Prediction of Post-operative Cardiopulmonary function By Perfusion Scan.

Ryu, Jeong Seon; Lee, Ji Young; Seo, Dong Bum; Cho, Jae Hwa; Lee, Hong Lyeol; Han, Yoon Yong; Ho, Kim Kwang

doi:2001.50.4.401

Tuberc Respir Dis > Volume 50(4); 2001 > Article

Original Article

Tuberculosis and Respiratory Diseases 2001;50(4):401-408.
DOI: https://doi.org/10.4046/trd.2001.50.4.401 Published online April 1, 2001.

Prediction of Post-operative Cardiopulmonary function By Perfusion Scan.

Jeong Seon Ryu, Ji Young Lee, Dong Bum Seo, Jae Hwa Cho, Hong Lyeol Lee, Yoon Yong Han, Kim Kwang Ho

Abstract

BACKGROUND
Perfusion scans are accurate predictors of postoperative lung function. There are few previous studies aimed at predicting the postoperative exercise capacity using the perfusion scanning and those that did reported contradictory results. METHOD: We prospectively studied the preoperative spirometric, exercise tests and perfusion scans from in 49 consecutive patients who were admitted to Inha University Hospital with surgically resectable lung cancer from Jan. 1998 to Jun. 1999 29 patients who had any condition affecting the lung function and exercise capacity, or refused a surgical resection or a follow-up study were excluded. Spirometric and exercise tests were performed 6 months after operation in 20 patients. RESULTS: The predicted postoperative FEV1, FVC and TLC correlated well with the following corresponding postoperative values : γs and p value, 0.809 and 0.000 for the FEV1 ; 0.895 and 0.000 for the FVC ; 0.741 and 0.006 for the TLC, respectively. The measured postoperative exercise values were slightly higher than the postoperative exercise values predicted, VO(2max) and Wr(max), were as 112% of VO(2max) predicted and 119% of WR(max) predicted. The change in FEV1, FVC and TLC had a weak correlation with the change in VO(2max) and WR(max). CONCLUSION: The perfusion scan was a useful tool for predicting the postoperative exercise capacity. However, they had a tendency to underestimate the exercise capacity, especially in the patients who had a pneumonectomy. A weak correlation between the change in lung function and exercise capacity was obseved.

Key Words: Cardiopulmonary exercise test, Lung cancer, Perfusion scan