Imaging of pulmonary hypertension in adults: A position paper from the fleischner society

Martine Remy-Jardin, Christopher J. Ryerson, Mark L. Schiebler, Ann N.C. Leung, James M. Wild, Marius M. Hoeper, Philip O. Alderson, Lawrence R. Goodman, John Mayo, Linda B. Haramati, Yoshiharu Ohno, Patricia Thistlethwaite, Edwin J.R. van Beek, Shandra Lee Knight, David A. Lynch, Geoffrey D. Rubin, Marc Humbert

Research output: Contribution to journalArticlepeer-review

40 Citations (Scopus)


Pulmonary hypertension (PH) is defined by a mean pulmonary artery pressure greater than 20 mm Hg and classified into five different groups sharing similar pathophysiologic mechanisms, hemodynamic characteristics, and therapeutic management. Radiologists play a key role in the multidisciplinary assessment and management of PH. A working group was formed from within the Fleischner Society based on expertise in the imaging and/or management of patients with PH, as well as experience with methodologies of systematic reviews. The working group identified key questions focusing on the utility of CT, MRI, and nuclear medicine in the evaluation of PH: (a) Is noninvasive imaging capable of identifying PH? (b) What is the role of imaging in establishing the cause of PH? (c) How does imaging determine the severity and complications of PH? (d) How should imaging be used to assess chronic thromboembolic PH before treatment? (e) Should imaging be performed after treatment of PH? This systematic review and position paper highlights the key role of imaging in the recognition, work-up, treatment planning, and follow-up of PH.

Original languageEnglish
Pages (from-to)531-549
Number of pages19
Issue number3
Publication statusPublished - 03-2021

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging


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