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THE ROLE OF RADIOLOGICAL ASSISTANT IN DIAGNOSTIC OF PULMONARY EMBOLISM
DVOŘÁK, Daniel
The topic of the bachelor thesis is the role of a radiological assistant in the diagnosis of pulmonary embolism. I briefly and easily explained in my thesis the role of radiological assistant in radiodiagnostic and radionuclide diagnosis of pulmonary embolism. The thesis is divided into several chapters from which each chapter goes to other detailed parts, which includes introduction, anatomy of the respiratory system, physiology and lung pathology, description of individual radiodiagnostic and radionuclide lung examinations, radiation protection, practical part and conclusion. Used methods in this part of medicine are being increasingly modernized (upgraded). They started with simply X-ray snapshot, which is often one of the first examinations that a patient with a history of dyspnoea and similar symptoms undergo. Pulmonary embolism may occur on X-ray as atelectasis, elevation of the diaphragm on the affected side, enlarged hilus or pulmonary prominence. During acute pulmonary embolism is most often possible to find reduced vascular pattern in a certain lung area. Diagnostic benefit increases with other signs such are cardiomegaly or pulmonary prominence. Standard X-ray snapshot does not exclude the diagnosis of pulmonary embolism, its benefit is more in combination with other methods, mainly with ventilatory perfusion scan or angiography of the pulmonary arteries; where is defect finding a mark confirming the diagnosis of embolization. I used these diagnostic methods - CT angiography and lung scintigraphy In practical part. I describe individual methods from radiological assistant's point of view. This part is based on own practical experience together with photos from the entire course of the examination. The statistical survey is focused on the number of patients with CT angiography or lung scintigraphy. The data was obtained at the Hospital Havlíčkův Brod. The last part is the conclusion of the thesis. It contains an overall evaluation of given topic, aim of the bachelor thesis and the role of the radiological assistant in the diagnosis of pulmonary embolism.
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