Radiographic Evaluation of the Potential Lung Volume Reduction Surgery Candidate

George R Washko; Eric Hoffman; John J Reilly

doi:10.1513/pats.200802-017ET

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Radiographic Evaluation of the Potential Lung Volume Reduction Surgery Candidate

Journal article

Open access

Radiographic Evaluation of the Potential Lung Volume Reduction Surgery Candidate

George R Washko, Eric Hoffman and John J Reilly

Proceedings of the American Thoracic Society, Vol.5(4), pp.421-426

05/01/2008

DOI: 10.1513/pats.200802-017ET

PMCID: PMC2645313

PMID: 18453349

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Abstract

Delineating the extent and distribution of emphysema is an essential component of the evaluation of candidates for lung volume reduction surgery (LVRS). Imaging also may identify contraindications to LVRS, including bronchiectasis and pleural scarring. The chest X-ray is of limited utility in LVRS evaluation. Chest computed tomography (CT) scanning is an essential component of the evaluation, demonstrating the presence of emphysema and its amount and distribution. Clinical experience has shown that a substantial minority of chest CT scans will also demonstrate pulmonary nodules, some of which represent lung cancers. Published series, including the National Emphysema Treatment Trial, consistently demonstrate that patients with upper lobe predominant or heterogeneous emphysema are most likely to benefit from LVRS. Heterogeneity and distribution can also be assessed by radionuclide ventilation perfusion scanning, but this modality adds little additional information to CT scanning.

lung volume reduction surgery

preoperative evaluation

CT scanning

pulmonary nodule

II. Lessons from NETT on Lung Volume Reduction Surgery

emphysema

Details

Title: Subtitle: Radiographic Evaluation of the Potential Lung Volume Reduction Surgery Candidate
Creators: George R Washko - Brigham and Women's Hospital, Boston, Massachusetts; and
Eric Hoffman - Brigham and Women's Hospital, Boston, Massachusetts; and
John J Reilly - Brigham and Women's Hospital, Boston, Massachusetts; and
Resource Type: Journal article
Publication Details: Proceedings of the American Thoracic Society, Vol.5(4), pp.421-426
DOI: 10.1513/pats.200802-017ET
PMID: 18453349
PMCID: PMC2645313
NLM abbreviation: Proc Am Thorac Soc
ISSN: 1546-3222
eISSN: 1943-5665
Publisher: American Thoracic Society
Language: English
Date published: 05/01/2008
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Radiology; Internal Medicine
Record Identifier: 9984051891302771

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