Table 4: PIOPED I Criteria in the assessment of PE [22].
Normal |
Normal perfusion |
Very low probability |
One to three smalla perfusion defects; normal chest radiograph; ventilation irrelevant |
Low probability |
Non-segmentalb perfusion defects Single moderatec & perfusion defect; chest radiograph normal; ventilation irrelevant Any perfusion defect substantially smaller than chest film defect; ventilation irrelevant Ventilation/perfusion match ≤50% of lung including ≤75% of 1 lung zoned with normal or almost normal chest radiograph More than 3 smalla perfusion defects; chest film and ventilation irrelevant 3 or fewer small perfusion/chest film matches; ventilation irrelevant |
Indeterminate or intermediate |
Abnormality that is not defined clearly by other criteria |
High probability |
2 or more largee & perfusion defects; ventilation and chest film normal 2 or more largee & perfusion defects in which perfusion defect is substantially larger than either matching ventilation or chest film defect 2 or more moderatec perfusion defects and one large perfusion defect; ventilation and chest film normal 4 or more moderatec perfusion defects; ventilation and chest film normal |
aSmall is 25% or less of an anatomic segment.
bNon-segmental means very small effusion, cardiomegaly, hila, etc.
cModerate means >25% and <75% of a segment.
dLung zone means upper, middle, or lower third of the lung.
eLarge means >75% of a segment.