The lung scan in patient selection for lung volume reduction surgery.
The lung scan is one of the most important diagnostic tests used for selecting candidates for lung volume reduction surgery (LVRS) and for determining the actual percentage of lung to be resected during the surgery (McKenna R, personal communication, 1997). This article describes the anatomical quantitation of the lungs.


METHODS
We used automatic and manual regions of interest in the posterior, and both posterior obliques of lung perfusion images to calculate the percent function in each individual lung lobe.


RESULTS
We evaluated 172 patients with this technique. Subsequently 136 of these patients had LVRS.


CONCLUSIONS
The anatomical placement of regions of interest in the lung perfusion image aids the thoracic surgeon in selecting LVRS candidates and in determining the amount of lung to be resected during surgery.
Mas
J C
JC
Department of Radiology, Chapman Medical Center, Orange, California.
D000368:Aged; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging* / Q000601:surgery*; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000601:surgery*; D011877:Radionuclide Imaging; D013679:Technology, Radiologic / Q000379:methods; D014692:Ventilation-Perfusion Ratio; D014980:Xenon Radioisotopes
D014980:Xenon Radioisotopes