The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1200-1205 , May 2009

Quantification of the impact of segmentectomy on pulmonary function by perfusion single-photon-emission computed tomography and multidetector computed tomography

  • Kentaro Yoshimoto, MD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Hiroaki Nomori, MD, PhD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • Corresponding Author InformationAddress for reprints: Hiroaki Nomori, MD, PhD, Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556, Japan.
    • ,
  • Takeshi Mori, MD, PhD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Hironori Kobayashi, MD, PhD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Yasuomi Ohba, MD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Hidekatsu Shibata, MD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Kuniyuki Tashiro, MD

      Affiliations

    • Department of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Shinya Shiraishi, MD, PhD

      Affiliations

    • Department of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Toshiaki Kobayashi, MD, PhD

      Affiliations

    • Department of Assistive Diagnostic Technology, National Cancer Center Hospital, Tokyo, Japan

Received 13 February 2008 ,Revised 1 October 2008 ,Accepted 25 October 2008.

  • Image Result

    Virtual lobectomy of the left lower lobe on single-photon-emission computed tomography (SPECT) in a patient. A, Axial. B, Coronal. C, Sagittal. D, Three-dimensional imaging.

    Virtual lobectomy of the left lower lobe on single-photon-emission computed tomography (SPECT) in a patient. A, Axial. B, Coronal. C, Sagittal. D, Three-dimensional imaging.

  • Image Result

    A, Coronal image of CT before surgery, showing a lung cancer in the anterior segment of the left lower lobe. B, Coronal image of the perfusion SPECT/CT of the left lower lobe before segmentectomy. C,

    A, Coronal image of CT before surgery, showing a lung cancer in the anterior segment of the left lower lobe. B, Coronal image of the perfusion SPECT/CT of the left lower lobe before segmentectomy. C, Coronal image of the perfusion SPECT/CT of the remaining left lower lobe after segmentectomy.

  • Image Result
    Measured forced expiratory volume in 1 second (FEV1) before and after segmentectomy and predicted value after virtual lobectomy.

    Measured forced expiratory volume in 1 second (FEV1) before and after segmentectomy and predicted value after virtual lobectomy.

  • Image Result
    Forced expiratory volume in 1 second (FEV1) of each lobe before and after segmentectomy measured by perfusion SPECT/CT.

    Forced expiratory volume in 1 second (FEV1) of each lobe before and after segmentectomy measured by perfusion SPECT/CT.

PII: S0022-5223(08)01746-7

doi: 10.1016/j.jtcvs.2008.10.028

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1200-1205 , May 2009

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