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Cystic fibrosis: usefulness of thoracic CT in the examination of patients before lung transplantation.

Publication ,  Journal Article
Marom, EM; McAdams, HP; Palmer, SM; Erasmus, JJ; Sporn, TA; Tapson, VF; Davis, RD; Goodman, PC
Published in: Radiology
October 1999

PURPOSE: To evaluate the usefulness of thoracic computed tomography (CT) in the pre-lung transplantation examination of patients with cystic fibrosis (CF). MATERIALS AND METHODS: Fifty-six patients (age range, 12-42 years) with CF were evaluated for possible lung transplantation from 1991 to 1997. Twenty-six of these patients underwent bilateral lung transplantation, 19 were awaiting transplantation at the time of the study, seven died before transplantation, and four were excluded for psychosocial concerns. Preoperative chest radiographic and CT findings were reviewed and correlated with clinical, operative, and pathology records. RESULTS: In seven patients, discrete, 1-2-cm pulmonary nodules were detected at CT. Five of these patients underwent transplantation; the nodules were found to be mucous impactions. No malignancy was found in any of the patients who underwent transplantation. Pretransplantation sputum cultures grew Aspergillus fumigatus in seven patients, none of whom had radiologic findings suggestive of Aspergillus infection. Radiographic or CT findings were suggestive of mycetoma in five cases, but no such tumors were found at transplantation. The accuracies of chest radiography and CT for the detection of pleural disease in 48 hemithoraces were 81% (n = 39) and 69% (n = 33), respectively. The radiologic findings of pleural thickening did not influence the surgical approach in any patient. CONCLUSION: Thoracic CT has little utility in the routine pre-lung transplantation examination of patients with CF.

Duke Scholars

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

October 1999

Volume

213

Issue

1

Start / End Page

283 / 288

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Sensitivity and Specificity
  • Retrospective Studies
  • Radiography, Thoracic
  • Pleural Diseases
  • Pleura
  • Nuclear Medicine & Medical Imaging
  • Male
  • Lymphatic Diseases
  • Lung Transplantation
 

Citation

APA
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Marom, E. M., McAdams, H. P., Palmer, S. M., Erasmus, J. J., Sporn, T. A., Tapson, V. F., … Goodman, P. C. (1999). Cystic fibrosis: usefulness of thoracic CT in the examination of patients before lung transplantation. Radiology, 213(1), 283–288. https://doi.org/10.1148/radiology.213.1.r99oc12283
Marom, E. M., H. P. McAdams, S. M. Palmer, J. J. Erasmus, T. A. Sporn, V. F. Tapson, R. D. Davis, and P. C. Goodman. “Cystic fibrosis: usefulness of thoracic CT in the examination of patients before lung transplantation.Radiology 213, no. 1 (October 1999): 283–88. https://doi.org/10.1148/radiology.213.1.r99oc12283.
Marom EM, McAdams HP, Palmer SM, Erasmus JJ, Sporn TA, Tapson VF, et al. Cystic fibrosis: usefulness of thoracic CT in the examination of patients before lung transplantation. Radiology. 1999 Oct;213(1):283–8.
Marom, E. M., et al. “Cystic fibrosis: usefulness of thoracic CT in the examination of patients before lung transplantation.Radiology, vol. 213, no. 1, Oct. 1999, pp. 283–88. Pubmed, doi:10.1148/radiology.213.1.r99oc12283.
Marom EM, McAdams HP, Palmer SM, Erasmus JJ, Sporn TA, Tapson VF, Davis RD, Goodman PC. Cystic fibrosis: usefulness of thoracic CT in the examination of patients before lung transplantation. Radiology. 1999 Oct;213(1):283–288.
Journal cover image

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

October 1999

Volume

213

Issue

1

Start / End Page

283 / 288

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Sensitivity and Specificity
  • Retrospective Studies
  • Radiography, Thoracic
  • Pleural Diseases
  • Pleura
  • Nuclear Medicine & Medical Imaging
  • Male
  • Lymphatic Diseases
  • Lung Transplantation