書誌事項
- タイトル別名
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- The impact of dynamic imaging of xenon-133 wash-out in lung reduction surgery for non-bullous emphysema.
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The authors examined the usefulness of 133Xe dynamic single-photon emission computed tomography (SPECT) in identifying areas to be resected by reduction surgery in patients with non-bullous emphysema. METHODS : Eighteen patients with advanced symptomatic emphysema with and without obvious bullae (bullous type, n=10 and non-bullous type, n=8) were examined using 133Xe SPECT. After a 6-min inhalation of 133Xe gas, equilibrium and subsequent wash-out SPECT images were acquired every 30 sec for 6-7 min during spontaneous breathing. The patients were treated with unilateral thoracoscopic resection directed to he abnormal 133Xe retention portions as well as to obvious bullae. RESULTS : All patients demonstrated marked, heterogeneous 133Xe retention on the wash-out images. In the patients with obvious bullae, dynamic SPECT showed abnormal 133Xe retention corresponding to bullae. The patients in the non-bullous type group, who did not have abnormal radiolucencies on chest X-ray CT, also showed abnormal retention with dynamic SPECT. Significant postoperative improvement in objective measures of pulmonary function was observed in both groups. CONCLUSIONS : 133Xe SPECT is useful in identifying regional ventilatory abnormalities in non-bullous emphysema. Unilateral thoracoscopic volume reduction directed to the abnormal 133Xe retention portions is an effec tivetreatment for non-bullous emphysema.
収録刊行物
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- 日本呼吸器外科学会雑誌
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日本呼吸器外科学会雑誌 11 (2), 129-135, 1997
特定非営利活動法人 日本呼吸器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204362339328
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- NII論文ID
- 110007153929
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- NII書誌ID
- AN10467885
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- ISSN
- 18814158
- 09190945
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可