Pulmonary Embolism (PE) is a life-threatening disorder associated with high mortality and morbidity. Prompt diagnosis and immediate initiation of therapeutic action is important. We explored a deep learning model to detect PE on volumetric contrast-enhanced chest CT scans using a 2-stage training strategy. First, a residual convolutional neural network (ResNet) was trained using annotated 2D images. In addition to the classification loss, an attention loss was added during training to help the network focus attention on PE. Next, a recurrent network was used to scan sequentially through the features provided by the pre-trained ResNet to detect PE. This combination allows the network to be trained using both a limited and sparse set of pixel-level annotated images and a large number of easily obtainable patient-level image-label pairs. We used 1,670 sparsely annotated studies and more than 10,000 labeled studies in our training. On a test set with 2,160 patient studies, the proposed method achieved an area under the ROC curve (AUC) of 0.812. The proposed framework is also able to provide localized attention maps that indicate possible PE lesions, which could potentially help radiologists accelerate the diagnostic process.
With more than 60,000 deaths annually in the United States, Pulmonary Embolism (PE) is among the most fatal cardiovascular diseases. It is caused by an artery blockage in the lung; confirming its presence is time-consuming and is prone to over-diagnosis. The utilization of automated PE detection systems is critical for diagnostic accuracy and efficiency. In this study we propose a two-stage attention-based CNN-LSTM network for predicting PE, its associated type (chronic, acute) and corresponding location (leftsided, rightsided or central) on computed tomography (CT) examinations. We trained ou…
National Yang Ming Chiao Tung University(国立阳明交通大学);National Cheng Kung University Hospital(国立成功大学医院);National Cheng Kung University(国立成功大学)
The clinical symptoms of pulmonary embolism (PE) are very diverse and non-specific, which makes it difficult to diagnose. In addition, pulmonary embolism has multiple triggers and is one of the major causes of vascular death. Therefore, if it can be detected and treated quickly, it can significantly reduce the risk of death in hospitalized patients. In the detection process, the cost of computed tomography pulmonary angiography (CTPA) is high, and angiography requires the injection of contrast agents, which increase the risk of damage to the patient. Therefore, this study will use a deep learn…
National Chiao-Tung University(国立交通大学);National Cheng Kung University Hospital(国立成功大学附属医院);College of Medicine, National Cheng Kung University(国立成功大学医学院)
This study was conducted to develop a computer-aided detection (CAD) system for triaging patients with pulmonary embolism (PE). The purpose of the system was to reduce the death rate during the waiting period. Computed tomography pulmonary angiography (CTPA) is used for PE diagnosis. Because CTPA reports require a radiologist to review the case and suggest further management, this creates a waiting period during which patients may die. Our proposed CAD method was thus designed to triage patients with PE from those without PE. In contrast to related studies involving CAD systems that identify k…
Athena-Research and Innovation Center in Information, Communication and Knowledge Technologies(雅典娜信息、通信与知识技术研究与创新中心);Hellenic Open University(希腊开放大学);Sismanogleio General Hospital(西斯马诺格利奥综合医院)
The main objective of this work is to utilize state-of-the-art deep learning approaches for the identification of pulmonary embolism in CTPA-Scans for COVID-19 patients, provide an initial assessment of their performance and, ultimately, provide a fast-track prototype solution (system). We adopted and assessed some of the most popular convolutional neural network architectures through transfer learning approaches, to strive to combine good model accuracy with fast training. Additionally, we exploited one of the most popular one-stage object detection models for the localization (through object…
National Yang Ming Chiao Tung University(阳明交通大学);National Cheng Kung University Hospital(成功大学附属医院);National Cheng Kung University(成功大学)
The purpose of this research is to develop a system that generates simulated computed tomography pulmonary angiography (CTPA) images clinically for pulmonary embolism diagnoses. Nowadays, CTPA images are the gold standard computerized detection method to determine and identify the symptoms of pulmonary embolism (PE), although performing CTPA is harmful for patients and also expensive. Therefore, we aim to detect possible PE patients through CT images. The system will simulate CTPA images with deep learning models for the identification of PE patients' symptoms, providing physicians with anothe…
