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Sökning: id:"swepub:oai:DiVA.org:oru-54382" > Imaging of the Lung...

  • Bozovic, GracijelaLund University,Lunds universitet,Diagnostisk radiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Diagnostic Radiology, (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine (författare)

Imaging of the Lungs in Organ Donors and its Clinical Relevance : A Retrospective Analysis

  • Artikel/kapitelEngelska2017

Förlag, utgivningsår, omfång ...

  • Philadelphia, USA :Lippincott Williams & Wilkins,2017
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-54382
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-54382URI
  • https://doi.org/10.1097/RTI.0000000000000255DOI
  • https://lup.lub.lu.se/record/fc79569b-1c94-4c2d-b8ca-f3576167828aURI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Purpose: The aim of the study was to retrospectively evaluate the diagnostic imaging that potential lung donors undergo, the reader variability of image interpretation and its relevance for donation, and the potential information gained from imaging studies not primarily intended for lung evaluation but partially including them.Materials and methods: Bedside chest radiography and computed tomography (CT), completely or incompletely including the lungs, of 110 brain-dead potential organ donors in a single institution during 2007 to 2014 were reviewed from a donation perspective. Two chest radiologists in consensus analyzed catheters and cardiovascular, parenchymal, and pleural findings. Clinical reports and study review were compared for substantial differences in findings that could have led to a treatment change, triggered additional examinations such as bronchoscopy, or were considered important for donation.Results: Among 136 bedside chest radiographs, no differences between clinical reports and study reviews were found in 37 (27%), minor differences were found in 28 (21%), and substantial differences were found in 71 (52%) examinations (P<0.0001). In 31 of 42 (74%) complete or incomplete CT examinations, 50 of 74 findings with relevance for lung donation were not primarily reported (P<0.0001).Conclusions: The majority of donor patients undergo only chest radiography. A targeted imaging review of abnormalities affecting the decision to use donor lungs may be useful in the preoperative stage. With a targeted list, substantial changes were made from initial clinical interpretations. CT can provide valuable information on donor lung pathology, even if the lungs are only partially imaged.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Adlercreutz, CatharinaDepartment of Radiology, Skåne University Hospital, Lund University, Lund, Sweden (författare)
  • Höglund, PeterLund University,Lunds universitet,Avdelningen för klinisk kemi och farmakologi,Institutionen för laboratoriemedicin,Medicinska fakulteten,Division of Clinical Chemistry and Pharmacology,Department of Laboratory Medicine,Faculty of Medicine(Swepub:lu)kfar-pho (författare)
  • Björkman-Burtscher, IsabellaLund University,Lunds universitet,Diagnostisk radiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Diagnostic Radiology, (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)drad-ibu (författare)
  • Reinstrup, PeterLund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)anes-pre (författare)
  • Ingemansson, RichardLund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)thor-rin (författare)
  • Schaefer-Prokop, CorneliaMeander Medical Centre, Amersfoort, Netherlands (författare)
  • Siemund, RogerLund University,Lunds universitet,Diagnostisk radiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Diagnostic Radiology, (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)med-rrs (författare)
  • Geijer, Mats,1957-Lund University,Lunds universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Clinical Sciences, Lund University, Lund, Sweden; Department of Radiology, Örebro University Hospital, Örebro, Sweden,Diagnostisk radiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Diagnostic Radiology, (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)med-mge (författare)
  • Diagnostisk radiologi, LundSektion V (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of thoracic imagingPhiladelphia, USA : Lippincott Williams & Wilkins32:2, s. 107-1140883-59931536-0237

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