| Online-Ressource |
Verfasst von: | Gompelmann, Daniela [VerfasserIn]  |
| Eberhardt, Ralf [VerfasserIn]  |
| Slebos, Dirk-Jan [VerfasserIn]  |
| Brown, Matthew S. [VerfasserIn]  |
| Abtin, Fereidoun [VerfasserIn]  |
| Kim, Hyun J. [VerfasserIn]  |
| Holmes‐Higgin, Debby [VerfasserIn]  |
| Radhakrishnan, Sri [VerfasserIn]  |
| Herth, Felix [VerfasserIn]  |
| Goldin, Jonathan [VerfasserIn]  |
Titel: | Diagnostic performance comparison of the Chartis System and high-resolution computerized tomography fissure analysis for planning endoscopic lung volume reduction |
Verf.angabe: | Daniela Gompelmann, Ralf Eberhardt, Dirk-Jan Slebos, Matthew S. Brown, Fereidoun Abtin, Hyun J. Kim, Debby Holmes‐Higgin, Sri Radhakrishnan, Felix J.F. Herth and Jonathan Goldin |
E-Jahr: | 2014 |
Jahr: | 25 February 2014 |
Umfang: | 7 S. |
Fussnoten: | Gesehen am 08.09.2020 |
Titel Quelle: | Enthalten in: Respirology |
Ort Quelle: | Oxford [u.a.] : Wiley-Blackwell, 1996 |
Jahr Quelle: | 2014 |
Band/Heft Quelle: | 19(2014), 4, Seite 524-530 |
ISSN Quelle: | 1440-1843 |
Abstract: | Background and objective Endobronchial valve (EBV) therapy is optimized in patients who demonstrate little or no collateral ventilation (CV). The accuracy of the Chartis System and visual assessment of high-resolution computerized tomography (HRCT) fissure completeness by a core radiology laboratory for classifying CV status was compared by evaluating the relationship of each method with target lobe volume reduction (TLVR) after EBV placement. Methods Retrospective HRCT fissure analysis of a study population who underwent catheter-based measurement of CV followed by complete occlusion of the targeted lobe by EBV. Accuracy, sensitivity, specificity, positive predictive value and negative predictive value of the HRCT fissure analysis and the catheter-based measurement of CV for predicting TLVR was determined. Results Accuracy for correctly classifying TLVR with EBV was similar for Chartis System and HRCT fissure analysis (74 vs 77%). The sensitivity and specificity of the Chartis measurement were 86% and 61% and those of HRCT fissure analysis 75% and 79%. Patients with TLVR ≥350 mL had statistically significant improvement in respiratory function, exercise performance and quality of life measures. Conclusions When evaluating patients for likelihood of successful EBV therapy, the Chartis System CV assessment and HRCT fissure analysis appear to have comparable accuracy. Both techniques were found to be beneficial for EBV procedure planning. |
DOI: | doi:10.1111/resp.12253 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.1111/resp.12253 |
| Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/resp.12253 |
| DOI: https://doi.org/10.1111/resp.12253 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | bronchoscopy and interventional technique |
| collateral ventilation |
| emphysema |
| Endoscopic Lung Volume Reduction |
| valve therapy |
K10plus-PPN: | 1729097235 |
Verknüpfungen: | → Zeitschrift |
Diagnostic performance comparison of the Chartis System and high-resolution computerized tomography fissure analysis for planning endoscopic lung volume reduction / Gompelmann, Daniela [VerfasserIn]; 25 February 2014 (Online-Ressource)