Radiologic manifestations of bronchoscopic lung volume reduction in severe chronic obstructive pulmonary disease

AJR Am J Roentgenol. 2015 Mar;204(3):475-86. doi: 10.2214/AJR.14.13185.

Abstract

OBJECTIVE. Bronchoscopic lung volume reduction promises to become an effective treatment option in severe chronic obstructive pulmonary disease. Several techniques are currently being investigated, including implantation of devices into the lung and instillation of hot water vapor or polymer. This article reviews the spectrum of radiologic manifestations on chest radiography and CT that occur after the intervention. CONCLUSION. Familiarity with the intended effects and adverse events will aid the radiologist in supporting bronchoscopic lung volume reduction.

Keywords: bronchoscopic lung volume reduction; chronic obstructive pulmonary disease (COPD); diaphragm; emphysema.

Publication types

  • Review

MeSH terms

  • Bronchoscopy*
  • Diaphragm / diagnostic imaging
  • Humans
  • Pneumonectomy / methods*
  • Pulmonary Disease, Chronic Obstructive / diagnostic imaging*
  • Pulmonary Disease, Chronic Obstructive / surgery*
  • Radiography
  • Severity of Illness Index