The Feasibility of Axial and Coronal Combined Imaging Using Multi-detector Row Computed Tomography for the Diagnosis and Treatment of a Primary Spontaneous Pneumothorax

Overview

Journal J Cardiothorac Surg

Publisher Biomed Central

Specialties Cardiology & Vascular Diseases
General Surgery
Pulmonary Medicine

Date 2011 May 17

PMID 21569541

Citations 2

Authors

Do Hyung Kim

Affiliations

Soon will be listed here.

Abstract

Background: The preoperative detection of emphysema like changes (ELCs) is necessary for the successful treatment of pneumothorax. High resolution computed tomography (HRCT) has been used for the preoperative detection of ELCs. However, the traditional HRCT method uses only the axial view, which is perpendicular to the distribution of ELCs. This is not an ideal diagnostic method for the evaluation of ELCs.

Methods: Forty-eight patients with pneumothorax had multi-detector computed tomography (MDCT) reconstruction using the coronal view. ELCs were evaluated in the axial and coronal view by a radiologist. A surgeon performed intra-operative examinations of the ELCs. The sensitivity of the different views was compared.

Results: The detection sensitivity was 74.4% (70/94) for the axial view and 91.5% (86/94) for the axial-coronal combined view. The intra-operative detection rate was 95.7% (90/94). The preoperative detection of ELCs on the axial-coronal combined view was significantly higher than on the conventional axial view alone (p < 0.01).

Conclusions: Evaluation of ELCs on the axial and coronal combined HRCT improved the sensitivity of preoperative detection of ELCs compared to the conventional single axial HRCT. This increased sensitivity will help decrease the recurrence with VATS.

Citing Articles

The accuracy of computed tomography in detecting surgically resectable blebs or bullae in primary spontaneous pneumothorax.

Almajid F, Aljehani Y, Alabkary S, Alsaif H Radiol Med. 2019; 124(9):833-837.

PMID: 31134432 DOI: 10.1007/s11547-019-01044-6.

The Presence of a Reticulated Trabecula-Like Structure Increases the Risk for the Recurrence of Primary Spontaneous Pneumothorax after Thoracoscopic Bullectomy.

Ota H, Kawai H, Kuriyama S Ann Thorac Cardiovasc Surg. 2016; 22(3):139-45.

PMID: 26875751 PMC: 4909994. DOI: 10.5761/atcs.oa.15-00306.

References

LoCicero 3rd J, Costello P, Campos C, Francalancia N, Dushay K, Silvestri R . Spiral CT with multiplanar and three-dimensional reconstructions accurately predicts tracheobronchial pathology. Ann Thorac Surg. 1996; 62(3):811-7. DOI: 10.1016/s0003-4975(96)00532-7. View

Kim J, Kim K, Shim Y, Chang W, Park K, Jun T . Video-assisted thoracic surgery as a primary therapy for primary spontaneous pneumothorax. Decision making by the guideline of high-resolution computed tomography. Surg Endosc. 1998; 12(11):1290-3. DOI: 10.1007/s004649900842. View

Torre M, Belloni P . Nd:YAG laser pleurodesis through thoracoscopy: new curative therapy in spontaneous pneumothorax. Ann Thorac Surg. 1989; 47(6):887-9. DOI: 10.1016/0003-4975(89)90028-3. View

Tsubamoto M, Johkoh T, Kozuka T, Honda O, Koyama M, Murai S . Coronal multiplanar reconstruction view from whole lung thin-section CT by multidetector-row CT: determination of malignant or benign lesions and differential diagnosis in 68 cases of solitary pulmonary nodule. Radiat Med. 2004; 21(6):267-71. View

Quint L, Whyte R, Kazerooni E, Martinez F, Cascade P, Lynch 3rd J . Stenosis of the central airways: evaluation by using helical CT with multiplanar reconstructions. Radiology. 1995; 194(3):871-7. DOI: 10.1148/radiology.194.3.7862994. View

