Iranian Journal of Radiology

Published by: Kowsar

Correlation of the Wells and Simplified Revised Geneva Scores with CT Pulmonary Artery Obstruction Index in Pulmonary Embolism

Morteza Sanei Taheri 1 , * , Hajar Derakhshandi 2 and Marjan Helmi-Khomeirani 1
Authors Information
1 Department of Radiology, Shohada Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Radiology, Zahedan University of Medical Sciences, Zahedan, Iran
Article information
  • Iranian Journal of Radiology: July 2017, 14 (3); e58632
  • Published Online: July 26, 2017
  • Article Type: Research Article
  • Received: January 15, 2017
  • Revised: April 10, 2017
  • Accepted: June 20, 2017
  • DOI: 10.5812/iranjradiol.58632

To Cite: Sanei Taheri M, Derakhshandi H, Helmi-Khomeirani M. Correlation of the Wells and Simplified Revised Geneva Scores with CT Pulmonary Artery Obstruction Index in Pulmonary Embolism, Iran J Radiol. 2017 ; 14(3):e58632. doi: 10.5812/iranjradiol.58632.

Copyright © 2017, Iranian Journal of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
3. Patients and Methods
4. Results
5. Discussion
  • 1. Fedullo PF, Tapson VF. Clinical practice. The evaluation of suspected pulmonary embolism. N Engl J Med. 2003; 349(13): 1247-56[DOI][PubMed]
  • 2. Moser KM. Venous thromboembolism. Am Rev Respir Dis. 1990; 141(1): 235-49[DOI][PubMed]
  • 3. Stein PD, Henry JW. Prevalence of acute pulmonary embolism among patients in a general hospital and at autopsy. Chest. 1995; 108(4): 978-81[DOI][PubMed]
  • 4. Roy PM, Meyer G, Vielle B, Le Gall C, Verschuren F, Carpentier F, et al. Appropriateness of diagnostic management and outcomes of suspected pulmonary embolism. Ann Intern Med. 2006; 144(3): 157-64[DOI][PubMed]
  • 5. Ghaye B, Remy J, Remy-Jardin M. Non-traumatic thoracic emergencies: CT diagnosis of acute pulmonary embolism: the first 10 years. Eur Radiol. 2002; 12(8): 1886-905[DOI][PubMed]
  • 6. Miron MJ, Perrier A, Bounameaux H, de Moerloose P, Slosman DO, Didier D, et al. Contribution of noninvasive evaluation to the diagnosis of pulmonary embolism in hospitalized patients. Eur Respir J. 1999; 13(6): 1365-70[DOI][PubMed]
  • 7. Goldhaber SZ, Elliott CG. Acute pulmonary embolism: part I: epidemiology, pathophysiology, and diagnosis. Circulation. 2003; 108(22): 2726-9[DOI][PubMed]
  • 8. Qanadli SD, El Hajjam M, Vieillard-Baron A, Joseph T, Mesurolle B, Oliva VL, et al. New CT index to quantify arterial obstruction in pulmonary embolism: comparison with angiographic index and echocardiography. AJR Am J Roentgenol. 2001; 176(6): 1415-20[DOI][PubMed]
  • 9. Erdur B, Karabulut N, Turkcuer I, Ergin A. Diagnostic work-up of patients with suspected pulmonary embolism: a survey of strategies used by emergency physicians. Diagn Interv Radiol. 2009; 15(3): 166-71[PubMed]
  • 10. Araoz PA, Gotway MB, Trowbridge RL, Bailey RA, Auerbach AD, Reddy GP, et al. Helical CT pulmonary angiography predictors of in-hospital morbidity and mortality in patients with acute pulmonary embolism. J Thorac Imaging. 2003; 18(4): 207-16[DOI][PubMed]
  • 11. Klok FA, Mos IC, Nijkeuter M, Righini M, Perrier A, Le Gal G, et al. Simplification of the revised Geneva score for assessing clinical probability of pulmonary embolism. Arch Intern Med. 2008; 168(19): 2131-6[DOI][PubMed]
  • 12. Le Gal G, Righini M, Roy PM, Sanchez O, Aujesky D, Bounameaux H, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med. 2006; 144(3): 165-71[DOI][PubMed]
  • 13. Douma RA, Mos IC, Erkens PM, Nizet TA, Durian MF, Hovens MM, et al. Performance of 4 clinical decision rules in the diagnostic management of acute pulmonary embolism: a prospective cohort study. Ann Intern Med. 2011; 154(11): 709-18[DOI][PubMed]
  • 14. Inonu H, Acu B, Pazarli AC, Doruk S, Erkorkmaz U, Altunkas A. The value of the computed tomographic obstruction index in the identification of massive pulmonary thromboembolism. Diagn Interv Radiol. 2012; 18(3): 255-60[DOI][PubMed]
  • 15. van Beek EJ, Brouwerst EM, Song B, Stein PD, Oudkerk M. Clinical validity of a normal pulmonary angiogram in patients with suspected pulmonary embolism--a critical review. Clin Radiol. 2001; 56(10): 838-42[DOI][PubMed]
  • 16. Kline JA, Webb WB, Jones AE, Hernandez-Nino J. Impact of a rapid rule-out protocol for pulmonary embolism on the rate of screening, missed cases, and pulmonary vascular imaging in an urban US emergency department. Ann Emerg Med. 2004; 44(5): 490-502[DOI][PubMed]
  • 17. Wells PS, Anderson DR, Rodger M, Stiell I, Dreyer JF, Barnes D, et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med. 2001; 135(2): 98-107[DOI][PubMed]
  • 18. van Belle A, Buller HR, Huisman MV, Huisman PM, Kaasjager K, Kamphuisen PW, et al. Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. JAMA. 2006; 295(2): 172-9[DOI][PubMed]
  • 19. Wells PS, Anderson DR, Rodger M, Ginsberg JS, Kearon C, Gent M, et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost. 2000; 83(3): 416-20[PubMed]
  • 20. Roy PM, Colombet I, Durieux P, Chatellier G, Sors H, Meyer G. Systematic review and meta-analysis of strategies for the diagnosis of suspected pulmonary embolism. BMJ. 2005; 331(7511): 259[DOI][PubMed]
  • 21. Attia NM, Seifeldein GS, Hasan AA, Hasan A. Evaluation of acute pulmonary embolism by sixty-four slice multidetector CT angiography: Correlation between obstruction index, right ventricular dysfunction and clinical presentation. Egypt J Radiol Nucl Med. 2015; 46(1): 25-32[DOI]
  • 22. Wood KE. Major pulmonary embolism: review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest. 2002; 121(3): 877-905[PubMed]
  • 23. Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galie N, Pruszczyk P, et al. Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Eur Heart J. 2008; 29(18): 2276-315[DOI][PubMed]
  • 24. van der Meer RW, Pattynama PM, van Strijen MJ, van den Berg-Huijsmans AA, Hartmann IJ, Putter H, et al. Right ventricular dysfunction and pulmonary obstruction index at helical CT: prediction of clinical outcome during 3-month follow-up in patients with acute pulmonary embolism. Radiology. 2005; 235(3): 798-803[DOI][PubMed]
  • 25. Zhao DJ, Ma DQ, He W, Wang JJ, Xu Y, Guan CS. Cardiovascular parameters to assess the severity of acute pulmonary embolism with computed tomography. Acta Radiol. 2010; 51(4): 413-9[DOI][PubMed]
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