Contribution of ventilation and perfusion lung imaging to the management of patients with bronchiectasis.
Sixty patients were studied with ventilation-perfusion (V-P) lung scans for suspected bronchiectasis. Bronchography showed bronchiectatic changes in 51 patients. Lobar and segmental matched defects were seen on V-P scans in 53 patients, of which only 46 were true positives (sensitivity 90%). V-P lung scans showed the site and extent of bronchiectatic lesions; 48 (72.7%) in the left lung and 18 (27.3%) in the right lung. Detection of associated chronic obstructive airway disease by V-P scans in 17 patients had prognostic value in postsurgery recovery time and improvement of symptoms. This may be a potential new application to the routine use of V-P lung scan in the presurgery work-up of patients with bronchiectasis. Our results showed that bronchography should not be performed on patients with preserved lung perfusion.
Mohamadiyeh
M K
MK
Department of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Ashour
M
M
el-Desouki
M
M
al-Majed
S A
SA
D000293:Adolescent; D000328:Adult; D000368:Aged; D001987:Bronchiectasis / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D002648:Child; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008173:Lung Diseases, Obstructive / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011300:Preoperative Care; D011379:Prognosis; D011877:Radionuclide Imaging; D012680:Sensitivity and Specificity; D014692:Ventilation-Perfusion Ratio