The accuracy of computed tomography to predict completeness of pulmonary fissures. A prospective study

Annals of the American Thoracic Society
Michael S KentSidhu P Gangadharan

Abstract

Endobronchial valves are a potential alternative to lung volume reduction surgery for advanced emphysema. The greatest improvements in pulmonary function are seen in patients with complete pulmonary fissures, as determined by computed tomography (CT). However, the accuracy of CT to predict completeness of pulmonary fissures has not been compared with the reference standard of direct observation during thoracic surgery. To determine the accuracy of CT scans to predict completeness of pulmonary fissures. We conducted a double-blind, prospective trial in which completeness of pulmonary fissures was evaluated by direct observation during thoracic surgery. Preoperative CT scans were independently reviewed by two dedicated thoracic radiologists and completeness of the fissures was recorded and compared with intraoperative findings. The fissures of 46 patients were evaluated. The positive predictive value of CT scan to detect a complete fissure was 100% for the right major fissure and 75% for the left fissure, but only 33% for the right minor fissure. CT scans had a negative predictive value of 29% in evaluation of the right major fissure. CT scans overestimate completeness of the right minor fissure and underestimate completeness of ...Continue Reading

References

Jun 3, 2004·The Journal of Thoracic and Cardiovascular Surgery·Anthony P C YimAhmed A Arifi
Feb 22, 2005·American Journal of Respiratory and Critical Care Medicine·Henry E Fessler
May 2, 2006·Thorax·E J CettiD M Geddes
Jul 25, 2006·AJR. American Journal of Roentgenology·Koji TakahashiHiroyuki Sugimori
Aug 26, 2006·Morphologie : Bulletin De L'Association Des Anatomistes·A P Gesase
Dec 19, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Abel Gómez-CaroPascual Parrilla
Jan 3, 2007·The Journal of Thoracic and Cardiovascular Surgery·Douglas E WoodAtul C Mehta
Nov 20, 2009·Respiration; International Review of Thoracic Diseases·D H StermanUNKNOWN IBV Valve US Pilot Trial Research Team
Jul 29, 2010·Respiration; International Review of Thoracic Diseases·D GompelmannF J F Herth
Sep 24, 2010·The New England Journal of Medicine·Frank C SciurbaUNKNOWN VENT Study Research Group
Jun 10, 2011·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Colin SchiemanSean C Grondin
Jun 23, 2011·International Journal of Computer Assisted Radiology and Surgery·Qiao WeiGary Gelfand
Oct 19, 2011·The European Respiratory Journal·Federico VenutaGiorgio F Coloni
Jan 28, 2012·The European Respiratory Journal·Felix J F HerthUNKNOWN International VENT Study Group
Mar 13, 2014·Respirology : Official Journal of the Asian Pacific Society of Respirology·Daniela GompelmannJonathan Goldin

❮ Previous
Next ❯

Citations

Jul 23, 2016·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·J Alberto Neder, Denis E O'Donnell
Jul 28, 2020·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Charles T WestCecilia Brassett
Oct 20, 2017·Interactive Cardiovascular and Thoracic Surgery·Junichi OkamotoJitsuo Usuda
Nov 11, 2016·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Zuzana SedlackovaHerman Miroslav
Jun 24, 2020·Annals of the American Thoracic Society·Imran H IftikharAli I Musani

❮ Previous
Next ❯

Related Concepts

Related Feeds

American Thoracic Association Journals

Discover the latest respiratory research published by the journals from the American Thoracic Society.

© 2022 Meta ULC. All rights reserved