Stanford University(斯坦福大学);Duke University(杜克大学);Arizona State University(亚利桑那州立大学)
Despite the routine use of electronic health record (EHR) data by radiologists to contextualize clinical history and inform image interpretation, the majority of deep learning architectures for medical imaging are unimodal, i.e., they only learn features from pixel-level information. Recent research revealing how race can be recovered from pixel data alone highlights the potential for serious biases in models which fail to account for demographics and other key patient attributes. Yet the lack of imaging datasets which capture clinical context, inclusive of demographics and longitudinal medica…
Arizona State University(亚利桑那州立大学);Mayo Clinic(梅奥诊所)
Pulmonary embolism (PE) represents a thrombus ("blood clot"), usually originating from a lower extremity vein, that travels to the blood vessels in the lung, causing vascular obstruction and in some patients, death. This disorder is commonly diagnosed using CT pulmonary angiography (CTPA). Deep learning holds great promise for the computer-aided CTPA diagnosis (CAD) of PE. However, numerous competing methods for a given task in the deep learning literature exist, causing great confusion regarding the development of a CAD PE system. To address this confusion, we present a comprehensive analysis…
Ferdowsi University of Mashhad(马什哈德菲尔多西大学);Universidad de Alicante(阿利坎特大学);Sierra Research S.L.(塞拉研究有限公司);Unidad de Radiodiagnostico, Madrid(马德里放射诊断科);CIBERBBN(西班牙生物医学网络研究中心);Brigham and Women’s Hospital(布里格姆妇女医院);Corades S.L.(科拉德斯有限公司);LNM Institute of Information Technology(LNM信息技术学院);Arizona State University(亚利桑那州立大学)
Rationale: Computer aided detection (CAD) algorithms for Pulmonary Embolism (PE) algorithms have been shown to increase radiologists' sensitivity with a small increase in specificity. However, CAD for PE has not been adopted into clinical practice, likely because of the high number of false positives current CAD software produces. Objective: To generate a database of annotated computed tomography pulmonary angiographies, use it to compare the sensitivity and false positive rate of current algorithms and to develop new methods that improve such metrics. Methods: 91 Computed tomography pulmonary…
Unified-protocol voxel-level pulmonary embolism annotations for three public CT angiography datasets
Technical University of Munich (TUM)(慕尼黑工业大学);Munich Center for Machine Learning (MCML)(慕尼黑机器学习中心);The Affiliated Hospital of Xuzhou Medical University(徐州医科大学附属医院);The Third Affiliated Hospital of Soochow University(苏州大学附属第三医院);The Affiliated Taizhou People’s Hospital of Nanjing Medical University(南京医科大学附属泰州人民医院)
PE-MVCNet: Multi-view and Cross-modal Fusion Network for Pulmonary Embolism Prediction
Hangzhou Dianzi University(杭州电子科技大学);Dalian Polytechnic University(大连工业大学);The Second Affiliated Hospital of The Chinese University of Hong Kong(香港中文大学第二附属医院);Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences(中国科学院深圳先进技术研究院);Shenzhen Institute of Information Technology(深圳信息职业技术学院);Shenzhen Research Institute of Big Data(深圳大数据研究院);Hangzhou Institute of Advanced Technology(杭州高等研究院)
Pulmonary embolisms (PE) are known to be one of the leading causes for cardiac-related mortality. Due to inherent variabilities in how PE manifests and the cumbersome nature of manual diagnosis, there is growing interest in leveraging AI tools for detecting PE. In this paper, we build a two-stage detection pipeline that is accurate, computationally efficient, robust to variations in PE types and kernels used for CT reconstruction, and most importantly, does not require dense annotations. Given the challenges in acquiring expert annotations in large-scale datasets, our approach produces state-o…
Karlsruhe Institute of Technology(卡尔斯鲁厄理工学院);University Hospital Heidelberg(海德堡大学医院);German Cancer Research Center(德国癌症研究中心);University Hospital Essen(埃森大学医院)
Detector-based spectral computed tomography is a recent dual-energy CT (DECT) technology that offers the possibility of obtaining spectral information. From this spectral data, different types of images can be derived, amongst others virtual monoenergetic (monoE) images. MonoE images potentially exhibit decreased artifacts, improve contrast, and overall contain lower noise values, making them ideal candidates for better delineation and thus improved diagnostic accuracy of vascular abnormalities. In this paper, we are training convolutional neural networks~(CNN) that can emulate the generation …
