
the role of spiral CT
Proefschrift
ter verkrijging van
de graad van Doctor aan de Universiteit Leiden
op gezag van de Rector Magnificus Prof. Mr. P.F. van der Heijden, volgens het besluit van het College voor Promoties
te verdedigen op donderdag 22 maart 2007 klokke 13:45
door
Marco van Strijen
geboren te Dordrecht in 1970
Promotiecommissie
Promotoren:
Prof. dr. J.L. Bloem
Prof. dr. P.M.T. Pattynama (Erasmus Medisch Centrum, Rotterdam)
Co-promotor:
Dr. M.V. Huisman
Referent:
Prof. Dr. F.R. Rosendaal
Overige leden:
Prof. Dr. K.F.G. Rabe
Prof. Dr. W.P.T.M. Mali (Universitair Medisch Centrum Utrecht, Utrecht)
Dankzij mijn ouders Voor Claudia
6
© Marco J.L. van Strijen, Houten, The Netherlands. All rights preserved. No parts of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without prior written permission of the author.
Cover: spiral (or helical) CT is the diagnostic technique in which a rontgen tube circles around a patient in a continuous motion to acquire atttenuation information that can be used to reconstruct images. The Antelope logo was designed by the author for the Antelope study: “Advances in New Technologies Evaluating Localisation Of Pulmonary Embolism”.
Lay-out: M.J.L. van Strijen Printed by: RDS, Odijk
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Contents
Chapter 1
Introduction and outline
Chapter 2
Availability of diagnostic facilities in The Netherlands for patients with suspected pulmonary embolism.
Chapter 3
The application of a Dutch consensus diagnostic strategy for pulmonary embolism in clinical practice.
Chapter 4
Accuracy of spiral CT in the diagnosis of pulmonary embolism: a prospective multicenter cohort study of consecutive patients with abnormal perfusion scintigraphy.
Chapter 5
Diagnosis of Pulmonary Embolism with Spiral CT as a second procedure following scintigraphy.
Chapter 6
Acute Pulmonary Embolism: The effect of image quality on the accuracy of spiral CT angiography.
Chapter 7
Non-invasive diagnostic tests for pulmonary embolism: Less useful when needed the most.
Chapter 8
Single-detector Helical CT as the Primary Diagnostic Test in Suspected Pulmonary Embolism: A Multicenter Clinical Management Study in 512 Patients.
Chapter 9
Helical CT and alternative diagnosis in patients with excluded pulmonary embolism.
Chapter 10
Results of a new survey among internists and pulmonologists:
a comparison to results from 1997.
Chapter 11
Summary / Samenvatting
Curriculum Vitae
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