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December 11, 1987

Scintigraphic Evaluation of Patients With Suspected Pulmonary Thromboembolism

JAMA. 1987;258(22):3257-3258. doi:10.1001/jama.1987.03400220057028

To the Editor.—  In the June 19, 1987, issue of JAMA, the late Daniel R. Biello, MD, a pioneer in the development of criteria for the interpretation of pulmonary perfusion and ventilation scintigrams, once again has given us the benefit of his skill as a diagnostician and a teacher in an article reviewing the diagnosis of pulmonary thromboembolism.1 He has placed special emphasis on the pivotal role of pulmonary scintigraphy in this task, presenting the latest version of the widely accepted algorithm for scintigraphic diagnosis of pulmonary thromboembolism that has come to bear his name (the Biello criteria) in the form of a table. One of the criteria for "high probability" of pulmonary thromboembolism listed in this and similar, previously published tables2-4 should be refined to more fairly reflect the experience on which it is based and the way the criterion is actually applied in clinical practice.Dr