Cross-Phase Mutual Learning Framework for Pulmonary Embolism Identification on Non-Contrast CT Scans
DAMO Academy, Alibaba Group(阿里巴巴达摩院);School of Information Science and Technology, Fudan University(复旦大学信息科学与技术学院);College of Computer Science and Technology, Zhejiang University(浙江大学计算机科学与技术学院);The First Affiliated Hospital of Zhejiang University School of Medicine(浙江大学医学院附属第一医院)
X-ray2CTPA: Leveraging Diffusion Models to Enhance Pulmonary Embolism Classification
Faculty of Engineering, Tel Aviv University(工程学院,特拉维夫大学);Division of Data-Driven and Digital Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai(数据驱动与数字医学部,医学部,Mount Sinai医学院);Department of Diagnostic Imaging, Sheba Medical Center, Ramat Gan, Israel(诊断影像科,Sheba 医疗中心,Ramat Gan,以色列);Department of Radiology, Icahn School of Medicine, Mount Sinai(放射科,Icahn医学院,Mount Sinai)
National Yang Ming Chiao Tung University(阳明交通大学);National Cheng Kung University Hospital(国立成功大学医学院附设医院);National Cheng Kung University(国立成功大学)
This study established a feature-enhanced adversarial semi-supervised semantic segmentation model to automatically annotate pulmonary embolism lesion areas in computed tomography pulmonary angiogram (CTPA) images. In current studies, all of the PE CTPA image segmentation methods are trained by supervised learning. However, the supervised learning models need to be retrained and the images need to be relabeled when the CTPA images come from different hospitals. This study proposed a semi-supervised learning method to make the model applicable to different datasets by adding a small amount of un…
SCUNet++: Swin-UNet and CNN Bottleneck Hybrid Architecture with Multi-Fusion Dense Skip Connection for Pulmonary Embolism CT Image Segmentation
Hangzhou Dianzi University(杭州电子科技大学);Second Affiliated Hospital of the Chinese University of Hong Kong(香港中文大学第二附属医院);Shenzhen Research Institute of Big Data(深圳市大数据研究院)
Application of Computer Deep Learning Model in Diagnosis of Pulmonary Nodules
University of California, Davis(加州大学戴维斯分校);University of Washington(华盛顿大学);Northern Arizona University(北亚利桑那大学);Arizona State University(亚利桑那州立大学);University of Pennsylvania(宾夕法尼亚大学);University of California San Diego(加州大学圣迭戈分校)
Henan Provincial Chest Hospital(河南省胸科医院);Harbin Institute of Technology(哈尔滨工业大学);Huiying Medical Technology (Beijing) Co., Ltd.(慧影医疗科技(北京)有限公司)
Objective: We propose an end-to-end CNN-based locating model for pulmonary tuberculosis (TB) diagnosis in radiographs. This model makes full use of chest radiograph (X-ray) for its improved accessibility, reduced cost and high accuracy for TB disease. Methods: Several specialized improvements are proposed for detection task in medical field. A false positive (FP) restrictor head is introduced for FP reduction. Anchor-oriented network heads is proposed in the position regression section. An optimization of loss function is designed for hard example mining. Results: The experimental results show…
Lung cancer has the highest mortality rate of deadly cancers in the world. Early detection is essential to treatment of lung cancer. However, detection and accurate diagnosis of pulmonary nodules depend heavily on the experiences of radiologists and can be a heavy workload for them. Computer-aided diagnosis (CAD) systems have been developed to assist radiologists in nodule detection and diagnosis, greatly easing the workload while increasing diagnosis accuracy. Recent development of deep learning, greatly improved the performance of CAD systems. However, lack of model reliability and interpret…
Suppression of thoracic bone shadows on chest X-rays (CXRs) has been indicated to improve the diagnosis of pulmonary disease. Previous approaches can be categorized as unsupervised physical and supervised deep learning models. Nevertheless, with physical models able to preserve morphological details but at the cost of extremely long processing time, existing DL methods face challenges of gathering sufficient/qualitative ground truth (GT) for robust training, thus leading to failure in maintaining clinically acceptable false positive rates. We hereby propose a generalizable yet efficient workfl…
Diagnosis of pulmonary lesions from computed tomography (CT) is important but challenging for clinical decision making in lung cancer related diseases. Deep learning has achieved great success in computer aided diagnosis (CADx) area for lung cancer, whereas it suffers from label ambiguity due to the difficulty in the radiological diagnosis. Considering that invasive pathological analysis serves as the clinical golden standard of lung cancer diagnosis, in this study, we solve the label ambiguity issue via a large-scale radio-pathomics dataset containing 5,134 radiological CT images with patholo…
