Matthew Brenner, MD, Raouf A. Kayaleh, MD, Eric N

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Presentation transcript:

Thoracoscopic laser ablation of pulmonary bullae: Radiographic selection and treatment response Matthew Brenner, MD, Raouf A. Kayaleh, MD, Eric N. Milne, MD, Louise Della Bella, RN, Kathryn Osann, PhD, Yona Tadir, MD, Michael W. Berns, PhD, Archie F. Wilson, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 107, Issue 3, Pages 883-890 (March 1994) DOI: 10.5555/uri:pii:S0022522394703450 Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 1 Example of a preoperative CT scanning and chest radiography grading method for patients with bullous emphysema. Left side: upright chest radiograph from a patient with diffuse emphysema and poorly demarcated bullae. Black lines show the four quadrants in which the chest radiographs are graded: right upper, right lower, left upper, and left lower quadrants in the frontal view. White dashed lines represent the levels at which the three transverse CT scans are obtained. Chest radiographs were graded by quadrant as follows: right upper = 4, right lower = 2.8, left upper = 4, left lower = 2.7. Right side: upper lung, midlung, and lower lung CT scan sections from the same patient. Each CT scan section was graded separately for left and right hemithorax. CT scans were graded by quadrant as follows: right upper = 4, right middle = 4, right lower = 3.7, left upper = 4, left middle = 4, left lower = 2.5. The Journal of Thoracic and Cardiovascular Surgery 1994 107, 883-890DOI: (10.5555/uri:pii:S0022522394703450) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 2 Preoperative CT scan and chest radiographs show large bilateral, well-demarcated pulmonary bullae with crowding of surrounding lung structures. Left side: upright chest radiograph from a patient with large bilateral bullae crowding surrounding lung. Chest radiographs were graded by quadrant as follows: right upper = 4, right lower = 2.5, left upper = 4, left lower = 2.0. Right side: upper lung, midlung, and lower lung CT sections from the same patient. The CT scans were graded by quadrant as follows: right upper = 3.8, right middle = 3.8, right lower = 2.5, left upper = 3.8, left middle = 3.8, left lower = 3.2. The Journal of Thoracic and Cardiovascular Surgery 1994 107, 883-890DOI: (10.5555/uri:pii:S0022522394703450) Copyright © 1994 Mosby, Inc. Terms and Conditions