Summary of included studies for the diagnosis of suspected pulmonary embolism
Study author, year (reference) . | Population . | Clinical setting . | Index test . | Reference standard . |
---|---|---|---|---|
1. Abcarian et al, 2004 (19) | Patients with suspected PE | Inpatient and outpatient | D-dimer | Pulmonary CT angiography |
2. Anderson et al, 2007 (53) | Patients with suspected PE | Inpatient and outpatient | Pulmonary CT angiography | V/Q scan |
3. Bajc et al, 2002 (54) | Patients with suspected PE | Inpatient and outpatient | V/Q scan and helical computed tomography (CT) | V/Q scan and helical CT |
4. Blachere et al, 2000 (69) | Patients with suspected PE | Inpatient | Helical CT angiography, V/Q scan | Doppler sonography of the veins of the legs |
Pulmonary angiography | ||||
5. Bounameaux et al, 1991 (70) | Patients with suspected PE | Inpatient and outpatient | V/Q scan | CTPA |
6. Bosson et al, 2005 (20) | Patients with suspected PE | Inpatient and outpatient | D-dimer | Doppler sonography of the veins of the legs |
V/Q scan | ||||
HCT | ||||
Pulmonary angiography | ||||
7. Crane et al, 2018 (49) | Patients with suspected PE | Emergency department | D-dimer | CTPA |
V/Q scan | ||||
CUS | ||||
8. de Monyé et al, 2002 (22) | Patients with suspected PE | Inpatient and outpatient | D-dimer | CTPA |
V/Q scan | ||||
CUS | ||||
9. den Exter et al, 2013 (23) | Patients with suspected PE | Inpatient and outpatient | D-dimer | CTPA |
10. Di Nisio et al, 2005 (24) | Cancer patients with suspected PE | Inpatient and outpatient | D-dimer | Normal spiral CT scan and normal ultrasonography, or spiral CT or pulmonary angiography V/Q scan |
11. Dunn et al, 2002 (25) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan, chest CT, or pulmonary angiography |
12. Elias et al, 2004 (26) | Patients with suspected PE | Inpatients and outpatients | Lower limb venous ultrasound | V/Q scan |
D-dimer | ||||
CT scan | ||||
13. Emet et al, 2007 (27) | Patient with prediagnosed PE | Outpatient | CT pulmonary angiogram | V/Q scan |
D-dimer | ||||
14. Eng et al, 2009 (28) | Patients with suspected PE | Inpatient | D-dimer | CTPA |
15. Freitas et al, 1995 (71) | Patients with suspected PE | Unclear | V/Q scan | Pulmonary angiography |
16. Friera-Reyes et al, 2005 (29) | Patients with suspected PE | Outpatient | D-dimer | Chest radiograph, perfusion scintigraphy, venous ultrasound of lower limbs, spiral CT, and pulmonary arteriography |
17. Froehling et al, 2007 (30) | Patients with suspected PE | Inpatients and outpatients | D-dimer | CT angiography |
18. Garcia Bolado et al, 2003 (63) | Patients with suspected PE | Emergency department | CUS | CTPA |
19. Ghanima et al, 2006 (31) | Patients with suspected PE | Outpatients | D-dimer | Multislice CT |
20. Goekoop et al, 2007 (32) | Patients with suspected PE | Outpatients | D-dimer | CT scan |
VQ scan | ||||
21. Guilabert et al, 2007 (67) | Patients with suspected PE | Inpatient | Multislice CT | VQ scan |
Doppler US | ||||
22. Hantous-Zannad et al, 2010 (55) | Patients with suspected PE | Inpatient | CTPA | Unclear |
23. Jiménez et al, 2006 (56) | Patients with suspected PE | Unclear | CT angiogram | VQ scan |
Doppler US | ||||
24. Kabrhel, 2008 (51) | Patients with suspected PE | Emergency department | D-dimer | CT angiogram |
VQ scan | ||||