The City College of New York(纽约城市学院);UMass CICS(马萨诸塞大学阿默斯特分校信息与计算机科学学院);Google AI(谷歌人工智能);Memorial Sloan-Kettering Cancer Center(纪念斯隆-凯特琳癌症中心)
Accurate detection of pulmonary nodules with high sensitivity and specificity is essential for automatic lung cancer diagnosis from CT scans. Although many deep learning-based algorithms make great progress for improving the accuracy of nodule detection, the high false positive rate is still a challenging problem which limited the automatic diagnosis in routine clinical practice. In this paper, we propose a novel pulmonary nodule detection framework based on a 3D Feature Pyramid Network (3DFPN) to improve the sensitivity of nodule detection by employing multi-scale features to increase the res…
The City College of New York(纽约城市学院);UMass CICS(马萨诸塞大学信息与计算机科学学院);Google AI(谷歌人工智能);Memorial Sloan Kettering Cancer Center(纪念斯隆凯特琳癌症中心)
Accurate detection of pulmonary nodules with high sensitivity and specificity is essential for automatic lung cancer diagnosis from CT scans. Although many deep learning-based algorithms make great progress for improving the accuracy of nodule detection, the high false positive rate is still a challenging problem which limits the automatic diagnosis in routine clinical practice. Moreover, the CT scans collected from multiple manufacturers may affect the robustness of Computer-aided diagnosis (CAD) due to the differences in intensity scales and machine noises. In this paper, we propose a novel …
In recent years, the prevalence of several pulmonary diseases, especially the coronavirus disease 2019 (COVID-19) pandemic, has attracted worldwide attention. These diseases can be effectively diagnosed and treated with the help of lung imaging. With the development of deep learning technology and the emergence of many public medical image datasets, the diagnosis of lung diseases via medical imaging has been further improved. This article reviews pulmonary CT and X-ray image detection and classification in the last decade. It also provides an overview of the detection of lung nodules, pneumoni…
Sir Run Run Shaw Hospital(邵逸夫医院);School of Medicine, Zhejiang University(浙江大学医学院);School of Computer Science and Technology, Hangzhou Dianzi University(杭州电子科技大学计算机科学与技术学院);College of Medicine, Zhejiang University(浙江大学医学院)
Automatic pulmonary nodules classification is significant for early diagnosis of lung cancers. Recently, deep learning techniques have enabled remarkable progress in this field. However, these deep models are typically of high computational complexity and work in a black-box manner. To combat these challenges, in this work, we aim to build an efficient and (partially) explainable classification model. Specially, we use \emph{neural architecture search} (NAS) to automatically search 3D network architectures with excellent accuracy/speed trade-off. Besides, we use the convolutional block attenti…
Alleviating Hyperparameter-Tuning Burden in SVM Classifiers for Pulmonary Nodules Diagnosis with Multi-Task Bayesian Optimization
Yau Mathematical Sciences Center Tsinghua University(姚数学科学中心清华大学);The First Affiliated Hospital of Guangzhou Medical University(广州医科大学第一附属医院);China State Key Laboratory of Respiratory Disease(中国呼吸疾病国家重点实验室);Academy of Mathematics and Systems Science Chinese Academy of Sciences(数学科学学院中国科学院);University of Chinese Academy of Sciences(中国科学院大学);Department of Thoracic Surgery and Oncology The First Affiliated Hospital of Guangzhou Medical University(胸外科与肿瘤科广州医科大学第一附属医院)
School of Electrical and Automation Engineering, East China Jiaotong University(华东交通大学电气与自动化工程学院);School of Computer Science, Northwestern Polytechnical University(西北工业大学计算机学院);School of Software, East China Jiaotong University(华东交通大学软件学院);College of Biology, Hunan University(湖南大学生物学院)
Priori knowledge of pulmonary anatomy plays a vital role in diagnosis of lung diseases. In CT images, pulmonary fissure segmentation is a formidable mission due to various of factors. To address the challenge, an useful approach based on ODoS filter and shape features is presented for pulmonary fissure segmentation. Here, we adopt an ODoS filter by merging the orientation information and magnitude information to highlight structure features for fissure enhancement, which can effectively distinguish between pulmonary fissures and clutters. Motivated by the fact that pulmonary fissures appear as…
University of Electronic Science and Technology of China(电子科技大学);University of Maryland School of Medicine(马里兰大学医学院);Rutgers, the State University of New Jersey(罗格斯大学(新泽西州立大学))
