<?xml version="1.0" encoding="utf-8"?>
<journal>
<title>Medical Journal of the Islamic Republic Of Iran</title>
<title_fa>مجله پزشکی جمهوری اسلامی ایران</title_fa>
<short_title>Med J Islam Repub Iran</short_title>
<subject>Medical Sciences</subject>
<web_url>http://mjiri.iums.ac.ir</web_url>
<journal_hbi_system_id>2</journal_hbi_system_id>
<journal_hbi_system_user>journal2</journal_hbi_system_user>
<journal_id_issn>1016-1430</journal_id_issn>
<journal_id_issn_online>2251-6840</journal_id_issn_online>
<journal_id_pii>8</journal_id_pii>
<journal_id_doi>10.18869/mjiri</journal_id_doi>
<journal_id_iranmedex></journal_id_iranmedex>
<journal_id_magiran></journal_id_magiran>
<journal_id_sid>14</journal_id_sid>
<journal_id_nlai>8888</journal_id_nlai>
<journal_id_science>13</journal_id_science>
<language>en</language>
<pubdate>
	<type>jalali</type>
	<year>1396</year>
	<month>11</month>
	<day>1</day>
</pubdate>
<pubdate>
	<type>gregorian</type>
	<year>2018</year>
	<month>2</month>
	<day>1</day>
</pubdate>
<volume>32</volume>
<number>1</number>
<publish_type>online</publish_type>
<publish_edition>1</publish_edition>
<article_type>fulltext</article_type>
<articleset>
	<article>


	<language>en</language>
	<article_id_doi></article_id_doi>
	<title_fa></title_fa>
	<title>Overuse and underuse of pulmonary CT angiography in patients with suspected pulmonary embolism 

</title>
	<subject_fa>Pulmonary Disease</subject_fa>
	<subject>Pulmonary Disease</subject>
	<content_type_fa>Original Research</content_type_fa>
	<content_type>Original Research</content_type>
	<abstract_fa></abstract_fa>
	<abstract>&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The aim of the present study was to evaluate the utilization and diagnostic yields of CT pulmonary angiography (CTPA) using the Revised Geneva score and Wells&amp;rsquo; criteria, in patients with suspected pulmonary embolism (PE).&lt;br&gt;
&lt;strong&gt;&amp;nbsp;&amp;nbsp; Methods:&lt;/strong&gt; One hundred and twelve adult patients underwent CTPA for suspected PE were participated in this study. The outcome was positive or negative CTPA for PE. Revised Geneva and Wells&amp;rsquo; scores were calculated. The relationship between the results obtained from these two scores and the available risk factors were compared.&lt;br&gt;
Descriptive analysis such as frequency and mean as well as analytical statistics including chi-square were done. The data analysis was performed using SPSS (v. 22).&lt;br&gt;
&lt;strong&gt;&amp;nbsp;&amp;nbsp; Results:&lt;/strong&gt; In this study, according to the Wells&amp;rsquo; criteria calculated for the patients, 33.9% of the patients had low clinical, 56.3% intermediate and 9.8% high clinical probability. Among the 11 high clinical patients, 9(81.8%) were CTPA positive. Based on the revised Geneva score, 65 patients (58%) had low clinical, 36 (32.1%) intermediate and 11(9.8%) high clinical probability.&amp;nbsp; Among the 11 high clinical patients, 8 were CTPA positive. Positive predictive value of the low clinical patients based on Wells&amp;rsquo; criteria and the revised Geneva score was 18.4% and 30.8%, respectively. Also, positive predictive value for high clinical probability of Wells&amp;rsquo; criteria and the revised Geneva score was 81.8% and 72.8% respectively.&amp;nbsp;&lt;br&gt;
&lt;strong&gt;&amp;nbsp;&amp;nbsp; Conclusion:&lt;/strong&gt; Under/overuse of CTPA in diagnosing PTE is a common problem especially in university hospitals. It is possible to avoid unnecessary CTPA requests using scholarly investigations and more accurate clinical risk assessments.&lt;br&gt;
&amp;nbsp;&lt;br&gt;
&amp;nbsp;&lt;/p&gt;
</abstract>
	<keyword_fa></keyword_fa>
	<keyword>Pulmonary Embolism, Pulmonary CT angiography, Wells’ score, Revised Geneva score</keyword>
	<start_page>13</start_page>
	<end_page>17</end_page>
	<web_url>http://mjiri.iums.ac.ir/browse.php?a_code=A-10-922-9&amp;slc_lang=en&amp;sid=1</web_url>


<author_list>
	<author>
	<first_name>Hanieh</first_name>
	<middle_name></middle_name>
	<last_name>Raji</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>dr.raji.h@gmail.com</email>
	<code>200319475328460036514</code>
	<orcid>200319475328460036514</orcid>
	<coreauthor>No</coreauthor>
	<affiliation>Air pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. </affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>Seyed Ali Javad</first_name>
	<middle_name></middle_name>
	<last_name>Moosavi</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>dr_moosavi_pul@yahoo.com</email>
	<code>200319475328460036515</code>
	<orcid>200319475328460036515</orcid>
	<coreauthor>No</coreauthor>
	<affiliation>Faculty of Medicine, Iran University of Medical Sciences and Health Services, Tehran, Iran.</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>Maryam</first_name>
	<middle_name></middle_name>
	<last_name>Dastoorpoor</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>mdastoorpour@yahoo.com</email>
	<code>200319475328460036516</code>
	<orcid>200319475328460036516</orcid>
	<coreauthor>No</coreauthor>
	<affiliation>Air pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. </affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>Zahra </first_name>
	<middle_name></middle_name>
	<last_name>Mohamadipour</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>dr.raji.h@yahoo.com</email>
	<code>200319475328460036517</code>
	<orcid>200319475328460036517</orcid>
	<coreauthor>No</coreauthor>
	<affiliation>Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>Parvin</first_name>
	<middle_name></middle_name>
	<last_name>Mousavi Ghanavati</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>sp.mg90@yahoo.com</email>
	<code>200319475328460036518</code>
	<orcid>200319475328460036518</orcid>
	<coreauthor>Yes
</coreauthor>
	<affiliation>Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


</author_list>


	</article>
</articleset>
</journal>