Doppler US of leg veins | ||||
25. Kim et al, 1999 (64) | Patients with suspected PE | Inpatient and outpatient | Spiral CT scan | V/Q scan |
Doppler US of leg veins | ||||
Pulmonary angiography | ||||
26. Le Gal et al, 2006 (77) | Patient with clinically suspected recurrent acute PE | Outpatient | Doppler ultrasound of lower limbs | Multislice CT |
27. Leclercq et al, 2003 (33) | Patients with suspected PE | Inpatient and outpatient | D-dimer | VQ Scan Doppler Ultrasonography and pulmonary angiography |
28. Mac Gillavry et al, 2000 (65) | Patients with suspected PE | Inpatient and outpatient | Doppler ultrasonography | Perfusion lung scintigraph |
Pulmonary angiography | ||||
29. Macdonald et al, 2005 (57) | Patients with suspected PE | Unclear | VQ scan | CT pulmonary angiography |
30. Megyeri et al, 2014 (59) | Patients with suspected PE | Unclear | CT pulmonary angiography | VQ scan |
Doppler ultrasonography | ||||
31. Miron et al, 1999 (72) | Patients with suspected PE | Inpatients | D-dimer | V/Q scan |
Doppler ultrasonography | ||||
Pulmonary angiography | ||||
32. de Moerloose et al, 1996 (21) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan |
Doppler ultrasonography | ||||
Pulmonary angiography | ||||
33. Moores et al, 2016 (58) | Patients with suspected PE | Outpatient | CTPA | V/Q scan |
Venous ultrasonograph | ||||
Pulmonary angiograph | ||||
34. Mos et al, 2014 (78) | Patient with clinically suspected recurrent acute PE | Inpatient | D-dimer | CTPA |
35. Nijkeuter et al, 2007 (79) | Patients with clinical suspicion of recurrent PE | Inpatient and outpatient | D-dimer | CTPA |
36. Oger et al, 1998 (34) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan |
Venous ultrasonograph | ||||
Pulmonary angiography | ||||
37. Pacouret et al, 2002 (35) | Patients with suspected PE | Outpatient | D-dimer | Helicoidal thoracic scanner |
Venous Doppler of the lower limbs | ||||
Pulmonary scintigraphy | ||||
38. Palud et al, 2004 (36) | Patients with suspected PE | Unclear | D-dimer | CTPA |
Pulmonary angiogram | ||||
Doppler US | ||||
39. Parent et al, 2007 (37) | Patients with suspected PE | Inpatient and outpatient | D-dimer | CTPA |
Doppler US | ||||
Pulmonary angiogram | ||||
V/Q lung scan | ||||
40. Pérez de Llano et al, 2006 (60) | Patients with suspected PE | Outpatient | Helical CT | Venous ultrasonography |
41. Pernod et al, 2017 (50) | Patients with suspected PE | Outpatient | D-dimer | CTPA |
V/Q scan | ||||
Pulmonary arteriography | ||||
42. Perrier et al, 1996 (68) | Patients with suspected PE | Outpatient | V/Q scan, D-dimer and Doppler ultrasonography | Pulmonary angiography |
43. Perrier et al, 1999 (39) | Patients with suspected PE | Outpatient | D-dimer, lower-limb venous compression ultrasonography, and V/Q scan | Phlebography and pulmonary angiography |
44. Perrier et al, 2004 (40) | Patients with suspected PE | Outpatient | D-dimer, lower limb venous ultrasonography, and helical CT | Pulmonary angiography |
45. Perrier et al, 2005 (38) | Patients with suspected PE | Outpatient | D-dimer measurement and multidetector-row CT | Lower-limb ultrasonography |
46. Quinn et al, 1999 (41) | Patients with suspected PE | Unclear | D-dimer | Pulmonary angiography |
47. Righini et al, 2008 (42) | Patients with suspected PE | Outpatient | D-dimer | Venous ultrasonography |
