Comparison of expiratory CT airway abnormalities before and after tracheoplasty surgery for tracheobronchomalacia.

Abstract:

OBJECTIVES:The purpose of this study is to assess the prevalence and severity of expiratory multidetector computer tomography airway abnormalities, including central airway collapse and peripheral air trapping, before and after tracheoplasty, a novel surgical treatment for tracheomalacia. MATERIALS AND METHODS:Our hospital information system retrospectively identified all patients with bronchoscopically diagnosed tracheobronchomalacia referred for computer tomography airway imaging pretracheoplasty and posttracheoplasty during a 41-month period. All patients underwent a standard multidetector computer tomography protocol comprised of imaging both at end inspiration and dynamic expiration. Two observers simultaneously reviewed the images. Maximal expiratory tracheal collapse and total air-trapping scores were calculated pretracheoplasty and posttracheoplasty for each patient. Statistical analysis was performed using the paired t test and Wilcoxon signed-ranks test. RESULTS:The study cohort was comprised of 16 patients, 12 men and 4 women, with mean age of 60 years (range: 41 to 80). Mean percentage expiratory tracheal collapse pretracheoplasty was 70%+/-28 compared with 36%+/-27 posttracheoplasty (P<0.0001). Fifteen (94%) of sixteen patients demonstrated air trapping both pretracheoplasty and posttracheoplasty. Median total air-trapping scores were similar between preoperative (median 6, range: 0 to 9) and postoperative (median 6, range: 0 to 10) scans (P=0.43). All patients experienced symptomatic improvement after surgery. CONCLUSIONS:Tracheoplasty is associated with a significant reduction in expiratory tracheal collapse and subjective symptomatic improvement, but it does not change the severity of air trapping.

journal_name

J Thorac Imaging

authors

Lee KS,Ashiku SK,Ernst A,Feller-Kopman D,DeCamp M,Majid A,Guerrero J,Boiselle PM

doi

10.1097/RTI.0b013e3181653c41

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

121-6

issue

2

eissn

0883-5993

issn

1536-0237

pii

00005382-200805000-00008

journal_volume

23

pub_type

杂志文章
  • Reproducibility of a scoring system for computed tomography scanning in cystic fibrosis.

    abstract:INTRODUCTION:Computerized tomography (CT) scanning shows promise as an outcome surrogate for cystic fibrosis (CF) lung disease progression. The scoring system used to convert the CT image to numeric data is an essential determinant of the performance of CT scanning. METHODS:Three radiologists independently scored 16 h...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.rti.0000203937.82276.ce

    authors: Brody AS,Kosorok MR,Li Z,Broderick LS,Foster JL,Laxova A,Bandla H,Farrell PM

    更新日期:2006-03-01 00:00:00

  • Update on interventional bronchoscopy for the thoracic radiologist.

    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 narro...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e318221ec03

    authors: Ernst A,Anantham D

    更新日期:2011-11-01 00:00:00

  • Performance of Computed Tomographic Pulmonary Angiography Compared With Standard Chest Computed Tomography for Identification of Solid Organ, Serosal, and Nodal Findings.

    abstract:PURPOSE:Computed tomographic pulmonary angiography (CTPA) is the test of choice for patients with acute chest pain and suspected pulmonary embolism (PE). This examination is excellent for the diagnosis of PE and can also often identify alternative diagnoses. The early phase of contrast, however, may not allow for optim...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0000000000000476

    authors: Anderson JF,Raptis C,Bhalla S

    更新日期:2020-09-01 00:00:00

  • The Glenn Face Down Pillow: an aid to performance of prone radiologic procedures.

    abstract::The ease of performing computed tomography (CT)-guided radiologic procedures with the patient in the prone position can be compromised by patient discomfort. This is especially true during transthoracic needle aspiration biopsy when sedation or analgesia may interfere with the patient's ability to cooperate. The Glenn...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:

    authors: Jolles H,Cole TJ,Coppage L

    更新日期:1994-10-01 00:00:00

  • Biventricular Heart Remodeling After Percutaneous or Surgical Pulmonary Valve Implantation: Evaluation by Cardiac Magnetic Resonance.

