title: Imaging characteristics and embolus burden of unreported pulmonary embolism in oncologic patients.
abstract: The present study sought to estimate the frequency of overseen and unreported (i.e., false negative) pulmonary embolism (PE) events in oncologic patients. In a retrospective analysis, 3270 patients (6780 computed tomography examinations) were reviewed. Unreported PE was found in 74 patients (2.3%). It was particularly frequent in follow-up staging examinations in patients with metastasized malignancies of the lung and kidney. The present data support the thesis that the search error (thrombus was never fixed by the eyes of the reviewer) was the most common reason why PE was overseen.
authors.affiliation: Department of Radiology, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle, Germany. Electronic address: mail@andreas-bach.de.
authors.forename: Andreas Gunter
authors.initials: AG
authors.lastname: Bach
authors.affiliation: Department of Radiology, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Beckel
authors.affiliation: Department of Radiology, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle, Germany.
authors.forename: Nico
authors.initials: N
authors.lastname: Schurig
authors.affiliation: Department of Radiology, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle, Germany.
authors.forename: Dominik
authors.initials: D
authors.lastname: Schramm
authors.affiliation: Department of Internal Medicine, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle, Germany.
authors.forename: Bettina-Maria
authors.initials: BM
authors.lastname: Taute
authors.affiliation: Institute of Medical Epidemiology, Biostatistics, and Informatics; Martin-Luther-University Halle-Wittenberg, Magdeburger-Str. 8, 06112 Halle, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Wienke
authors.affiliation: Department of Radiology, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle, Germany.
authors.forename: Alexey
authors.initials: A
authors.lastname: Surov
mesh_terms: D017281:Cost of Illness; D005188:False Negative Reactions; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008297:Male; D009369:Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: Computed tomography; Embolus burden; Incidental pulmonary embolism; Medical imaging perception; Quality assurance; Unreported pulmonary embolism