TY - JOUR
T1 - Imaging of pulmonary hypertension in adults
T2 - A position paper from the fleischner society
AU - Remy-Jardin, Martine
AU - Ryerson, Christopher J.
AU - Schiebler, Mark L.
AU - Leung, Ann N.C.
AU - Wild, James M.
AU - Hoeper, Marius M.
AU - Alderson, Philip O.
AU - Goodman, Lawrence R.
AU - Mayo, John
AU - Haramati, Linda B.
AU - Ohno, Yoshiharu
AU - Thistlethwaite, Patricia
AU - van Beek, Edwin J.R.
AU - Lee Knight, Shandra
AU - Lynch, David A.
AU - Rubin, Geoffrey D.
AU - Humbert, Marc
N1 - Publisher Copyright:
© 2021 RSNA and the European Respiratory Society.
PY - 2021/3
Y1 - 2021/3
N2 - Pulmonary hypertension (PH) is defined by a mean pulmonary artery pressure greater than 20 mm Hg and classified into five different groups sharing similar pathophysiologic mechanisms, hemodynamic characteristics, and therapeutic management. Radiologists play a key role in the multidisciplinary assessment and management of PH. A working group was formed from within the Fleischner Society based on expertise in the imaging and/or management of patients with PH, as well as experience with methodologies of systematic reviews. The working group identified key questions focusing on the utility of CT, MRI, and nuclear medicine in the evaluation of PH: (a) Is noninvasive imaging capable of identifying PH? (b) What is the role of imaging in establishing the cause of PH? (c) How does imaging determine the severity and complications of PH? (d) How should imaging be used to assess chronic thromboembolic PH before treatment? (e) Should imaging be performed after treatment of PH? This systematic review and position paper highlights the key role of imaging in the recognition, work-up, treatment planning, and follow-up of PH.
AB - Pulmonary hypertension (PH) is defined by a mean pulmonary artery pressure greater than 20 mm Hg and classified into five different groups sharing similar pathophysiologic mechanisms, hemodynamic characteristics, and therapeutic management. Radiologists play a key role in the multidisciplinary assessment and management of PH. A working group was formed from within the Fleischner Society based on expertise in the imaging and/or management of patients with PH, as well as experience with methodologies of systematic reviews. The working group identified key questions focusing on the utility of CT, MRI, and nuclear medicine in the evaluation of PH: (a) Is noninvasive imaging capable of identifying PH? (b) What is the role of imaging in establishing the cause of PH? (c) How does imaging determine the severity and complications of PH? (d) How should imaging be used to assess chronic thromboembolic PH before treatment? (e) Should imaging be performed after treatment of PH? This systematic review and position paper highlights the key role of imaging in the recognition, work-up, treatment planning, and follow-up of PH.
UR - http://www.scopus.com/inward/record.url?scp=85101919102&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85101919102&partnerID=8YFLogxK
U2 - 10.1148/radiol.2020203108
DO - 10.1148/radiol.2020203108
M3 - Article
C2 - 33399507
AN - SCOPUS:85101919102
SN - 0033-8419
VL - 298
SP - 531
EP - 549
JO - RADIOLOGY
JF - RADIOLOGY
IS - 3
ER -