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Are We Overdiagnosing Pulmonary Embolism? Yes!

Paradigm Shift in Pulmonary Embolism

Tan, Stephanie, MD*; Haramati, Linda B., MD, MS

doi: 10.1097/RTI.0000000000000365
Pulmonary Thrombo-Embolism

Pulmonary embolism (PE) is a relatively common and potentially fatal pathology. Fear of missing the diagnosis is pervasive for physicians, including radiologists. However, as computed tomography pulmonary angiography technology and utilization have evolved over the years, we have gained an understanding that not all PEs are equal. As such, our interpretations of PE imaging studies must be enriched by this understanding and adapted to patient circumstances. Herein, we shine the light on overdiagnosis of PE, exploring the evidence, impact, costs, and consequences of overdiagnosis on the care of our patients.

*Department of Radiology, Montreal Heart Institute, Montreal, QC, Canada

Departments of Radiology and Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY

S.T. receives honoraria from Medtronic. The spouse of L.B.H. is a Board Member of Kryon Ltd.

Correspondence to: Linda B. Haramati, MD, MS, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467 (e-mail: lharamati@gmail.com).

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