Prediction of the postoperative pulmonary function in lung cancer patients with borderline function using ventilation–perfusion scintigraphy

Zhu, Xiaoyan; Zhao, Ming; Liu, Chuan; Zhou, Jian

doi:10.1097/mnm.0b013e32834eaca1

Cited by 5 publications

(4 citation statements)

References 21 publications

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Section: Discussionmentioning

confidence: 99%

“…Prediction of postoperative lung function in patients undergoing pulmonary resection is an important factor that may determine the feasibility of the surgery. There have been reports of the usefulness of lung perfusion scintigraphy in predicting postoperative lung function (14,18,19). Tom Holvoet et al investigated whether anatomical segmental methods could replace perfusion scintigraphy; they have reported that FEV1s obtained using lung perfusion scintigraphy and anatomic segment method are very similar (4).…”

Section: Discussionmentioning

confidence: 99%

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Prediction of postoperative lung function in lung cancer patients using perfusion scintigraphy

Yoo

Chung

et al. 2018

Acta Radiol

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Background Predicting postoperative lung function is critical in lung cancer patients. Perfusion scintigraphy has been used to estimate postoperative function after lung resection. Purpose To evaluate the usefulness of the posterior oblique method in relation to other conventional processing methods for predicting postoperative lung function using lung perfusion scintigraphy. Material and Methods Fifty-five patients with non-small-cell lung cancer who underwent lobectomy were enrolled. Forced expiratory volume in 1 s (FEV1) values were obtained from preoperative and postoperative pulmonary function tests. After performing lung perfusion scintigraphy, predicted FEV1 values were calculated using the segment, conventional, posterior, and posterior oblique methods. Postoperative FEV1 values were compared with predicted FEV1 values. Results The mean value of the preoperative FEV1 was 2.29 L and that of the postoperative FEV1 was 1.89 L. The mean values of the predicted postoperative FEV1 values for the segment, conventional, posterior, and posterior oblique were 1.83 L, 1.94 L, 1.88 L, and 1.89 L, respectively. Between the observed and predicted FEV1 values, there was a strong correlation without significant difference except for conventional method. Bland-Altman analysis showed that segment and posterior methods underestimated the FEV1, whereas conventional and posterior oblique methods overestimated the FEV1. Conclusion Predictions with each processing method of lung perfusion scintigraphy showed nearly similar results to the actual postoperative lung function. The posterior oblique method of lung perfusion scintigraphy showed a very small difference to such an extent as to be equal to the observed FEV1, implying that this method may be applied for predicting postoperative lung function in lung cancer patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prediction of postoperative lung function in lung cancer patients using perfusion scintigraphy

Yoo

Chung

et al. 2018

Acta Radiol

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“…Patients with a preoperative FEV1 >2 L and predicted postoperative FEV1 >800 mL are considered to be eligible for pneumonectomy (29). In patients with borderline pulmonary parameters (FEV1 <2 L), a quantitative perfusion scan should be performed (30). A predicted postoperative FEV1 or DLCO of <40% indicates an increased risk of perioperative complications (31).…”

Section: Preoperative Evaluationmentioning

confidence: 99%

“…The most common anatomic location for sleeve resections is the upper lobe (39)(40)(41). Sleeve lobectomy is oncologically Figure 1 Algorithm of operability for pneumonectomy (28,(30)(31)(32)(33). CPET, cardiopulmonary exercise testing; ppo, predicted postoperative; VO2 max, maximal oxygen consumption.…”

Section: Surgical Decision-making: Pneumonectomy Versus Sleeve Lobectomymentioning

confidence: 99%

Pneumonectomy for lung cancer

Yan¹,

Gritsiuta²,

Rosal³

et al. 2020

Shanghai Chest

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Pneumonectomy is associated with an increased risk of mortality compared with lobectomy or sublobar resections. Despite advancements in thoracic surgery and perioperative management, complete removal of a lung can still represent a challenge for both the surgeon and the patient. Currently, parenchymal-sparing pulmonary resections have equivalent oncologic results to pneumonectomy and therefore, when possible, are favored. However, there are circumstances in which pneumonectomy remains the best oncologic procedure for the patient. Thorough preoperative workup and aggressive postoperative management are mandatory to optimize recovery. In this paper, we review pneumonectomy-related preoperative evaluation, operative techniques, and postoperative management.

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Pneumonectomy for Non–Small Cell Lung Cancer

Sugarbaker

Haywood-Watson

Wald

2016

Surgical Oncology Clinics of North America

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Prediction of the postoperative pulmonary function in lung cancer patients with borderline function using ventilation–perfusion scintigraphy

Abstract: Ventilation-perfusion scans can predict postoperative pulmonary function and help evaluate the risk of surgery for lung cancer patients with borderline pulmonary functions.

Cited by 5 publications

References 21 publications

Prediction of postoperative lung function in lung cancer patients using perfusion scintigraphy

Prediction of postoperative lung function in lung cancer patients using perfusion scintigraphy

Pneumonectomy for lung cancer

Pneumonectomy for Non–Small Cell Lung Cancer

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