    abstract:PURPOSE:The aim of this study was to evaluate the impact of percutaneous pulmonary valve implantation (PPVI) and surgical pulmonary valve replacement (SPVR) on biventricular and pulmonary valve function using cardiac magnetic resonance. MATERIALS AND METHODS:Thirty-five patients aged 20±8 years (mean±SD) underwent PPV...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0000000000000272

    authors: Secchi F,Resta EC,Cannaò PM,Pluchinotta F,Piazza L,Butera G,Carminati M,Sardanelli F

    更新日期:2017-11-01 00:00:00

  • Contemporary cardiac imaging: an overview.

    abstract::Comprehensive cardiac assessment embraces virtually every imaging modality and includes information about coronary vascular anatomy as well as cardiac morphology, function, perfusion, metabolism, and tissue characterization. Through sophisticated computer processing and image analysis, newer imaging technologies such ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/00005382-200010000-00002

    authors: Goldin JG,Ratib O,Aberle DR

    更新日期:2000-10-01 00:00:00

  • Imaging of Cardiac Infections: A Comprehensive Review and Investigation Flowchart for Diagnostic Workup.

    abstract::Infections of the cardiovascular system may present with nonspecific symptoms, and it is common for patients to undergo multiple investigations to arrive at the diagnosis. Echocardiography is central to the diagnosis of endocarditis and pericarditis. However, cardiac computed tomography (CT) and magnetic resonance ima...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0000000000000552

    authors: Kirkbride RR,Rawal B,Mirsadraee S,Galperin-Aizenberg M,Wechalekar K,Ridge CA,Litmanovich DE

    更新日期:2020-08-25 00:00:00

  • AIDS: immunologic abnormalities following human immunodeficiency virus infection.

    abstract::Following human immunodeficiency virus (HIV) infection, there is an ordered progression of immunologic abnormalities that results from the selective infection of the T4 helper/inducer subset of T lymphocytes. The loss of helper T-cell function disrupts both the cellular and humoral aspects of the immune response. The ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:

    authors: Batra P

    更新日期:1991-09-01 00:00:00

  • Rare pulmonary manifestation of Ehlers-Danlos syndrome.

    abstract::Ehlers-Danlos syndrome (EDS) is an inherited disorder of connective tissue with multiple thoracic manifestations. We present an unusual thoracic manifestation of EDS consisting of parenchymal cysts and fibrous and fibroosseous nodules. These manifestations may be related to an abnormal attempt at repair of parenchymal...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-199521000-00012

    authors: Murray RA,Poulton TB,Saltarelli MG,Dweik RA,Litwin DK,Kirby TJ,Meziane MA,O'Donovan PB

    更新日期:1995-04-01 00:00:00

  • MDCT of partial anomalous pulmonary venous return (PAPVR) in adults.

    abstract:PURPOSE:The purpose of this study was to determine the lobar distribution and associated radiologic/clinical findings of partial anomalous pulmonary venous return (PAPVR) in the adult population using multidetector computed tomography (MDCT). MATERIALS AND METHODS:The radiology information database was queried for pat...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e318194c942

    authors: Ho ML,Bhalla S,Bierhals A,Gutierrez F

    更新日期:2009-05-01 00:00:00

  • Late gadolinium enhancement in cardiac sarcoidosis: characteristic magnetic resonance findings and relationship with left ventricular function.

    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

    authors: Watanabe E,Kimura F,Nakajima T,Hiroe M,Kasai Y,Nagata M,Kawana M,Hagiwara N

    更新日期:2013-01-01 00:00:00

  • Interobserver Reliability of the Coronary Artery Disease Reporting and Data System in Clinical Practice.

    abstract:PURPOSE:This study aimed to evaluate interobserver reproducibility between cardiothoracic radiologists applying the Coronary Artery Disease Reporting and Data System (CAD-RADS) to describe atherosclerotic burden on coronary computed tomography angiography. METHODS:Forty clinical computed tomography angiography cases w...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0000000000000503

    authors: Hu JY,Bergquist PJ,Hossain R,Ropp AM,Kligerman S,Amin SB,Sechrist JW,Patel P,Jeudy J,White CS

    更新日期:2020-03-20 00:00:00

  • Pulmonary embolism: an internist's perspective.

    abstract::Forty years ago there was less interest in thromboembolism than there is now, although it was apparent even at that time that many episodes of embolization were being missed. Retrospective autopsy studies had indicated a 40% to 60% incidence of pulmonary emboli. Such studies were reviewed in a prospective study of 263...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/00005382-198910000-00008

    authors: Nicholson D

    更新日期:1989-10-01 00:00:00

  • Magnetic resonance imaging for lung cancer.

    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

    authors: Koyama H,Ohno Y,Seki S,Nishio M,Yoshikawa T,Matsumoto S,Sugimura K

    更新日期:2013-05-01 00:00:00

  • Fiberoptic bronchoscopy in thoracic diagnosis.

    abstract::The fiberoptic bronchoscope became commercially available nearly 20 years ago. This instrument has revolutionized the practice of respiratory medicine by providing the biggest single advance in diagnostic techniques for the chest in recent years. Its use is now widespread, and it has largely superseded the rigid bronc...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-198704000-00012

    authors: Flower CD

    更新日期:1987-04-01 00:00:00

  • Complications of Intravenous Substance Use Disorders (SUDs): A Multimodality Pictorial Essay for Cardiothoracic Radiologists.

    abstract::With the growing substance use disorders epidemic in the United States, a wide range of complications may be seen in both the acute and chronic clinical setting. This article will use a multimodality approach to review complications of intravenous substance use that cardiothoracic radiologists are likely to encounter....

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/RTI.0000000000000315

    authors: Hossain R,Almeida RR,Natcheva H,Hedgire S,Ghoshhajra B,Shepard JA,Fintelmann FJ,Flores EJ

    更新日期:2018-03-01 00:00:00

  • Pulmonary sarcoidosis: calcified micronodular pattern simulating pulmonary alveolar microlithiasis.

    abstract::A case of sarcoidosis demonstrating an unusual pattern of profuse micronodular calcification is presented. The striking similarity with the so-called pathognomonic appearance of pulmonary alveolar microlithiasis and the progressive deterioration of pulmonary function are emphasized. ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:

    authors: Weinstein DS

    更新日期:1999-07-01 00:00:00

  • Pulmonary capillary hemangiomatosis: radiographic appearance.

    abstract::Pulmonary capillary hemangiomatosis is a rare disorder that is characterized pathologically by formation of capillaries along alveolar walls that may ultimately invade the pulmonary parenchyma and pulmonary arteries. The clinic presentation overlaps that of primary pulmonary hypertension, but the natural history of pu...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-199801000-00012

    authors: Lippert JL,White CS,Cameron EW,Sun CC,Liang X,Rubin LJ

    更新日期:1998-01-01 00:00:00

  • Infection in Immunocompromised Hosts: Imaging.

    abstract::Immunocompromised patients are encountered with increasing frequency in clinical practice. In addition to the acquired immunodeficiency syndrome (AIDS), therapy for malignant disease, and immune suppression for solid organ transplants, patients are now rendered immunosuppressed by advances in treatment for a wide vari...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/RTI.0000000000000342

    authors: Tanaka N,Kunihiro Y,Yanagawa N

    更新日期:2018-09-01 00:00:00

  • Current role of conventional and digital aortography in the diagnosis of aortic disease.

    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

    authors: Sanders C

    更新日期:1990-10-01 00:00:00

  • Percutaneous radiofrequency ablation of lung tumors: evaluation of the literature using evidence-based techniques.

    abstract:PURPOSE:The aim of this study was to evaluate the literature for articles assessing radiofrequency ablation (RFA) for pulmonary malignancy. MATERIALS AND METHODS:The "bottom-up" approach to evidence-based practice was applied by 2 reviewers to the retrieval and appraisal of original research articles published on pulm...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/RTI.0b013e3181e48d5e

    authors: Chan VO,McDermott S,Malone DE,Dodd JD

    更新日期:2011-02-01 00:00:00

  • Clinical Approach to Community-acquired Pneumonia.

    abstract::Community-acquired pneumonia (CAP) remains a major health problem worldwide. The incidence of pneumonia increases with both age and the presence of specific risk factors, which lead to increased health care costs. However, although there is some controversy over the observed trend in CAP mortality over recent decades,...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/RTI.0000000000000343

    authors: Cillóniz C,Rodríguez-Hurtado D,Nicolini A,Torres A

    更新日期:2018-09-01 00:00:00

  • ACR Appropriateness Criteria® pulmonary hypertension.

