[Clinical value of perfusion lung scanning in the surgical treatment of lung cancer]. 1991

J Wang

Perfusion lung scanning was performed in 49 patients with lung cancer. The relationships among the percent of tumor-bearing lung perfusion, invasion of the lung cancer, and operability of the tumor were studied. The results showed that the reduction in perfusion was related to involvement of the hilum (t = 4.1, P less than 0.001), and that when the relative perfusion of the tumor-bearing lung was less than one third (33%) of the total lung perfusion, the lung cancer was most likely inoperable (chi 2 = 13.9, P less than 0.0002). In this paper, predictive postoperative FEV1.0 calculated by combining the result of spirometry with quantitative measurement of lung perfusion was compared with actual postoperative FEV1.0 in 19 (19/49) patients. FEV1.0 after pneumonectomy was accurately predicted by the modified Neuhaus' equation (r = 0.929 3, P less than 0.001). Postlobectomy FEV1.0 could be predicted effectively by direct quantitative equation (r = 0.850 2, P less than 0.001), Our results showed that perfusion lung scanning is a very valuable method for preoperative examination of lung cancer. It may enable patients with unresectable lung cancer to save the trouble of exploratory thoracotomy and those with poor pulmonary function to seize the opportunity of surgical treatment.

UI MeSH Term Description Entries
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
D008175 Lung Neoplasms Tumors or cancer of the LUNG. Cancer of Lung,Lung Cancer,Pulmonary Cancer,Pulmonary Neoplasms,Cancer of the Lung,Neoplasms, Lung,Neoplasms, Pulmonary,Cancer, Lung,Cancer, Pulmonary,Cancers, Lung,Cancers, Pulmonary,Lung Cancers,Lung Neoplasm,Neoplasm, Lung,Neoplasm, Pulmonary,Pulmonary Cancers,Pulmonary Neoplasm
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011013 Pneumonectomy The excision of lung tissue including partial or total lung lobectomy. Bronchoscopic Lung Volume Reduction,Endoscopic Lung Volume Reduction,Lung Volume Reduction,Lung Volume Reduction Surgery,Partial Pneumonectomy,Partial Pneumonectomies,Pneumonectomies,Pneumonectomy, Partial,Reduction, Lung Volume,Volume Reduction, Lung
D011877 Radionuclide Imaging The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph. Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D005260 Female Females
D005541 Forced Expiratory Volume Measure of the maximum amount of air that can be expelled in a given number of seconds during a FORCED VITAL CAPACITY determination . It is usually given as FEV followed by a subscript indicating the number of seconds over which the measurement is made, although it is sometimes given as a percentage of forced vital capacity. Forced Vital Capacity, Timed,Timed Vital Capacity,Vital Capacity, Timed,FEVt,Capacities, Timed Vital,Capacity, Timed Vital,Expiratory Volume, Forced,Expiratory Volumes, Forced,Forced Expiratory Volumes,Timed Vital Capacities,Vital Capacities, Timed,Volume, Forced Expiratory,Volumes, Forced Expiratory
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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