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Radiologic issues in lung transplantation for end-stage pulmonary disease.

Publication ,  Journal Article
Erasmus, JJ; McAdams, HP; Tapson, VF; Murray, JG; Davis, RD
Published in: AJR Am J Roentgenol
July 1997

Lung transplantation has evolved into an effective therapy for end-stage pulmonary disease. The radiologist has an important role in the management of these patients before and after transplantation. Unfortunately, the radiologic findings of the major complications (i.e., reperfusion edema, infection, rejection) that occur after transplantation overlap and are often nonspecific. Clinical correlation, bronchoalveolar lavage, and transbronchial biopsy are usually required for accurate differentiation. The following rules of thumb may be helpful: Radiographic opacities seen during the first week are usually due to reperfusion edema: persistent or progressive opacities beyond the first week suggest infection or acute rejection: infection in the first month is usually bacterial, and opportunistic pneumonia is more common thereafter, nodular opacities are usually due to infection or posttransplantation lymphoproliferative disorders but can also be due to transbronchial lung biopsy; and progressive bronchial dilatation and air trapping seen on expiratory CT are useful signs of BOS.

Duke Scholars

Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

July 1997

Volume

169

Issue

1

Start / End Page

69 / 78

Location

United States

Related Subject Headings

  • Radiography, Thoracic
  • Postoperative Complications
  • Patient Selection
  • Nuclear Medicine & Medical Imaging
  • Lung Transplantation
  • Lung Diseases
  • Lung
  • Humans
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Erasmus, J. J., McAdams, H. P., Tapson, V. F., Murray, J. G., & Davis, R. D. (1997). Radiologic issues in lung transplantation for end-stage pulmonary disease. AJR Am J Roentgenol, 169(1), 69–78. https://doi.org/10.2214/ajr.169.1.9207503
Erasmus, J. J., H. P. McAdams, V. F. Tapson, J. G. Murray, and R. D. Davis. “Radiologic issues in lung transplantation for end-stage pulmonary disease.AJR Am J Roentgenol 169, no. 1 (July 1997): 69–78. https://doi.org/10.2214/ajr.169.1.9207503.
Erasmus JJ, McAdams HP, Tapson VF, Murray JG, Davis RD. Radiologic issues in lung transplantation for end-stage pulmonary disease. AJR Am J Roentgenol. 1997 Jul;169(1):69–78.
Erasmus, J. J., et al. “Radiologic issues in lung transplantation for end-stage pulmonary disease.AJR Am J Roentgenol, vol. 169, no. 1, July 1997, pp. 69–78. Pubmed, doi:10.2214/ajr.169.1.9207503.
Erasmus JJ, McAdams HP, Tapson VF, Murray JG, Davis RD. Radiologic issues in lung transplantation for end-stage pulmonary disease. AJR Am J Roentgenol. 1997 Jul;169(1):69–78.

Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

July 1997

Volume

169

Issue

1

Start / End Page

69 / 78

Location

United States

Related Subject Headings

  • Radiography, Thoracic
  • Postoperative Complications
  • Patient Selection
  • Nuclear Medicine & Medical Imaging
  • Lung Transplantation
  • Lung Diseases
  • Lung
  • Humans
  • 3202 Clinical sciences
  • 1103 Clinical Sciences