Letters Severe interscapular pain

Limitations of multidetector computed tomography (MDCT)

BMJ 2008; 337 doi: http://dx.doi.org/10.1136/bmj.a1402 (Published 27 August 2008) Cite this as: BMJ 2008;337:a1402
  1. Edward D Nicol, specialist registrar, cardiology1,
  2. James Stirrup, cardiac imaging fellow2
  1. 1John Radcliffe Hospital, Oxford OX3 9DU
  2. 2Royal Brompton Hospital, London SW3 6NP
  1. cyprusdoc{at}doctors.org.uk

    Haydar et al recommend wider adoption of multidetector computed tomography (MDCT) to investigate acute interscapular chest pain.1 Although the potential to confirm or exclude acute myocardial infarction, aortic dissection, aortitis, or acute pulmonary embolism in a single radiological study is highly appealing, they did not mention potential hazards or limitations.

    Firstly, thorough clinical history and examination should, in most cases, allow determination …

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