48. Righini et al, 2014 (43) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan, CTPA, angiography |
49. Sijens et al, 2000 (44) | Patients with suspected PE | Inpatient | D-dimer | Pulmonary angiography |
50. Söderberg et al, 2009 (45) | Patients with suspected PE | Outpatient | D-dimer | CTPA, angiography |
51. Spies et al, 1986 (73) | Patients with suspected PE | Unclear | V/Q scan | Pulmonary angiography |
52. Stein et al, 2006 (61) | Patients with suspected PE | Inpatient and outpatient | Multidetector CTPA | V/Q scan, ultrasonography, pulmonary digital-subtraction angiography |
53. Subramaniam et al, 2007 (62) | Patients with suspected PE | Unclear | CTPA | Unclear |
54. Szturmowicz et al, 2015 (46) | Patients with suspected PE | Unclear | D-dimer | CTPA |
55. Toulon et al, 2004 (47) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan, spiral CT, pulmonary digital-subtraction angiography. |
56. Turan et al, 2017 (52) | Patients with suspected PE | Outpatient | CTPA | D-dimer |
57. Turkstra et al, 1997 (66) | Patients with suspected PE | Inpatient and outpatient | Compression ultrasonography | V/Q scan and angiography |
58. van Rossum et al, 1996 (75) | Patients with suspected PE | Unclear | Spiral volumetric computed tomographic | V/Q scan, ultrasonography of the legs |
59. van Rossum et al, 1998 (74) | Patients with suspected PE | Mostly outpatient | Helical CT | V/Q scan |
60. Verschuren et al, 2003 (48) | Patients with suspected PE | Emergency department | D-dimer | CTPA |
V/Q scan | ||||
CUS | ||||
Pulmonary arteriography | ||||
61. Wells et al, 2000 (76) | Patients with suspected PE | Unclear | D-dimer | V/Q scan, compression ultrasonography |
Study author, year (reference) . | Population . | Clinical setting . | Index test . | Reference standard . |
---|---|---|---|---|
1. Abcarian et al, 2004 (19) | Patients with suspected PE | Inpatient and outpatient | D-dimer | Pulmonary CT angiography |
2. Anderson et al, 2007 (53) | Patients with suspected PE | Inpatient and outpatient | Pulmonary CT angiography | V/Q scan |
3. Bajc et al, 2002 (54) | Patients with suspected PE | Inpatient and outpatient | V/Q scan and helical computed tomography (CT) | V/Q scan and helical CT |
4. Blachere et al, 2000 (69) | Patients with suspected PE | Inpatient | Helical CT angiography, V/Q scan | Doppler sonography of the veins of the legs |
Pulmonary angiography | ||||
5. Bounameaux et al, 1991 (70) | Patients with suspected PE | Inpatient and outpatient | V/Q scan | CTPA |
6. Bosson et al, 2005 (20) | Patients with suspected PE | Inpatient and outpatient | D-dimer | Doppler sonography of the veins of the legs |
V/Q scan | ||||
HCT | ||||
Pulmonary angiography | ||||
7. Crane et al, 2018 (49) | Patients with suspected PE | Emergency department | D-dimer | CTPA |
V/Q scan | ||||
CUS | ||||
8. de Monyé et al, 2002 (22) | Patients with suspected PE | Inpatient and outpatient | D-dimer | CTPA |
V/Q scan | ||||
CUS | ||||
9. den Exter et al, 2013 (23) | Patients with suspected PE | Inpatient and outpatient | D-dimer | CTPA |
10. Di Nisio et al, 2005 (24) | Cancer patients with suspected PE | Inpatient and outpatient | D-dimer | Normal spiral CT scan and normal ultrasonography, or spiral CT or pulmonary angiography V/Q scan |
