array:23 [
  "pii" => "S0300289615324133"
  "issn" => "03002896"
  "doi" => "10.1016/S0300-2896(15)32413-3"
  "estado" => "S300"
  "fechaPublicacion" => "1981-05-01"
  "aid" => "72483"
  "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
  "copyrightAnyo" => "1981"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 1981;17:99-104"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1443
    "formatos" => array:3 [
      "EPUB" => 51
      "HTML" => 652
      "PDF" => 740
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289615324145"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)32414-5"
    "estado" => "S300"
    "fechaPublicacion" => "1981-05-01"
    "aid" => "72484"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1981;17:105-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1630
      "formatos" => array:3 [
        "EPUB" => 61
        "HTML" => 721
        "PDF" => 848
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "La broncoscopia, examen corriente en neumologia"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "105"
          "paginaFinal" => "108"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Bronchoscopy, a common examination in pneumology"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J.M. Lemoine"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "J.M."
              "apellidos" => "Lemoine"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615324145?idApp=UINPBA00003Z"
    "url" => "/03002896/0000001700000003/v1_201509151124/S0300289615324145/v1_201509151124/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289615324121"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)32412-1"
    "estado" => "S300"
    "fechaPublicacion" => "1981-05-01"
    "aid" => "72482"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1981;17:91-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1270
      "formatos" => array:3 [
        "EPUB" => 58
        "HTML" => 673
        "PDF" => 539
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "La broncoscopia en cirugia toracica"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "91"
          "paginaFinal" => "98"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Bronchoscopy in thoracic surgery"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F. Canseco Gonzalez, J.M. Rodriguez Paniagua, C. Hernandez Ortiz, F. Paniagua Montero, M. Casillas Pajuelo"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "F."
              "apellidos" => "Canseco Gonzalez"
            ]
            1 => array:2 [
              "nombre" => "J.M."
              "apellidos" => "Rodriguez Paniagua"
            ]
            2 => array:2 [
              "nombre" => "C."
              "apellidos" => "Hernandez Ortiz"
            ]
            3 => array:2 [
              "nombre" => "F."
              "apellidos" => "Paniagua Montero"
            ]
            4 => array:2 [
              "nombre" => "M."
              "apellidos" => "Casillas Pajuelo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615324121?idApp=UINPBA00003Z"
    "url" => "/03002896/0000001700000003/v1_201509151124/S0300289615324121/v1_201509151124/es/main.assets"
  ]
  "es" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Valoracion de la funcion pulmonar unilateral mediante broncoespirometria y gammagrafia de perfusion con macroagregados de albumina marcada con Tc-99m"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "99"
        "paginaFinal" => "104"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "A. De Vega, L. Palenciano, M.C. Fernandez, R. Rodriguez"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "A."
            "apellidos" => "De Vega"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Palenciano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "M&#46;C&#46;"
            "apellidos" => "Fernandez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "Rodriguez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Fisiolog&#237;a Respiratoria&#44; instituto Nacional de Silicosis &#40;Oviedo&#41;&#46; Instituto Nacional de Silicosis y Hospital General de Asturias&#46; Oviedo"
            "etiqueta" => "&#42;"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Nuclear&#44; Hospital General de Asturias &#40;Oviedo&#41;&#46; Instituto Nacional de Silicosis y Hospital General de Asturias&#46; Oviedo"
            "etiqueta" => "&#42;&#42;"
            "identificador" => "aff0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Evaluation of unilateral pulmonary function using bronchospirometry and gammagraphy of perfusi&#243;n with macroaggregates of albumin stained with Tc-99m"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "1980-07-28"
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En un grupo de &#46;18 pacientes&#44; 17 de ellos con varios tipos de patolog&#237;a broncopulmonar &#40;13 con carcinomas de pulm&#243;n&#44; uno con met&#225;stasis &#250;nica de fibrosarcoma&#44; uno con adenoma intrabronquial&#44; uno con bronquiectasias unilaterales extensas y uno con engrosamiento pleural&#41; y uno con carcinoma de es&#243;fago&#44; se ha comparado la broncoespirometr&#237;a cl&#225;sica con un nuevo m&#233;todo de valorar la funci&#243;n de cada pulm&#243;n a partir de la perfusi&#243;n que recibe estimada del porcentaje de atrapamiento de macroagregados de alb&#250;mina marcada con Tecnecio-99m inyectado previamente en una vena perif&#233;rica&#46; En cl&#237;nica&#44; la raz&#243;n por la que m&#225;s frecuentemente se requiere conocer la funci&#243;n de cada pulm&#243;n por separado es para hacer una estimaci&#243;n de la funci&#243;n del sano cuando se plantea una neumonectom&#237;a&#46; Para este fin&#44; ambos m&#233;todos dan informaci&#243;n pr&#225;cticamente similar&#44; si bien&#44; en los casos en que la perfusi&#243;n del pulm&#243;n enfermo est&#225; m&#225;s disminuida que su funci&#243;n ventilatoria&#44; el m&#233;todo del Tecnecio-99m tiende a sobrestimar&#44; respecto a la broncoespirometr&#237;a&#44; la funci&#243;n ventilatoria del pulm&#243;n sano debido a la redistribuci&#243;n de flujo que se produce hacia este &#250;ltimo&#46; Teniendo este hecho en cuenta en la valoraci&#243;n de resultados&#44; el m&#233;todo del Tecnecio-99m representa una alternativa v&#225;lida a la broncoespirometr&#237;a&#44; sobre la que tiene la ventaja de ser menos molesta para el paciente y mucho m&#225;s f&#225;cil de realizar para el m&#233;dico&#46;</p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<span id="abst1005" class="elsevierStyleSection elsevierViewall"><p id="spar0505" class="elsevierStyleSimplePara elsevierViewall">For