Incidental Vascular Findings on Computed Tomography Angiography in Lung Cancer Patients
Abstract
СT is a one of major diagnostic modalities in work-up of patients with the lung cancer. Defining of lung cancer and its staging is an interdisciplinary process. Many patients with lung cancer have accompanying diseases of heart and great vessels. CT-angiography (CTA) is an effective diagnostic modality for timely detection of these anomalies and diseases. Results of CT-angiography in 85 patients were analyzed. In 52 of 85 (61 %) patients CTA detected coronary and in 50 (59 %) cases — aortic atherosclerosis. CTA found 9 (11 %) cases of congenital anomalies of systemic and pulmonary veins, in 8 (9,4 %) — aortic arch anomalies and in 4 (4,7 %) — congenital anomalies of pulmonary arteries and veins. In most cases these finding were incidental and had not any clinical significance, but in 3 (4 %) cases they were important for patient management. Technical progress in CT gives an opportunity to perform while-chest CTA with cardiac gating
About the Authors
Elena I. Zyablova
«Scientific Research Institute — S. V. Ochapovsky Regional Clinic Hospital № 1», Krasnodar Region Ministry of Helthcare
Russian Federation
Russian Federation
Head of Department of Radiology
Vladimir A. Porhanov
«Scientific Research Institute — S. V. Ochapovsky Regional Clinic Hospital № 1», Krasnodar Region Ministry of Helthcare
Russian Federation
Russian Federation
M. D. Med., Professor, Academician of the Russian Academy of Sciences
Valentin E. Sinitsyn
Center of Medicine and Rehabilitation, Moscow
Russian Federation
Russian Federation
M. D. Med., Professor, Head of Radiology of Center
References
1. Belenkov Yu. N., Oganov R. G., Sinitsyn V. E. Kardiologiya. Natsionalnoe rukovodstvo. Moscow: GEOTAR-Media, 2012. P. 219–227 (in Russian).
2. Chan E. G., Landreneau J. R., Schuchert M. J., Odell D. D., Gu S., Pu J., Luketich J. D., Landreneau R. J. Preoperative (3-dimensional) computed tomography lung reconstruction before anatomic segmentectomy or lobectomy for stage I nonsmall cell lung cancer. J. of Thoracic and Cardiovascular Surgery. 2015. September. V. 150. No. 3. P. 523–528.
3. Simoglou C., Tsolakis N. Lobectomy after three-dimensional computed tomography of the pulmonary artery. J. of Asian Cardiovascular and Thoracic Annals. 2014. November. V. 22. No. 9. P. 1080–1083.
4. Jianxing He, Xin Xu. Thoracoscopic anatomic pulmonary resection. J. of Thoracic Dis. 2012. October. V. 4. No. 5. P. 520–547.
5. Yang Q., Xie B., Hu M., Sun X., Huang X., Guo M. Thoracoscopic anatomic pulmonary segmentectomy: a 3-dimensional guided imaging system for lung operations. Int. J. of Cardiovascular and Thoracic Surgery. 2016. August. V. 23. No. 2. P. 183–189.
Review
For citations:
Zyablova E., Porhanov V., Sinitsyn V. Incidental Vascular Findings on Computed Tomography Angiography in Lung Cancer Patients. Radiology - Practice. 2017;(2):14-22. (In Russ.)
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