Abstract:
:Interventional bronchoscopy, together with other domains of interventional pulmonology, has experienced tremendous technological advances. Diagnostic applications include endobronchial ultrasound, which enables endoscopists to see through airway walls. White light videobronchoscopy, autofluorescence imaging, and narrow band imaging have enhanced the ability to detect early lung cancer at a preinvasive stage. Electromagnetic navigational bronchoscopy, ultrathin bronchoscopy, and virtual bronchoscopy increase the diagnostic yield of biopsy of small peripheral lung lesions. The options that are currently available for the relief of central airway obstruction are also numerous, with both flexible and rigid bronchoscopic applications. Stents, although dichotomized to silicone and metal, come in various sizes and shapes to suit the requirements of the pathology being treated. Ablative techniques are categorized into those with an immediate effect and those with a delayed effect. Laser, electrocautery, and argon plasma coagulation can immediately relieve obstruction and control hemoptysis, whereas cryosurgery, brachytherapy, and photodynamic therapy have established roles in subacute airway obstruction and in the treatment of early lung cancer. Microdebriders have recently been added to the armamentarium of modalities for mechanical debulking of tumor. Distal airway obstruction has also been targeted with bronchial thermoplasty treatment of refractory asthma and with bronchoscopic lung volume reduction for the management of severe emphysema. This array of new technology has fostered collaborative work with a wide range of other medical specialties to deliver safer, more effective, minimally invasive treatment.
journal_name
J Thorac Imagingjournal_title
Journal of thoracic imagingauthors
Ernst A,Anantham Ddoi
10.1097/RTI.0b013e318221ec03subject
Has Abstractpub_date
2011-11-01 00:00:00pages
263-77issue
4eissn
0883-5993issn
1536-0237pii
00005382-201111000-00004journal_volume
26pub_type
杂志文章abstract::The availability of the less invasive techniques such as CT, MRI, and digital angiography require reexamination of the indications for conventional screen-film aortography. Because of poor image quality, IV digital subtraction angiography should be limited to congenital aortic disease and follow-up cases. Intraarteria...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199010000-00008
更新日期:1990-10-01 00:00:00
abstract:PURPOSE:To explore the correlation between a septal angle measured on computed tomographic pulmonary angiography (CTPA) and pulmonary vascular resistance (PVR) determined by right heart catheterization in patients with chronic thromboembolic pulmonary hypertension (CTEPH). MATERIALS AND METHODS:Eighty-six patients wit...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3182541142
更新日期:2012-09-01 00:00:00
abstract::The incidence of arterial thrombosis in patients with protein C deficiency is relatively low compared with that of venous thrombosis. To our knowledge, there is no previously published report of a protein C deficiency patient with simultaneous thromboses in the pulmonary artery and innominate artery in the English lit...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3182475424
更新日期:2012-11-01 00:00:00
abstract:PURPOSE:Myocardial extracellular volume fraction (ECV) using cardiovascular magnetic resonance (CMR) can identify diffuse lesions not detected by late gadolinium enhancement (LGE). We aimed to determine the prevalence of increased ECV and its relation to other CMR findings. MATERIALS AND METHODS:Consecutive patients (...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000515
更新日期:2020-04-07 00:00:00
abstract::Substantial advances in detector technology characterize digital chest radiography. This article compares the various systems from a radiologist's point of view. Computed radiography (CR) is a well-established system that is robust, has good reproducibility, and is relatively inexpensive. Image quality has been contin...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200307000-00002
更新日期:2003-07-01 00:00:00
abstract::Computed tomographic pulmonary angiography has become the diagnostic procedure of choice in patients suspected of having a pulmonary embolus. However, intrapulmonary shunting of blood in a variety of pathologic conditions can cause suboptimal opacification of the pulmonary arterial circulation and result in a suboptim...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e318242b4b3
更新日期:2012-11-01 00:00:00
abstract::In an effort to define the posterior inferior junction line (PIJL) and its clinical associations more precisely, 64 posteroanterior radiographs demonstrating the PIJL or left pleuroesophageal stripe (LPES) were analyzed for the presence of emphysema, kyphosis, air-filled esophagus, and/or tortuous aorta. Pursuant to t...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199807000-00004
