Ventilation-perfusion (V/Q) scintigraphy has a major role to play in the diagnosis of pulmonary embolism (PE). Objective criteria exist for diagnosing PE on both V/Q planar and SPECT; however, reporting physicians ultimately incorporate their own subjective judgement into a final diagnosis. Therefore, this imaging modality is a promising candidate for standardizing and automating image interpretation with artificial intelligence (AI). Early studies from the 1990s and early 2000s with this aim report promising results but now rely on outdated machine learning techniques.