Ventilation/perfusion Scan - Significance of Results

Significance of Results

V/Q Scan Interpretation
Result Interpretation Significance
Normal No perfusion deficit Excludes pulmonary thromboembolism
Low probability Perfusion deficit with matched ventilation deficit < 20% probability of PE
Intermediate probability Perfusion deficit that corresponds to parenchymal abnormality on chest x-ray 20% - 80% probability of PE
High probability Multiple segmental perfusion deficits with normal ventilation > 80% probability of PE

Decreased uptake of the inhaled radioisotope may indicate an impaired ability to breathe, airway obstruction, or possible pneumonia.

Decreased circulation of the injected MAA indicates a problem with blood flow into or within the lungs. A localized area of decreased uptake, usually in a wedge shaped (or pie shaped) configuration with normal ventilation images (mismatched defect) suggests a pulmonary embolus or blood clot in the lungs, which leads to reduced perfusion.

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