更新日期:1998-07-01 00:00:00
abstract::Since the publication of the Radiologic Diagnostic Oncology Group Report in 1991, the clinical application of pulmonary magnetic resonance imaging (MRI) in patients with lung cancer has been limited. In contrast, MRI for lung cancer has undergone continuous development, and several promising techniques have been intro...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e31828d4234
更新日期:2013-05-01 00:00:00
abstract::Pulmonary artery dissection is a rare but life-threatening disease, which has mainly been diagnosed at postmortem examination rather than in living patients. Herein we report an unusual case of pulmonary artery dissection involving the right and left pulmonary arteries with Eisenmenger syndrome confirmed by multidetec...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3181c65af5
更新日期:2010-11-01 00:00:00
abstract:SUMMARY:A 59-year-old man who underwent chest radiography to exclude pneumonia showed an irregular nodular shadow in the left lower lung. A subsequent CT scan revealed an irregularly shaped soft-tissue mass consisting of two components: a peripheral round mass with spiculated margins and a well-circumscribed branching ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200201000-00014
更新日期:2002-01-01 00:00:00
abstract::Chronic lung disease is a leading cause of morbidity and mortality in the United States. Quantitative techniques for assessing emphysema and related airway disease have been slow to gain acceptance among radiologists, who have traditionally used description of structural changes to evaluate these diseases. This review...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/01.rti.0000142838.60353.b1
更新日期:2004-10-01 00:00:00
abstract::In recent years radiation risk from CT scanning has become an important area of investigation. Many authors have suggested that radiation dose can be decreased without loss of diagnostic information. This dose reduction has primarily been achieved through a decrease in tube current. An area that has received little at...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200310000-00006
更新日期:2003-10-01 00:00:00
abstract::Before the advent of fast-scanning multidetector-row computed tomography (CT) technology, thoracic CT studies were exclusively used for the morphologic assessment of thoracic organs, as the concurrent examination of the heart was hampered by image degradation from cardiac motion artifacts. The introduction of fast rot...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181e0f8c9
更新日期:2010-08-01 00:00:00
abstract::Bleomycin is a widely used chemotherapeutic that has been shown to induce life-threatening interstitial lung disease in a small subset of patients. We report a case of bleomycin-induced pneumonitis in a patient treated for Hodgkin lymphoma with severe clinical respiratory symptoms, a marked restrictive pattern on pulm...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/01.rti.0000209821.43379.8a
更新日期:2006-08-01 00:00:00
abstract::There is increased awareness of smoking-related lung diseases other than lung cancer and chronic obstructive pulmonary disease. Concurrently, there is general acceptance that there is difficulty in establishing a specific diagnosis of smoking-related interstitial lung disease (ILD), as many patients may not undergo bi...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000185
更新日期:2016-03-01 00:00:00
abstract:PURPOSE:Cardiac fluorine-18-fluorodeoxyglucose (FDG) uptake is known to be variable in fasting oncologic positron emission tomography computed tomography studies. Increased posterolateral and basal FDG activity have been reported with the basal pattern ascribed to radiation injury. The purpose of this study was to inve...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3182176675
更新日期:2012-07-01 00:00:00
abstract::Pleural infection by Cryptococcus neoformans is uncommon and when present typically occurs in the immunocompromised host. We report two renal transplant patients who developed pleural cryptococcosis. ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199004000-00012
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to determine the prevalence of tracheomalacia (TM) associated with different types of mediastinal aortic vascular anomalies in symptomatic children using paired inspiratory-expiratory multidetector computed tomography (MDCT). MATERIALS AND METHODS:The study group consisted of 15 ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e31817fbdf7
更新日期:2008-11-01 00:00:00
abstract::It has been stated that chest radiographic features of aortic dissection are a contraindication to intravenous thrombolysis in patients with suspected acute myocardial infarction. Excluding aortic dissection could significantly delay such treatment in patients who would benefit from thrombolysis. Initial chest radiogr...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199321000-00008