a group of 18 patients&#44; 17 suffering from various types of bronchopulmonary pathology &#40;13 lung carcinomas&#44; 1 solitary met&#225;stasis of fibrosarcoma&#44; 1 intrabronchial adenoma&#44; 1 extense unilateral bronchiectasis and 1 pleural thickening&#41; and the eighteenth suffering from carcinoma of the esophagus&#44; the authors compared classic bronchospirometry with a new method for evaluating the function of each lung which is based on the estimated perfusi&#243;n it receives of the percentage of trapping of macroaggregates of albumin marked with Technetium-99&#44; previously injected in a peripheral vein&#46; In clinical practice&#44; the most frequent reason for needing to know the function of each lung separately is for estimating the performance of the healthy lung when a pneumonectomy is being considered&#46; For this purpose&#44; both methods give information that is very similar&#44; although&#44; in those cases in which perfusi&#243;n of the diseased lung is more reduced than its ventilatory function&#44; the method using Technetium-99m tends to overestimate&#44; with respect to bronchospirometry&#44; the ventilatory function of the healthy lung due to the redistribution of flow which is produced towards the healthy lung&#46; Taking this fact into account in the evaluation of results&#44; the method of Technetium-99m represents a valid alternative instead of bronchospirometry&#46;</p></span>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:20 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical&#44; physiologic&#44; morfologic examination of the lung in patients with bronchogenic carcinoma and the relation of the findings to postoperative deaths"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;F&#46; Boushy"
                            1 => "A&#46;H&#46; Helgason"
                            2 => "M&#46; Billing"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1970.101.5.685"
                      "Revista" => array:5 [
                        "tituloSerie" => "Am&#46; Rev&#46; Respir&#46; Dis"
                        "fecha" => "1970"
                        "volumen" => "101"
                        "paginaInicial" => "685"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5444734"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predicting loss of pulmonary function after pulmonary resection for bronchogenic carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Khalil ali"
                            1 => "C&#46;F&#46; Mountain"
                            2 => "M&#46;S&#46; Ewer"
                            3 => "D&#46; Johnston"
                            4 => "T&#46;P&#46; Haynie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1980"
                        "volumen" => "77"
                        "paginaInicial" => "337"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7357934"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prediction of postpneumonectomy pulmonary function using quantitative macroaggregate lung scanning"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;N&#46; Olsen"
                            1 => "A&#46;J&#46; Block"
                            2 => "J&#46;A&#46; Tobias"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1974"
                        "volumen" => "66"
                        "paginaInicial" => "13"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4846113"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prediction of pulmonary function loss due to Pneumonectomy using 133Xe-Radiospirometry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Kristerssons"
                            1 => "S&#46;E&#46; Lindell"
                            2 => "L&#46; Svanberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1972"
                        "volumen" => "62"
                        "paginaInicial" => "694"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4635418"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A new flexible catheter double-lumen for bronchospirometry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "E&#46; Carlens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Thorac&#46; Surg"
                        "fecha" => "1949"
                        "volumen" => "18"
                        "paginaInicial" => "742"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18149050"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La broncoespirometr&#237;a&#46; T&#233;cnica e indicaciones"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; Croce"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1962"
                        "editorial" => "Editorial Cient&#237;fico M&#233;dica"
                        "editorialLocalizacion" => "&#40;Madrid&#41;"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchospirometry VI&#46; Results of 1&#46;089 examinations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46;A&#46; Gaensler"
                            1 => "T&#46;R&#46; Watson"
                            2 => "W&#46;E&#46; Patton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Lab&#46; Clin&#46; Med"
                        "fecha" => "1953"
                        "volumen" => "41"
                        "paginaInicial" => "436"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13035280"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Signification de la repartition de la consomation d&#8217;oxygene et de la ventilation avant chirurgie thoracique"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Ranson Bitker"
                            1 => "D&#46; Silbert Aidan"
                            2 => "M&#46; Le Roy Ladurie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Bull&#46; Physiopath&#46; Resp&#46;"
                        "fecha" => "1970"
                        "volumen" => "6"
                        "paginaInicial" => "687"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "133Xe-radiospirometry&#46; A clinical method for studying regional lung function"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46; Mi&#246;rner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Scand&#46; J&#46; Resp&#46; Dis&#46;&#44; Sttppl&#46;"
                        "fecha" => "1968"
                        "volumen" => "64"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary function studies with radiactive gases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;B&#46; West"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Annual Rev&#46; Med&#46;"
                        "fecha" => "1967"
                        "volumen" => "18"
                        "paginaInicial" => "459"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assesment of regional ventilation by continous inhalation of Kripton-81"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "F&#46; Fazio"
                            1 => "T&#46; Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Br&#46; Med&#46; J&#46;"
                        "fecha" => "1975"
                        "volumen" => "3"
                        "paginaInicial" => "673"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1182453"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of pulmonary function using Xe-133 and the scintillation camera"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;D&#46; Loken"
                            1 => "H&#46;D&#46; Westgate"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am&#46; J&#46; Roentgenol&#46; Radium&#46; Ther&#46; Nucl&#46; Med&#46;"
                        "fecha" => "1967"
                        "volumen" => "100"
                        "paginaInicial" => "835"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4951448"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Radioisotopes in the study of pulmonary function in health and disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;M&#46; Ackery"
                            1 => "F&#46;G&#46;M&#46; Sterling"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "&#171;Recent Advances in Respiratory Medicine&#187;&#44; p&#225;g&#46; 4"
                        "serieFecha" => "1976"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Regional pulmonary blood flow in man by radioisotope scanning"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46;N&#46; Wagner"
                            1 => "D&#46;C&#46; Sabiston"
                            2 => "J&#46; Iio Mcaffe"
                            3 => "J&#46;K&#46; Meyer"
                            4 => "J&#46;K&#46; Lagan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1964"
                        "volumen" => "187"
                        "paginaInicial" => "601"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14089012"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of masive pulmonary embolism in man by radioisotope scanning"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46;N&#46; Wagner"
                            1 => "D&#46;C&#46; Sabiston"
                            2 => "J&#46;G&#46; Macafee"
                            3 => "D&#46; Tow"
                            4 => "H&#46;S&#46; Stern"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJM196408202710801"
                      "Revista" => array:5 [
                        "tituloSerie" => "N&#46; Engl&#46; J&#46; Med&#46;"
                        "fecha" => "1964"
                        "volumen" => "271"
                        "paginaInicial" => "377"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14164654"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estimation of differential pulmonary blood flow by bronchospirometry and radioisotope scanning during rest and exercice"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "V&#46; Cherniack"
                            1 => "V&#46; Lopez Majano"
                            2 => "H&#46;N&#46; Wagner"
                            3 => "R&#46;E&#46; Dutton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1965.92.6P1.958"
                      "Revista" => array:5 [
                        "tituloSerie" => "Am&#46; Rev&#46; Respir&#46; Dis&#46;"
                        "fecha" => "1965"
                        "volumen" => "92"
                        "paginaInicial" => "958"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5844256"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Respiratory Diseases&#44; p&#225;g&#46; 48"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Crofton"
                            1 => "A&#46; Douglas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1969"
                        "editorial" => "Blackwell"
                        "editorialLocalizacion" => "&#40;Oxford&#41;"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Utilidad del estudio ventilaci&#243;n&#47;perfusi&#243;n en algunos tipos de enfisema pulmonar mediante la broncoespirometr&#237;a"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "F&#46;J&#46; Fuentes"
                            1 => "A&#46; Clariana"
                            2 => "J&#46; Pedro-Botet"
                            3 => "A&#46; Roca"
                            4 => "F&#46;A&#46;J Morer"
                            5 => "A&#46; Cadahia"
                            6 => "B&#46; Rodriguez-sanchon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Med&#46; Cl&#237;n&#46; &#40;Barcelona&#41;"
                        "fecha" => "1974"
                        "volumen" => "63"
                        "paginaInicial" => "115"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Radioisotipe scanning of the lungs in early diagnosis of bronchogenic carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46;N&#46; Wagner"
                            1 => "V&#46; Lopez-majano"
                            2 => "D&#46; Tow"
                            3 => "J&#46;K&#46; Langan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1965"
                        "volumen" => "1"
                        "paginaInicial" => "344"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2857398"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prospective evaluation for pneumonectomy using the <span class="elsevierStyleSup">99m</span>Technetium quantitative lung sean"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "PH&#46;G&#46; Boysen"
                            1 => "A&#46;J&#46; Block"
                            2 => "G&#46;N&#46;V&#46; Olsen"
                            3 => "P&#46; Moulder"
                            4 => "J&#46;O&#46; Harris"
                            5 => "R&#46;E&#46; Rwitscher"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1977"
                        "volumen" => "72"
                        "paginaInicial" => "4"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/03002896/0000001700000003/v1_201509151124/S0300289615324133/v1_201509151124/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9277"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000001700000003/v1_201509151124/S0300289615324133/v1_201509151124/es/main.pdf?idApp=UINPBA00003Z&text.app=https://www.archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615324133?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 17. Issue 3.
Pages 99-104 (May - June 1981)
Share
Share
Download PDF
More article options
Vol. 17. Issue 3.
Pages 99-104 (May - June 1981)
Full text access
Valoracion de la funcion pulmonar unilateral mediante broncoespirometria y gammagrafia de perfusion con macroagregados de albumina marcada con Tc-99m
Evaluation of unilateral pulmonary function using bronchospirometry and gammagraphy of perfusión with macroaggregates of albumin stained with Tc-99m
Visits
3725
A. De Vega*, L. Palenciano*, M.C. Fernandez*, R. Rodriguez**
* Servicio de Fisiología Respiratoria, instituto Nacional de Silicosis (Oviedo). Instituto Nacional de Silicosis y Hospital General de Asturias. Oviedo
** Servicio de Medicina Nuclear, Hospital General de Asturias (Oviedo). Instituto Nacional de Silicosis y Hospital General de Asturias. Oviedo
This item has received
Article information
Abstract
Bibliography
Download PDF
Statistics
Resumen

En un grupo de .18 pacientes, 17 de ellos con varios tipos de patología broncopulmonar (13 con carcinomas de pulmón, uno con metástasis única de fibrosarcoma, uno con adenoma intrabronquial, uno con bronquiectasias unilaterales extensas y uno con engrosamiento pleural) y uno con carcinoma de esófago, se ha comparado la broncoespirometría clásica con un nuevo método de valorar la función de cada pulmón a partir de la perfusión que recibe estimada del porcentaje de atrapamiento de macroagregados de albúmina marcada con Tecnecio-99m inyectado previamente en una vena periférica. En clínica, la razón por la que más frecuentemente se requiere conocer la función de cada pulmón por separado es para hacer una estimación de la función del sano cuando se plantea una neumonectomía. Para este fin, ambos métodos dan información prácticamente similar, si bien, en los casos en que la perfusión del pulmón enfermo está más disminuida que su función ventilatoria, el método del Tecnecio-99m tiende a sobrestimar, respecto a la broncoespirometría, la función ventilatoria del pulmón sano debido a la redistribución de flujo que se produce hacia este último. Teniendo este hecho en cuenta en la valoración de resultados, el método del Tecnecio-99m representa una alternativa válida a la broncoespirometría, sobre la que tiene la ventaja de ser menos molesta para el paciente y mucho más fácil de realizar para el médico.

Summary

For a group of 18 patients, 17 suffering from various types of bronchopulmonary pathology (13 lung carcinomas, 1 solitary metástasis of fibrosarcoma, 1 intrabronchial adenoma, 1 extense unilateral bronchiectasis and 1 pleural thickening) and the eighteenth suffering from carcinoma of the esophagus, the authors compared classic bronchospirometry with a new method for evaluating the function of each lung which is based on the estimated perfusión it receives of the percentage of trapping of macroaggregates of albumin marked with Technetium-99, previously injected in a peripheral vein. In clinical practice, the most frequent reason for needing to know the function of each lung separately is for estimating the performance of the healthy lung when a pneumonectomy is being considered. For this purpose, both methods give information that is very similar, although, in those cases in which perfusión of the diseased lung is more reduced than its ventilatory function, the method using Technetium-99m tends to overestimate, with respect to bronchospirometry, the ventilatory function of the healthy lung due to the redistribution of flow which is produced towards the healthy lung. Taking this fact into account in the evaluation of results, the method of Technetium-99m represents a valid alternative instead of bronchospirometry.

Full text is only aviable in PDF
Bibliografia
[1.]
S.F. Boushy, A.H. Helgason, M. Billing.
Clinical, physiologic, morfologic examination of the lung in patients with bronchogenic carcinoma and the relation of the findings to postoperative deaths.
Am. Rev. Respir. Dis, 101 (1970), pp. 685
[2.]
M. Khalil ali, C.F. Mountain, M.S. Ewer, D. Johnston, T.P. Haynie.
Predicting loss of pulmonary function after pulmonary resection for bronchogenic carcinoma.
Chest, 77 (1980), pp. 337
[3.]
G.N. Olsen, A.J. Block, J.A. Tobias.
Prediction of postpneumonectomy pulmonary function using quantitative macroaggregate lung scanning.
Chest, 66 (1974), pp. 13
[4.]
S. Kristerssons, S.E. Lindell, L. Svanberg.
Prediction of pulmonary function loss due to Pneumonectomy using 133Xe-Radiospirometry.
Chest, 62 (1972), pp. 694
[5.]
E. Carlens.
A new flexible catheter double-lumen for bronchospirometry.
J. Thorac. Surg, 18 (1949), pp. 742
[6.]
P. Croce.
La broncoespirometría. Técnica e indicaciones.
Editorial Científico Médica, (1962),
[7.]
E.A. Gaensler, T.R. Watson, W.E. Patton.
Bronchospirometry VI. Results of 1.089 examinations.
J. Lab. Clin. Med, 41 (1953), pp. 436
[8.]
B. Ranson Bitker, D. Silbert Aidan, M. Le Roy Ladurie.
Signification de la repartition de la consomation d’oxygene et de la ventilation avant chirurgie thoracique.
Bull. Physiopath. Resp., 6 (1970), pp. 687
[9.]
G. Miörner.
133Xe-radiospirometry. A clinical method for studying regional lung function.
Scand. J. Resp. Dis., Sttppl., 64 (1968),
[10.]
J.B. West.
Pulmonary function studies with radiactive gases.
Annual Rev. Med., 18 (1967), pp. 459
[11.]
F. Fazio, T. Jones.
Assesment of regional ventilation by continous inhalation of Kripton-81.
Br. Med. J., 3 (1975), pp. 673
[12.]
M.D. Loken, H.D. Westgate.
Evaluation of pulmonary function using Xe-133 and the scintillation camera.
Am. J. Roentgenol. Radium. Ther. Nucl. Med., 100 (1967), pp. 835
[13.]
D.M. Ackery, F.G.M. Sterling.
Radioisotopes in the study of pulmonary function in health and disease.
«Recent Advances in Respiratory Medicine», pág. 4,
[14.]
H.N. Wagner, D.C. Sabiston, J. Iio Mcaffe, J.K. Meyer, J.K. Lagan.
Regional pulmonary blood flow in man by radioisotope scanning.
JAMA, 187 (1964), pp. 601
[15.]
H.N. Wagner, D.C. Sabiston, J.G. Macafee, D. Tow, H.S. Stern.
Diagnosis of masive pulmonary embolism in man by radioisotope scanning.
N. Engl. J. Med., 271 (1964), pp. 377
[16.]
V. Cherniack, V. Lopez Majano, H.N. Wagner, R.E. Dutton.
Estimation of differential pulmonary blood flow by bronchospirometry and radioisotope scanning during rest and exercice.
Am. Rev. Respir. Dis., 92 (1965), pp. 958
[17.]
J. Crofton, A. Douglas.
Respiratory Diseases, pág. 48.
Blackwell, (1969),
[18.]
F.J. Fuentes, A. Clariana, J. Pedro-Botet, A. Roca, F.A.J Morer, A. Cadahia, B. Rodriguez-sanchon.
Utilidad del estudio ventilación/perfusión en algunos tipos de enfisema pulmonar mediante la broncoespirometría.
Med. Clín. (Barcelona), 63 (1974), pp. 115
[19.]
H.N. Wagner, V. Lopez-majano, D. Tow, J.K. Langan.
Radioisotipe scanning of the lungs in early diagnosis of bronchogenic carcinoma.
Lancet, 1 (1965), pp. 344
[20.]
PH.G. Boysen, A.J. Block, G.N.V. Olsen, P. Moulder, J.O. Harris, R.E. Rwitscher.
Prospective evaluation for pneumonectomy using the 99mTechnetium quantitative lung sean.
Chest, 72 (1977), pp. 4
Copyright © 1981. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?