Computed Tomography (CT) plays an important role in monitoring radiation-induced Pulmonary Fibrosis (PF), where accurate segmentation of the PF lesions is highly desired for diagnosis and treatment follow-up. However, the task is challenged by ambiguous boundary, irregular shape, various position and size of the lesions, as well as the difficulty in acquiring a large set of annotated volumetric images for training. To overcome these problems, we propose a novel convolutional neural network called PF-Net and incorporate it into a semi-supervised learning framework based on Iterative Confidence-…
Automatic lobe segmentation using attentive cross entropy and end-to-end fissure generation
Qing Yuan Research Institute, Shanghai Jiao Tong University(上海交通大学清源研究院);Shanghai AI Laboratory(上海人工智能实验室);SenseTime Research(商汤科技研究院);West China Biomedical Big Data Center, Sichuan University West China Hospital(四川大学华西医院华西生物医学大数据中心)
Pulmonary vessel segmentation is important for clinical diagnosis of pulmonary diseases, while is also challenging due to the complicated structure. In this work, we present an effective framework and refinement process of pulmonary vessel segmentation from chest computed tomographic (CT) images. The key to our approach is a 2.5D segmentation network applied from three orthogonal axes, which presents a robust and fully automated pulmonary vessel segmentation result with lower network complexity and memory usage compared to 3D networks. The slice radius is introduced to convolve the adjacent in…
Diagnosis and treatment of multiple pulmonary nodules are clinically important but challenging. Prior studies on nodule characterization use solitary-nodule approaches on multiple nodular patients, which ignores the relations between nodules. In this study, we propose a multiple instance learning (MIL) approach and empirically prove the benefit to learn the relations between multiple nodules. By treating the multiple nodules from a same patient as a whole, critical relational information between solitary-nodule voxels is extracted. To our knowledge, it is the first study to learn the relations…
Diagnosis of Pulmonary Hypertension by Integrating Multimodal Data with a Hybrid Graph Convolutional and Transformer Network
School of Computer Science and Technology, Zhengzhou University of Light Industry(郑州轻工业大学计算机与通信工程学院);Kennesaw State University(肯尼索州立大学);Hebei Medical University(河北医科大学);Michigan Technological University(密歇根理工大学)
High Accuracy Pulmonary Vessel Segmentation for Contrast and Non-contrast CT Images and Clinical Evaluation
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College(北京协和医院,中国医学科学院 北京协和医学院);Canon Medical Systems (China)(佳能医疗系统(中国))
Detection of pulmonary pathologies using convolutional neural networks, Data Augmentation, ResNet50 and Vision Transformers
Universidad Abierta Interamericana(泛美开放大学);Faculty of Information Technology(信息技术学院);Center for Advanced Studies in Information Technology(信息技术高级研究中心);Interamerican Open University(泛美开放大学)
The mortality of lung cancer has ranked high among cancers for many years. Early detection of lung cancer is critical for disease prevention, cure, and mortality rate reduction. However, existing detection methods on pulmonary nodules introduce an excessive number of false positive proposals in order to achieve high sensitivity, which is not practical in clinical situations. In this paper, we propose the multi-head detection and spatial squeeze-and-attention network, MHSnet, to detect pulmonary nodules, in order to aid doctors in the early diagnosis of lung cancers. Specifically, we first intr…
University of Patras(帕特雷大学);School of Medicine(医学院);Laboratory of Nuclear Medicine(核医学实验室)
Lung Cancer is the most common cause of cancer-related death worldwide. Early and automatic diagnosis of Solitary Pulmonary Nodules (SPN) in Computer Tomography (CT) chest scans can provide early treatment as well as doctor liberation from time-consuming procedures. Deep Learning has been proven as a popular and influential method in many medical imaging diagnosis areas. In this study, we consider the problem of diagnostic classification between benign and malignant lung nodules in CT images derived from a PET/CT scanner. More specifically, we intend to develop experimental Convolutional Neura…
Scale-aware Test-time Click Adaptation for Pulmonary Nodule and Mass Segmentation
Wuhan University(武汉大学);Artificial Intelligence Institute of Wuhan University(武汉大学人工智能研究院);Swiss Federal Institute of Technology Lausanne (EPFL)(洛桑联邦理工学院(EPFL));Dianei Technology(点内科技)
School of Applied Mathematics, Xiamen University of Technology(厦门理工学院应用数学学院)