11. Dunn et al, 2002 (25) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan, chest CT, or pulmonary angiography |
12. Elias et al, 2004 (26) | Patients with suspected PE | Inpatients and outpatients | Lower limb venous ultrasound | V/Q scan |
D-dimer | ||||
CT scan | ||||
13. Emet et al, 2007 (27) | Patient with prediagnosed PE | Outpatient | CT pulmonary angiogram | V/Q scan |
D-dimer | ||||
14. Eng et al, 2009 (28) | Patients with suspected PE | Inpatient | D-dimer | CTPA |
15. Freitas et al, 1995 (71) | Patients with suspected PE | Unclear | V/Q scan | Pulmonary angiography |
16. Friera-Reyes et al, 2005 (29) | Patients with suspected PE | Outpatient | D-dimer | Chest radiograph, perfusion scintigraphy, venous ultrasound of lower limbs, spiral CT, and pulmonary arteriography |
17. Froehling et al, 2007 (30) | Patients with suspected PE | Inpatients and outpatients | D-dimer | CT angiography |
18. Garcia Bolado et al, 2003 (63) | Patients with suspected PE | Emergency department | CUS | CTPA |
19. Ghanima et al, 2006 (31) | Patients with suspected PE | Outpatients | D-dimer | Multislice CT |
20. Goekoop et al, 2007 (32) | Patients with suspected PE | Outpatients | D-dimer | CT scan |
VQ scan | ||||
21. Guilabert et al, 2007 (67) | Patients with suspected PE | Inpatient | Multislice CT | VQ scan |
Doppler US | ||||
22. Hantous-Zannad et al, 2010 (55) | Patients with suspected PE | Inpatient | CTPA | Unclear |
23. Jiménez et al, 2006 (56) | Patients with suspected PE | Unclear | CT angiogram | VQ scan |
Doppler US | ||||
24. Kabrhel, 2008 (51) | Patients with suspected PE | Emergency department | D-dimer | CT angiogram |
VQ scan | ||||
Doppler US of leg veins | ||||
25. Kim et al, 1999 (64) | Patients with suspected PE | Inpatient and outpatient | Spiral CT scan | V/Q scan |
Doppler US of leg veins | ||||
Pulmonary angiography | ||||
26. Le Gal et al, 2006 (77) | Patient with clinically suspected recurrent acute PE | Outpatient | Doppler ultrasound of lower limbs | Multislice CT |
27. Leclercq et al, 2003 (33) | Patients with suspected PE | Inpatient and outpatient | D-dimer | VQ Scan Doppler Ultrasonography and pulmonary angiography |
28. Mac Gillavry et al, 2000 (65) | Patients with suspected PE | Inpatient and outpatient | Doppler ultrasonography | Perfusion lung scintigraph |
Pulmonary angiography | ||||
29. Macdonald et al, 2005 (57) | Patients with suspected PE | Unclear | VQ scan | CT pulmonary angiography |
30. Megyeri et al, 2014 (59) | Patients with suspected PE | Unclear | CT pulmonary angiography | VQ scan |
Doppler ultrasonography | ||||
31. Miron et al, 1999 (72) | Patients with suspected PE | Inpatients | D-dimer | V/Q scan |
Doppler ultrasonography | ||||
Pulmonary angiography | ||||
32. de Moerloose et al, 1996 (21) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan |
Doppler ultrasonography | ||||
Pulmonary angiography | ||||
33. Moores et al, 2016 (58) | Patients with suspected PE | Outpatient | CTPA | V/Q scan |
Venous ultrasonograph | ||||
Pulmonary angiograph | ||||
34. Mos et al, 2014 (78) | Patient with clinically suspected recurrent acute PE | Inpatient | D-dimer | CTPA |
35. Nijkeuter et al, 2007 (79) | Patients with clinical suspicion of recurrent PE | Inpatient and outpatient | D-dimer | CTPA |
36. Oger et al, 1998 (34) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan |
Venous ultrasonograph | ||||
Pulmonary angiography | ||||
37. Pacouret et al, 2002 (35) | Patients with suspected PE | Outpatient | D-dimer | Helicoidal thoracic scanner |
Venous Doppler of the lower limbs | ||||
Pulmonary scintigraphy | ||||
38. Palud et al, 2004 (36) | Patients with suspected PE | Unclear | D-dimer | CTPA |
Pulmonary angiogram | ||||
Doppler US | ||||
39. Parent et al, 2007 (37) | Patients with suspected PE | Inpatient and outpatient | D-dimer | CTPA |
Doppler US | ||||
Pulmonary angiogram | ||||
V/Q lung scan | ||||
40. Pérez de Llano et al, 2006 (60) | Patients with suspected PE | Outpatient | Helical CT | Venous ultrasonography |
41. Pernod et al, 2017 (50) | Patients with suspected PE | Outpatient | D-dimer | CTPA |
V/Q scan | ||||
Pulmonary arteriography | ||||
42. Perrier et al, 1996 (68) | Patients with suspected PE | Outpatient | V/Q scan, D-dimer and Doppler ultrasonography | Pulmonary angiography |
43. Perrier et al, 1999 (39) | Patients with suspected PE | Outpatient | D-dimer, lower-limb venous compression ultrasonography, and V/Q scan | Phlebography and pulmonary angiography |
44. Perrier et al, 2004 (40) | Patients with suspected PE | Outpatient | D-dimer, lower limb venous ultrasonography, and helical CT | Pulmonary angiography |
45. Perrier et al, 2005 (38) | Patients with suspected PE | Outpatient | D-dimer measurement and multidetector-row CT | Lower-limb ultrasonography |
46. Quinn et al, 1999 (41) | Patients with suspected PE | Unclear | D-dimer | Pulmonary angiography |
47. Righini et al, 2008 (42) | Patients with suspected PE | Outpatient | D-dimer | Venous ultrasonography |
48. Righini et al, 2014 (43) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan, CTPA, angiography |
49. Sijens et al, 2000 (44) | Patients with suspected PE | Inpatient | D-dimer | Pulmonary angiography |
50. Söderberg et al, 2009 (45) | Patients with suspected PE | Outpatient | D-dimer | CTPA, angiography |
51. Spies et al, 1986 (73) | Patients with suspected PE | Unclear | V/Q scan | Pulmonary angiography |
52. Stein et al, 2006 (61) | Patients with suspected PE | Inpatient and outpatient | Multidetector CTPA | V/Q scan, ultrasonography, pulmonary digital-subtraction angiography |
53. Subramaniam et al, 2007 (62) | Patients with suspected PE | Unclear | CTPA | Unclear |
54. Szturmowicz et al, 2015 (46) | Patients with suspected PE | Unclear | D-dimer | CTPA |
55. Toulon et al, 2004 (47) | Patients with suspected PE | Outpatient | D-dimer | V/Q scan, spiral CT, pulmonary digital-subtraction angiography. |
56. Turan et al, 2017 (52) | Patients with suspected PE | Outpatient | CTPA | D-dimer |
57. Turkstra et al, 1997 (66) | Patients with suspected PE | Inpatient and outpatient | Compression ultrasonography | V/Q scan and angiography |
58. van Rossum et al, 1996 (75) | Patients with suspected PE | Unclear | Spiral volumetric computed tomographic | V/Q scan, ultrasonography of the legs |
59. van Rossum et al, 1998 (74) | Patients with suspected PE | Mostly outpatient | Helical CT | V/Q scan |
60. Verschuren et al, 2003 (48) | Patients with suspected PE | Emergency department | D-dimer | CTPA |
V/Q scan | ||||
CUS | ||||
Pulmonary arteriography | ||||
61. Wells et al, 2000 (76) | Patients with suspected PE | Unclear | D-dimer | V/Q scan, compression ultrasonography |