• A Kluge, T Gerriets, E Stolz, T Dill, K-D Mueller, C Mueller, and G Bachmann.
• Diagnostic and Interventional Radiology, Pius-Hospital, Oldenburg, Germany. a_kluge@arcor.de
• Acta Radiol. 2006 Nov 1; 47 (9): 933-40.

PurposeTo assess prospectively the agreement of magnetic resonance (MR) pulmonary perfusion with single-photon emission computed tomography (SPECT) perfusion for perfusion defects down to the subsegmental level in patients with suspected pulmonary embolism (PE).Material And MethodsIn 41 patients with suspected PE, contrast-enhanced MR pulmonary perfusion (3D-FLASH, TR/TE 1.6/0.6 ms) was compared to SPECT perfusion on a per-examination basis as well as at the lobar, segmental, and subsegmental level.ResultsThe MRI protocol was completed in all patients, and mean examination time was 3 min 56 s. MR perfusion showed a very high agreement with SPECT (kappa value per examination 0.98, and 0.98, 0.83, and 0.69 for lobar, segmental, and subsegmental perfusion defects, respectively). Of 15 patients with PE, MR perfusion detected 14 cases.ConclusionThe very high agreement of MR perfusion with SPECT perfusion enables the detection of subtle findings in suspected PE.

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