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Department of Pediatric Surgery, Children's Hospital of Buffalo, Buffalo, New York
Departments of Radiology and Surgery, University of New Mexico School of Medicine
Department of Radiology, Veterans Affairs Medical Center, Albuquerque, New Mexico
Correspondence: For correspondence or reprints contact: Robert J. Telepak, MD, Department of Radiology, University of New Mexico School of Medicine. Albuquerque, NM 87131-5336.
ABSTRACT
Nuclear medicine Fourier phase analysis of first-pass data was used to evaluate blood flow to cystic lung masses in two children suspected of having pulmonary sequestrations. In both cases, the Fourier images provided a rapid, noninvasive, inexpensive analysis of the blood supply to the masses and permitted identification of the masses as pulmonary sequestrations. The analysis does not depend on the location of the mass and demonstrates the location of systemic rather than pulmonic arterial blood supply to the mass. In one case, Fourier analysis identified a second source of systemic blood supply not visible with other imaging modalities. Preoperative assessment of a cystic lung mass using Fourier analysis enables noninvasive classification of the mass as a pulmonary sequestration with systemic blood supply and aids the surgeon in resection.
Key Words: pulmonary sequestration Fourier phase analysis technetium-99m-DTPA radionuclide angiography lung
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