Brink J, Heiken J, Semenkovich J, Teefey S, McClennan B, Sagel S . Abnormalities of the diaphragm and adjacent structures: findings on multiplanar spiral CT scans. AJR Am J Roentgenol. 1994; 163(2):307-10. DOI: 10.2214/ajr.163.2.8037020. View

Mouroux J, Elkaim D, Padovani B, Myx A, Perrin C, Rotomondo C . Video-assisted thoracoscopic treatment of spontaneous pneumothorax: technique and results of one hundred cases. J Thorac Cardiovasc Surg. 1996; 112(2):385-91. DOI: 10.1016/S0022-5223(96)70266-0. View

Bertrand P, Regnard J, Spaggiari L, Levi J, Magdeleinat P, Guibert L . Immediate and long-term results after surgical treatment of primary spontaneous pneumothorax by VATS. Ann Thorac Surg. 1996; 61(6):1641-5. DOI: 10.1016/0003-4975(96)00190-7. View

Warner B, BAILEY W, Shipley R . Value of computed tomography of the lung in the management of primary spontaneous pneumothorax. Am J Surg. 1991; 162(1):39-42. DOI: 10.1016/0002-9610(91)90199-n. View

10.

Yim A, Ho J . One hundred consecutive cases of video-assisted thoracoscopic surgery for primary spontaneous pneumothorax. Surg Endosc. 1995; 9(3):332-6. DOI: 10.1007/BF00187780. View

11.

Ohno K, Miyoshi S, Minami M, Akashi A, Maeda H, Nakagawa K . Ipsilateral recurrence frequency after video-assisted thoracoscopic surgery for primary spontaneous pneumothorax. Jpn J Thorac Cardiovasc Surg. 2001; 48(12):757-60. DOI: 10.1007/BF03218248. View

12.

LICHTER I . Long-term follow-up of planned treatment of spontaneous pneumothorax. Thorax. 1974; 29(1):32-7. PMC: 470401. DOI: 10.1136/thx.29.1.32. View

13.

Grenier P, Beigelman-Aubry C, Fetita C, Preteux F, Brauner M, Lenoir S . New frontiers in CT imaging of airway disease. Eur Radiol. 2002; 12(5):1022-44. DOI: 10.1007/s00330-002-1342-1. View

14.

Sihoe A, Yim A, Lee T, Wan S, Yuen E, Wan I . Can CT scanning be used to select patients with unilateral primary spontaneous pneumothorax for bilateral surgery?. Chest. 2000; 118(2):380-3. DOI: 10.1378/chest.118.2.380. View

15.

Remy J, Remy-Jardin M, Artaud D, Fribourg M . Multiplanar and three-dimensional reconstruction techniques in CT: impact on chest diseases. Eur Radiol. 1998; 8(3):335-51. DOI: 10.1007/s003300050391. View

16.

Hazama K, Akashi A, Shigemura N, Nakagiri T . Less invasive needle thoracoscopic laser ablation of small bullae for primary spontaneous pneumothorax. Eur J Cardiothorac Surg. 2003; 24(1):139-44. DOI: 10.1016/s1010-7940(03)00181-7. View

17.

Weeden D, Smith G . Surgical experience in the management of spontaneous pneumothorax, 1972-82. Thorax. 1983; 38(10):737-43. PMC: 459648. DOI: 10.1136/thx.38.10.737. View

18.

Ferraro P, Beauchamp G, Lord F, Emond C, Bastien E . Spontaneous primary and secondary pneumothorax: a 10-year study of management alternatives. Can J Surg. 1994; 37(3):197-202. View

19.

Granke K, Fischer C, GAGO O, Morris J, PRAGER R . The efficacy and timing of operative intervention for spontaneous pneumothorax. Ann Thorac Surg. 1986; 42(5):540-2. DOI: 10.1016/s0003-4975(10)60578-4. View