Comparison of Predicted Total Lung Capacity and Total Lung Capacity by Computed Tomography in Lung Transplantation Candidates.
10.3349/ymj.2016.57.4.963
- Author:
Sung Ho HWANG
1
;
Jin Gu LEE
;
Tae Hoon KIM
;
Hyo Chae PAIK
;
Chul Hwan PARK
;
Seokjin HAAM
Author Information
1. Department of Radiology, Korea University Medical Center, Anam Hospital, Seoul, Korea.
- Publication Type:Comparative Study ; Original Article
- Keywords:
Lung transplantation;
pulmonary function test;
donor selection
- MeSH:
Adolescent;
Adult;
Aged;
Female;
Humans;
Lung/*diagnostic imaging/pathology/*physiopathology;
Lung Diseases/diagnostic imaging/pathology/physiopathology/therapy;
*Lung Transplantation;
Male;
Middle Aged;
Organ Size;
*Patient Selection;
Retrospective Studies;
*Tomography, X-Ray Computed;
*Total Lung Capacity;
Young Adult
- From:Yonsei Medical Journal
2016;57(4):963-967
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Lung size mismatch is a major cause of poor lung function and worse survival after lung transplantation (LTx). We compared predicted total lung capacity (pTLC) and TLC measured by chest computed tomography (TLC(CT)) in LTx candidates. MATERIALS AND METHODS: We reviewed the medical records of patients on waiting lists for LTx. According to the results of pulmonary function tests, patients were divided into an obstructive disease group and restrictive disease group. The differences between pTLC calculated using the equation of the European Respiratory Society and TLC(CT) were analyzed in each group. RESULTS: Ninety two patients met the criteria. Thirty five patients were included in the obstructive disease group, and 57 patients were included in the restrictive disease group. pTLC in the obstructive disease group (5.50±1.07 L) and restrictive disease group (5.57±1.03 L) had no statistical significance (p=0.747), while TLC(CT) in the restrictive disease group (3.17±1.15 L) was smaller than that I the obstructive disease group (4.21±1.38 L) (p<0.0001). TLC(CT)/pTLC was 0.770 in the obstructive disease group and 0.571 in the restrictive disease group. CONCLUSION: Regardless of pulmonary disease pattern, TLC(CT) was smaller than pTLC, and it was more apparent in restrictive lung disease. Therefore, we should consider the difference between TLC(CT) and pTLC, as well as lung disease patterns of candidates, in lung size matching for LTx.