Lung image segmentation plays an important role in computer-aid pulmonary diseases diagnosis and treatment. This paper proposed a lung image segmentation method by generative adversarial networks. We employed a variety of generative adversarial networks and use its capability of image translation to perform image segmentation. The generative adversarial networks was employed to translate the original lung image to the segmented image. The generative adversarial networks based segmentation method was test on real lung image data set. Experimental results shows that the proposed method is effect…
In this study, the problem of automatically classifying pulmonary diseases, including the recently emerged COVID-19, from X-Ray images, is considered. While the spread of COVID-19 is increased, new, automatic, and reliable methods for accurate detection are essential to reduce the exposure of the medical experts to the outbreak. X-ray imaging, although limited to specific visualizations, may be helpful for the diagnosis. Deep Learning has proven to be a remarkable method to extract massive high-dimensional features from medical images. Specifically, in this paper, the state-of-the-art Convolut…
Yandex School of Data Analysis(Yandex数据分析学院);Tel Aviv University(特拉维夫大学)
Content-based retrieval supports a radiologist decision making process by presenting the doctor the most similar cases from the database containing both historical diagnosis and further disease development history. We present a deep learning system that transforms a 3D image of a pulmonary nodule from a CT scan into a low-dimensional embedding vector. We demonstrate that such a vector representation preserves semantic information about the nodule and offers a viable approach for content-based image retrieval (CBIR). We discuss the theoretical limitations of the available datasets and overcome …
In this paper, a 3D-RegNet-based neural network is proposed for diagnosing the physical condition of patients with coronavirus (Covid-19) infection. In the application of clinical medicine, lung CT images are utilized by practitioners to determine whether a patient is infected with coronavirus. However, there are some laybacks can be considered regarding to this diagnostic method, such as time consuming and low accuracy. As a relatively large organ of human body, important spatial features would be lost if the lungs were diagnosed utilizing two dimensional slice image. Therefore, in this paper…
New York University(纽约大学);The University of Alabama(阿拉巴马大学);Université Quisqueya(基斯克亚大学);NYU Grossman School of Medicine(纽约大学格罗斯曼医学院)
Chest computed tomography (CT) imaging adds valuable insight in the diagnosis and management of pulmonary infectious diseases, like tuberculosis (TB). However, due to the cost and resource limitations, only X-ray images may be available for initial diagnosis or follow up comparison imaging during treatment. Due to their projective nature, X-rays images may be more difficult to interpret by clinicians. The lack of publicly available paired X-ray and CT image datasets makes it challenging to train a 3D reconstruction model. In addition, Chest X-ray radiology may rely on different device modaliti…
Harbin Engineering University(哈尔滨工程大学);Monash University(莫纳什大学);Beijing Airdoc Technology Co., Ltd.(北京鹰瞳科技发展股份有限公司);Chongqing Hospital of Traditional Chinese Medicine(重庆市中医院);Chongqing Renji Hospital of Chinese Academy of Sciences(中国科学院重庆仁济医院)
Usually, lesions are not isolated but are associated with the surrounding tissues. For example, the growth of a tumour can depend on or infiltrate into the surrounding tissues. Due to the pathological nature of the lesions, it is challenging to distinguish their boundaries in medical imaging. However, these uncertain regions may contain diagnostic information. Therefore, the simple binarization of lesions by traditional binary segmentation can result in the loss of diagnostic information. In this work, we introduce the image matting into the 3D scenes and use the alpha matte, i.e., a soft mask…
Tel-Aviv University(特拉维夫大学);Sheba Medical Center(舍巴医疗中心)
Pulmonary embolus (PE) refers to obstruction of pulmonary arteries by blood clots. PE accounts for approximately 100,000 deaths per year in the United States alone. The clinical presentation of PE is often nonspecific, making the diagnosis challenging. Thus, rapid and accurate risk stratification is of paramount importance. High-risk PE is caused by right ventricular (RV) dysfunction from acute pressure overload, which in return can help identify which patients require more aggressive therapy. Reconstructed four-chamber views of the heart on chest CT can detect right ventricular enlargement. C…