To verify the reliability of quantitative computed tomography (CT) to estimate the postoperative lung function in patients with mild to severe chronic obstructive pulmonary disease (COPD) who underwent a lobectomy.Nine COPD patients with lung cancer having a lung lobectomy with preoperative CT were enrolled. By applying a density mask technique and a specific equation, predicted postoperative forced expiratory volume in 1 second (FEV1) and vital capacity (VC) were calculated. Predicted values were correlated with postoperative measured values.Estimated FEV1 and VC were always significantly lower than the corresponding postoperative values; however, CT-estimated postresection FEV1 values were better than the postresection VC values (biases between estimated and measured values were -0.14 and -0.536 L, respectively, according to the Bland-Altman method). Quantitative CT predicted postoperative FEV1 (r = 0.97, P < 0.001) and VC (r = 0.93, P < 0.001) well in all patients, however.Quantitative CT may be an alternative tool to perfusion scan to predict postresection lung function, even in patients with borderline pulmonary function undergoing a lobectomy.

Reliability of quantitative computed tomography to predict postoperative lung function in patients with chronic obstructive pulmonary disease having a lobectomy / Sverzellati, Nicola; Chetta, Alfredo; Calabrò, Elisa; Carbognani, Paolo; Internullo, Eveline; Olivieri, Dario; Zompatori, Maurizio. - In: JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY. - ISSN 0363-8715. - 29:6(2005), pp. 819-824. [10.1097/01.rct.0000179595.09092.ee]

Reliability of quantitative computed tomography to predict postoperative lung function in patients with chronic obstructive pulmonary disease having a lobectomy.

SVERZELLATI, Nicola;CHETTA, Alfredo Antonio;CARBOGNANI, Paolo;OLIVIERI, Dario;
2005

Abstract

To verify the reliability of quantitative computed tomography (CT) to estimate the postoperative lung function in patients with mild to severe chronic obstructive pulmonary disease (COPD) who underwent a lobectomy.Nine COPD patients with lung cancer having a lung lobectomy with preoperative CT were enrolled. By applying a density mask technique and a specific equation, predicted postoperative forced expiratory volume in 1 second (FEV1) and vital capacity (VC) were calculated. Predicted values were correlated with postoperative measured values.Estimated FEV1 and VC were always significantly lower than the corresponding postoperative values; however, CT-estimated postresection FEV1 values were better than the postresection VC values (biases between estimated and measured values were -0.14 and -0.536 L, respectively, according to the Bland-Altman method). Quantitative CT predicted postoperative FEV1 (r = 0.97, P < 0.001) and VC (r = 0.93, P < 0.001) well in all patients, however.Quantitative CT may be an alternative tool to perfusion scan to predict postresection lung function, even in patients with borderline pulmonary function undergoing a lobectomy.
Reliability of quantitative computed tomography to predict postoperative lung function in patients with chronic obstructive pulmonary disease having a lobectomy / Sverzellati, Nicola; Chetta, Alfredo; Calabrò, Elisa; Carbognani, Paolo; Internullo, Eveline; Olivieri, Dario; Zompatori, Maurizio. - In: JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY. - ISSN 0363-8715. - 29:6(2005), pp. 819-824. [10.1097/01.rct.0000179595.09092.ee]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11381/2338450
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