    abstract::Pulmonary hypertension (PH) may be idiopathic or related to a variety of diseases. The diagnosis, accurate assessment of etiology and severity, prognosis, treatment response, and follow-up of PH can be achieved using a diverse set of diagnostic examinations. In this review, the role of imaging in the evaluation of PH ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e31829191b5

    authors: Brown K,Gutierrez AJ,Mohammed TL,Kirsch J,Chung JH,Dyer DS,Ginsburg ME,Heitkamp DE,Kanne JP,Kazerooni EA,Ketai LH,Parker JA,Ravenel JG,Saleh AG,Shah RD,Steiner RM,Suh RD,Expert Panel on Thoracic Imaging.

    更新日期:2013-07-01 00:00:00

  • Transthoracic hilar and mediastinal biopsy.

    abstract::Transthoracic needle biopsy (TNB) of the mediastinum is an accurate, safe, and cost-effective diagnostic tool for the evaluation of mediastinal masses and lymphadenopathy. The technique is most useful in the staging of carcinoma, where it serves as a less expensive and minimally invasive alternative to mediastinoscopy...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-199710000-00003

    authors: Protopapas Z,Westcott JL

    更新日期:1997-10-01 00:00:00

  • Complete tracheal duplication in an adult with thoracic aortic coarctation.

    abstract::Partial and complete duplication of the trachea have previously been reported as rare causes of respiratory distress in children. We report a case of complete tracheal duplication detected incidentally in an adult during a computed tomography angiogram of the heart performed as part of an evaluation for coarctation of...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e3181901760

    authors: Scharf ML,Gallagher TC

    更新日期:2009-05-01 00:00:00

  • The Spectrum of Interstitial Lung Disease in Connective Tissue Disease.

    abstract::Interstitial lung disease (ILD) is a common cause of morbidity and mortality in patients with connective tissue disease (CTD). In a minority of patients the ILD may be the presenting (or only) manifestation of an underlying CTD. Diagnosis of CTD-related ILD relies on a multidisciplinary team including pulmonologists, ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/RTI.0000000000000191

    authors: Henry TS,Little BP,Veeraraghavan S,Bhalla S,Elicker BM

    更新日期:2016-03-01 00:00:00

  • Imaging of the normal trachea.

    abstract::Tracheal evaluation is a fundamental part of chest imaging. Adult tracheal anatomy is well understood, but tracheal embryology is not. There have been major advances in imaging, but radiography remains the initial imaging study for most tracheal pathology. Careful radiographic analysis can yield considerable informati...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/00005382-199522000-00003

    authors: Holbert JM,Strollo DC

    更新日期:1995-07-01 00:00:00

  • Imaging of left ventricular assist devices.

    abstract::Left ventricular assist devices are used as a bridge to recovery, a bridge to transplant, or a permanent alternative to cardiac transplant. This exhibit demonstrates the imaging appearance of commonly used left ventricular assist devices and their complications. ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/01.rti.0000146623.32209.36

    authors: Jain VR,White CS,Pierson RN 3rd,Griffith BP,Sorensen EN

    更新日期:2005-02-01 00:00:00

  • Percutaneous biopsy of a posterior mediastinal mass through an extrapleural window created with dilute contrast.

    abstract::Extrapleural administration of dilute contrast was used to facilitate biopsy of a posterior mediastinal mass. ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-199904000-00005

    authors: Bhagat VJ,Wilson MW,Sudilovsky D,LaBerge JM,Gordon RL,Kerlan RK Jr

    更新日期:1999-04-01 00:00:00

  • Screening for lung cancer: to be or not to be covered by medicare?

    abstract::The National Lung Cancer Screening Trial (NLST) found a reduction in lung cancer mortality in high-risk patients aged 55 to 74 who were screened with low-dose computed tomography (LDCT) rather than chest x-ray. This reduction was 20% after 6.5 years and 16% after 7.5 years, with a 6.7% reduction in all-cause mortality...

    journal_title:Journal of thoracic imaging

    pub_type: 评论,杂志文章

    doi:10.1097/RTI.0000000000000130

    authors: Zuckerman D

    更新日期:2015-01-01 00:00:00