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. 1983 Apr;38(4):261–266. doi: 10.1136/thx.38.4.261

Role of lung scanning in assessing the resectability of bronchial carcinoma.

D A Ellis, T Hawkins, G J Gibson, S Nariman
PMCID: PMC459531  PMID: 6867977

Abstract

Ventilation and perfusion lung scans were performed in 58 patients before operation for bronchial carcinoma to determine in which patients the lung scan was most useful for assessing mediastinal spread and resectability of the tumour. Perfusion of the affected lung was less with larger and more centrally situated tumours. Perfusion was also less for left-sided than for right-sided tumours but this is explained by the normal differential perfusion of the right and left lungs. The lung scan was unhelpful in predicting resectability of peripheral tumours, but with central tumours if perfusion of the affected lung was less than 25% of the total perfusion the lesion was likely to be non-resectable because of spread to the mediastinum. Airways obstruction was present in 67% of the patients but did not interfere with the interpretation of the scans. In most cases ventilation scans provided no additional information, and the use of krypton-81 m as a sensitive indicator of regional ventilation did not improve on the predictive value of the perfusion scan.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Assallo C. L., Gee J. B., Wholey M. H., Vester J. W. Lung scanning in hilar bronchogenic carcinoma. Am Rev Respir Dis. 1968 May;97(5):851–858. doi: 10.1164/arrd.1968.97.5.851. [DOI] [PubMed] [Google Scholar]
  2. BELCHER J. R., ANDERSON R. SURGICAL TREATMENT OF CARCINOMA OF THE BRONCHUS. Br Med J. 1965 Apr 10;1(5440):948–954. doi: 10.1136/bmj.1.5440.948. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Fazio F., Jones T. Assessment of regional ventilation by continuous inhalation of radioactive krypton-81m. Br Med J. 1975 Sep 20;3(5985):673–676. doi: 10.1136/bmj.3.5985.673. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Fraser H. S., Macleod W. M., Garnett E. S., Goddard B. A. Lung scanning in the preoperative assessment of carcinoma of the bronchus. Am Rev Respir Dis. 1970 Mar;101(3):349–358. doi: 10.1164/arrd.1970.101.3.349. [DOI] [PubMed] [Google Scholar]
  5. Garnett E. S., Goddard B. A., Fraser H. S., Macleod W. M. Lung perfusion patterns in carcinoma of bronchus. Br Med J. 1968 Apr 27;2(5599):209–210. doi: 10.1136/bmj.2.5599.209. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hatch H. B., Jr, Maxfield W. S., Ochsner J. L. Radioisotope lung scanning in bronchogenic carcinoma. J Thorac Cardiovasc Surg. 1965 Nov;50(5):634–639. [PubMed] [Google Scholar]
  7. Lipscomb D. J., Pride N. B. Ventilation and perfusion scans in the preoperative assessment of bronchial carcinoma. Thorax. 1977 Dec;32(6):720–725. doi: 10.1136/thx.32.6.720. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Macumber H. H., Calvin J. W. Perfusion lung scan patterns in 100 patients with bronchogenic carcinoma. J Thorac Cardiovasc Surg. 1976 Aug;72(2):299–302. [PubMed] [Google Scholar]
  9. Maynard C. D., Miller R. P., Heaphy L. J., Jr, Whitley J. E. Pulmonary scanning in bronchogenic carcinoma. Radiology. 1969 Mar;92(4):903–907. doi: 10.1148/92.4.903. [DOI] [PubMed] [Google Scholar]
  10. NOHL H. C. An investigation into the lymphatic and vascular spread of carcinoma of the bronchus. Thorax. 1956 Sep;11(3):172–185. doi: 10.1136/thx.11.3.172. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Pearson F. G., Nelems J. M., Henderson R. D., Delarue N. C. The role of mediastinoscopy in the selection of treatment for bronchial carcinoma with involvement of superior mediastinal lymph nodes. J Thorac Cardiovasc Surg. 1972 Sep;64(3):382–390. [PubMed] [Google Scholar]
  12. Pistelli G., Angeletti C. A., Janni A., Mussi A., Paoletti P., Perissinotto A., Giuntini C. Perfusion lung scan in the preoperative assessment of pulmonary function in bronchial carcinoma. J Nucl Med Allied Sci. 1977 Oct-Dec;21(4):173–182. [PubMed] [Google Scholar]
  13. Ramsey H. E., Cahan W. G., Beattie E. J., Humphrey C. The importance of radical lobectomy in lung cancer. J Thorac Cardiovasc Surg. 1969 Aug;58(2):225–230. [PubMed] [Google Scholar]
  14. Sarin C. L., Nohl-Oser H. C. Mediastinoscopy: a clinical evaluation of 400 consecutive cases. Thorax. 1969 Sep;24(5):585–588. doi: 10.1136/thx.24.5.585. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Secker-Walker R. H., Alderson P. O., Wilhelm J., Hill R. L., Markham J., Kinzie J. Ventilation-perfusion scanning in carcinoma of the bronchus. Chest. 1974 Jun;65(6):660–663. doi: 10.1378/chest.65.6.660. [DOI] [PubMed] [Google Scholar]
  16. Svanberg L. Regional functional decrease in bronchial carcinoma. Ann Thorac Surg. 1972 Feb;13(2):170–180. doi: 10.1016/s0003-4975(10)64830-8. [DOI] [PubMed] [Google Scholar]
  17. WAGNER H. N., Jr, LOPEZ MAJANO V., TOW D. E., LANGAN J. K. RADIOISOTOPE SCANNING OF LUNGS IN EARLY DIAGNOSIS OF BRONCHOGENIC CARCINOMA. Lancet. 1965 Feb 13;1(7381):344–344. doi: 10.1016/s0140-6736(65)91777-0. [DOI] [PubMed] [Google Scholar]
  18. Walker R. H., Provan J. L., Jackson J. A., Goodwin J. Lung scanning in carcinoma of the bronchus. Thorax. 1971 Jan;26(1):23–32. doi: 10.1136/thx.26.1.23. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Walker R. H., Provan J. L. Scintillation scanning of lungs in preoperative assessment of carcinoma of bronchus. Br Med J. 1969 Aug 9;3(5666):327–330. doi: 10.1136/bmj.3.5666.327. [DOI] [PMC free article] [PubMed] [Google Scholar]

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