{"id":7099,"date":"2025-05-22T13:57:35","date_gmt":"2025-05-22T10:57:35","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=7099"},"modified":"2025-05-22T13:57:35","modified_gmt":"2025-05-22T10:57:35","slug":"summary-rising-use-of-ct-pulmonary-angiography-ctpa-3","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/summary-rising-use-of-ct-pulmonary-angiography-ctpa-3\/","title":{"rendered":"Summary \u2013 Rising Use of CT Pulmonary Angiography (CTPA)"},"content":{"rendered":"<div>Summary \u2013 Rising Use of CT Pulmonary Angiography (CTPA)<\/div>\n<div><\/div>\n<div>Source: ScienceDirect, May 12, 2025<\/div>\n<div><\/div>\n<div><span> 1. CTPA usage has increased by 49% over the past 7 years (2017\u20132023), especially in emergency departments.<\/span><\/div>\n<div><span> 2. Exams increased from 2,467 in 2017 to 3,684 in 2023.<\/span><\/div>\n<div><span> 3. The positivity rate remained stable at ~9.1%, suggesting overuse despite rising volume.<\/span><\/div>\n<div><span> 4. Reasons for preference include:<\/span><\/div>\n<div>\u2022 High sensitivity and specificity<\/div>\n<div>\u2022 Fast turnaround time<\/div>\n<div>\u2022 Less invasive than catheter angiography<\/div>\n<div><span> 5. Concerns of overuse persist, especially for patients with low clinical suspicion of PE.<\/span><\/div>\n<div><span> 6. CTPA is often ordered to exclude multiple conditions such as PE, aortic dissection, or malignancy when symptoms overlap.<\/span><\/div>\n<div><span> 7. The COVID-19 pandemic drove higher usage, as patients with respiratory symptoms were screened for PE more often.<\/span><\/div>\n<div><span> 8. Patient and workflow patterns influenced results:<\/span><\/div>\n<div>\u2022 Higher positivity in Black men and those with high BMI or cancer<\/div>\n<div>\u2022 Lowest positivity in Asian patients<\/div>\n<div>\u2022 Scans during overnight shifts were less likely to be positive<\/div>\n<div><\/div>\n<div>Clarifying Question: Can CTPA also evaluate the coronary arteries?<\/div>\n<div><\/div>\n<div>Short Answer:<\/div>\n<div>No \u2014 standard CTPA cannot reliably assess coronary arteries.<\/div>\n<div>The two scans (CTPA and coronary CTA) require different contrast timing, ECG-gating, and protocols. If both need evaluation, a dedicated \u201cTriple Rule-Out CT\u201d is necessary and not part of routine CTPA.<\/div>\n<div>Read full explanation here:<\/div>\n<div>&#8211;<\/div>\n<div><a href=\"https:\/\/chat.openai.com\/share\/38b06e2f-402c-4d51-8899-f1b12f5e5205\">https:\/\/chat.openai.com\/share\/38b06e2f-402c-4d51-8899-f1b12f5e5205<\/a><\/div>\n<div>Read full article:<\/div>\n<div>&#8211;<\/div>\n<div><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0009926025001588\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0009926025001588<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Summary \u2013 Rising Use of CT Pulmonary Angiography (CTPA) Source: ScienceDirect, May 12, 2025 1. CTPA usage has increased by 49% over the past 7 years (2017\u20132023), especially in emergency departments. 2. Exams increased from 2,467 in 2017 to 3,684 in 2023. 3. The positivity rate remained stable at ~9.1%, suggesting overuse despite rising volume. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7099","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/7099","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=7099"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/7099\/revisions"}],"predecessor-version":[{"id":7101,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/7099\/revisions\/7101"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=7099"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=7099"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=7099"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}