Role of Quantitative Computed Tomographic Scan Analysis in Lung Volume Reduction for Emphysema

Eric Daniel Tenda, Carole A. Ridge, Mali Shen, Guang Zhong Yang, Pallav L. Shah

Research output: Contribution to journalReview articlepeer-review

9 Citations (Scopus)

Abstract

Recent advances in bronchoscopic lung volume reduction (BLVR) offer new therapeutic alternatives for patients with emphysema and hyperinflation. Endobronchial valves and coils are 2 potential BLVR techniques which have been shown to improve pulmonary function and the quality of life in patients with emphysema. Current patient selection for LVR procedures relies on 3 main inclusion criteria: low attenuation area (in %), also known as emphysema score, heterogeneity score, and fissure integrity score. Volumetric analysis in combination with densitometric analysis of the affected lung lobe or segment with quantitative CT to determine emphysema severity play an important role in treatment planning and post-operative assessment. Due to the variations in lung anatomy, manual corrections are often required to ensure successful and accurate lobe segmentation for pathological and post-treatment CT scan analysis. The advanced development and utilisation of quantitative CT do not simply represent regional changes in pulmonary function but aids in analysis for better patient selection with severe emphysema who are most likely to benefit from BLVR.

Original languageEnglish
Pages (from-to)86-94
Number of pages9
JournalRespiration
Volume98
Issue number1
DOIs
Publication statusPublished - 1 Jul 2019

Keywords

  • Bronchoscopic lung volume reduction
  • Emphysema
  • High-resolution chest CT
  • Lung volume reduction
  • Physiology
  • Quantitative computed tomography

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