更新日期:1993-04-01 00:00:00
abstract::In an analysis of 36 central lung, 54 mediastinal, and 10 central pleural masses, features were sought that would allow accurate localization of the mass by CT. The mass-lung interface was the most useful feature; with few exceptions a mass with a spiculated, nodular, or irregular edge was in the lung, and a mass with...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199104000-00008
更新日期:1991-04-01 00:00:00
abstract::During the past several years, the previously steady decline in the annual incidence of tuberculosis has reversed. Primary tuberculosis, the most common form in children, presents with radiographic findings that are quite different from the characteristic changes of postprimary tuberculosis commonly seen in adults. Th...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199004000-00005
更新日期:1990-04-01 00:00:00
abstract::Computed tomography (CT) of the chest provides important information toward the diagnosis of drug-induced lung disease. CT's ability to demonstrate subtle parenchymal and pleural changes, small nodules, and adenopathy is valuable in the early detection of drug-related reactions. CT is also of value in monitoring the a...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199101000-00008
更新日期:1991-01-01 00:00:00
abstract::The outcome of treatment in patients with early asymptomatic HIV disease has recently improved. Clinical trials with zidovudine have demonstrated efficacy and greatly reduced toxicity when the drug is used in asymptomatic HIV-infected persons who have fewer than 500 CD4+ cells/mm3, and resistance to this drug in these...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199109000-00004
更新日期:1991-09-01 00:00:00
abstract::The clinical fat embolism syndrome consisting of progressive pulmonary insufficiency, cerebral disfunction, and petechiae is rare. Following severe skeletal trauma, fat droplets appear in the circulating blood and embolize the capillaries of the lungs and other organs. Whether fat droplets are of mechanical or chemica...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-198707000-00005
更新日期:1987-07-01 00:00:00
abstract::The purpose of this controlled study was to determine the diagnostic accuracy of computed tomography (CT) in the diagnosis of round atelectasis (RA). We reviewed two groups of chest CT scans of 22 patients (with 24 masses). Group 1 scans represent 10 patients (12 masses) known to have RA, and Group 2 scans represent 1...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199701000-00008
更新日期:1997-01-01 00:00:00
abstract::Exercise radionuclide ventriculography is commonly used in patients with coronary artery disease, for both diagnostic purposes and patient management decisions. Both applications are reviewed in this article. There has been much debate as to the diagnostic efficacy of this test. Four factors influence this determinati...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199007000-00008
更新日期:1990-07-01 00:00:00
abstract::Lung transplantation is a well-accepted treatment for numerous lung diseases when medical or surgical therapy is ineffective or unavailable and the patient has a limited life expectancy (usually less than 2 to 3 years). When appropriate, single-lung transplantation is the preferred procedure because of a critical shor...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-200204000-00002
更新日期:2002-04-01 00:00:00
abstract:PURPOSE:We have established an integrated thoracic radiology reading room within a multidisciplinary lung center clinic (LC). While our subjective experience has been positive, we sought to quantify how this model affects radiology workflow and whether the referring practitioners perceive value in having real-time acce...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000331
更新日期:2018-07-01 00:00:00
abstract::Minimally invasive mitral valve (MV) repair and replacement techniques have evolved as increasingly used alternatives to open heart surgery especially in patients unsuitable for surgery or at high perioperative risk. The vast majority of these techniques are still under development, and only a limited number of device...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000169
更新日期:2015-11-01 00:00:00
abstract:PURPOSE:Cardiac involvement is an important prognostic factor in sarcoidosis, and cardiovascular magnetic resonance (CMR) imaging with late gadolinium enhancement (LGE) can facilitate the identification of cardiac sarcoidosis (CS). In patients with CS, we investigated LGE characteristics and their relationship with lef...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3182761830
更新日期:2013-01-01 00:00:00