Usefulness of Lung Perfusion Scintigraphy Before Lung Cancer Resection in Patients with Ventilatory Obstruction Tommaso C. Mineo, MD, Orazio Schillaci,

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Presentation transcript:

Usefulness of Lung Perfusion Scintigraphy Before Lung Cancer Resection in Patients with Ventilatory Obstruction Tommaso C. Mineo, MD, Orazio Schillaci, MD, Eugenio Pompeo, MD, Davide Mineo, MD, Giovanni Simonetti, MD The Annals of Thoracic Surgery Volume 82, Issue 5, Pages 1828-1834 (November 2006) DOI: 10.1016/j.athoracsur.2006.05.041 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Planar acquisition lung perfusion scintigraphy (a) versus single-photon emission computed tomography (SPECT) (b). Planned surgery: left lower lobectomy. SPECT is better defining hypoperfused segments. The following formulas were used for predicted postoperative (ppo) forced expiratory volume in 1 second (FEV1) estimation in lobectomy: Planar lung scintigraphy = FEV1ppo = FEV1 × (1 – functional contribution of perfusion of the parenchyma to be resected); SPECT = FEV1 – (FEV1 × % perfusion of resected lobes). The Annals of Thoracic Surgery 2006 82, 1828-1834DOI: (10.1016/j.athoracsur.2006.05.041) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The Bland Altman agreement test between planar acquisition lung perfusion scintigraphy (PALPS)-estimated and spirometry pulmonary function test (PFT)-measured postoperative forced expiratory volume in 1 second (FEV1) in liters (a) and in percent predicted (b). The black line is the mean and dashed lines are mean ± two standard deviations (SD). The Annals of Thoracic Surgery 2006 82, 1828-1834DOI: (10.1016/j.athoracsur.2006.05.041) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Bland Altman agreement test between single-photon emission computed tomography (SPECT)-estimated and spirometry pulmonary function test (PFT)-measured postoperative forced expiratory volume in 1 second (FEV1) in liters (a) and in percent predicted (b). The black line is the mean and dashed lines are mean ± two standard deviations (SD). The Annals of Thoracic Surgery 2006 82, 1828-1834DOI: (10.1016/j.athoracsur.2006.05.041) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions