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There was no volume mismatch in the residual middle lobe and thoracic cavity.
There is no evident volume mismatch in the residual middle lobe and thoracic cavity.
The large right heart volume may also limit left ventricular volume within the pericardial sack and exacerbate the right to left stroke volume mismatch (ventricular-ventricular interdependence).
Differential changes of right and left cardiac indices suggest an important right to left stroke volume mismatch and an associated increase in pulmonary capillary pressure [12].
Nevertheless, if capturing peak arterial attenuation is not deemed crucial for perfusion analysis, i.e. when applying Patlak analysis only, shortening the duration of breath-holds might be a valid option to reduced volume mismatch.
A further potential problem was the possibility of emphysematous change in the residual middle lobe after surgery due to a volume mismatch in the middle lobe and thoracic cavity.
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Accordingly, we consider it important to prevent postoperative torsion by preserving only the middle lobe in the perioperative period, and that a minimal degree of volume mismatching, as confirmed by preoperative CT, should be able to prevent emphysematous changes in the residual middle lobe.
It is by no means clear that an absolute volume of mismatch of >15 ml or ratio >1.8 is the 'ideal' (Wintermark et al., 2013).
Consequently, CT data is not always in spatial correspondence with the PET data and CT applied for attenuation correction (AC) in PET may lead to the underestimation of SUVmax of tumors, overestimation of tumor volume, and mismatched PET and CT images and tumor inaccurate localization, hence potential misdiagnoses [ 4– 8].
Phantom results show our mismatch volume calculations are unbiased at realistic noise levels.
We have designed a tool for semi-automated segmentation of the images and calculation of the mismatch volume.
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