Comparison of Ventilation-Perfusion Scintigraphy With MR Angiography in Patients With Swyer-James Syndrome

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dc.contributor.authorSerdengecti, Mustafa
dc.contributor.authorSakarya, Mehmet E.
dc.contributor.authorIlerisoy, Zeynep Y.
dc.contributor.authorOdev, Kemal
dc.date.accessioned2020-03-26T18:41:22Z
dc.date.available2020-03-26T18:41:22Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPurpose: The aim of this study was to establish the value of magnetic resonance angiography (MRA) in diagnosing) Swyer-James syndrome (SJS) and to compare MRA and ventilation-perfusion (V/Q) scan results in patients with established SJS. Methods: The V/Q scans and the MRA findings of 22 lungs of 11 patients with SJS (6 males, 5 females; age range: 17-69 years, mean: 38.4 years) were retrospectively studied. The perfusion scan was performed after the injection of Tc-99m macroaggregated albumin. After 2 days, the ventilation scan was performed by using Tc-99m diethylene triamine penta-acetic acid aerosol. The MRA was performed with a 1.5 T magnetic resonance unit. We compared the MRA and V/Q scan findings of the lungs of the patients. Results: The V/Q scans showed the characteristic pattern of a matched V/Q defect on the affected lungs. The MRA displayed a smaller pulmonary artery and markedly poor peripheral vasculature on the affected side in all patients. The MRA had a sensitivity of 84.6%, a specificity of 100% for the detection SJS. Interobserver variability was minimum as indicated by a weighted kappa statistic of 0.818. Conclusion: This study indicates that the MRA is a fast, accurate, without radiation, and noninvasive technique for supporting the diagnosis of SJS. But, V/Q scans showed additional segmental perfusion/ventilation abnormalities on contralateral lung to reveal the segmental involvement of SJS. As a result, the MRA has no more any extra advantages for patient management.en_US
dc.identifier.doi10.1097/RLU.0b013e3181d624dden_US
dc.identifier.endpage240en_US
dc.identifier.issn0363-9762en_US
dc.identifier.issue4en_US
dc.identifier.pmid23429391en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage237en_US
dc.identifier.urihttps://dx.doi.org/10.1097/RLU.0b013e3181d624dd
dc.identifier.urihttps://hdl.handle.net/20.500.12395/29327
dc.identifier.volume38en_US
dc.identifier.wosWOS:000316004900015en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofCLINICAL NUCLEAR MEDICINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjecthyperlucent lungen_US
dc.subjectV/Q scansen_US
dc.subjectmagnetic resonance angiographyen_US
dc.titleComparison of Ventilation-Perfusion Scintigraphy With MR Angiography in Patients With Swyer-James Syndromeen_US
dc.typeArticleen_US

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