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Pulmonary Imaging Findings After Surgery, Chemotherapy and Radiotherapy

  • Roberto Scipione
  • Fabrizio Boni
  • Renato Argirò
  • Michele Anzidei
Chapter

Abstract

Imaging plays a central role in the management of patients undergoing lung surgery and/or chemo- and radiotherapy, allowing both to assess the efficacy of the procedures and to identify possible treatment-related complications. The radiologist should be familiar with surgical procedures and postoperative radiological evolution, mechanisms of action of main chemotherapy drugs, and modern applications of radiotherapy, in order to differentiate “normal” anatomy from pathologic treatment-related presentations.

Early post-surgery monitoring is usually managed by chest X-ray, since it is a fast, easy, and cheap tool that allows the assessment of intrathoracic device positioning and the identification of the more frequent intervention-related complications (such as pleural effusion, pneumothorax, and pneumonia), with limited radiation exposure. On the other hand, the evaluation of more complex treatment-related complications unavoidably requires CT imaging.

In this chapter, we focus on the main radiological findings after thoracic surgery, focusing on the “normal” anatomic evolution and on the pathological changes observed in early and late complications.

Keywords

Lung surgery Chemotherapy Radiotherapy Chest X-ray CT Postsurgical complications 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Roberto Scipione
    • 1
  • Fabrizio Boni
    • 1
  • Renato Argirò
    • 2
  • Michele Anzidei
    • 1
  1. 1.Department of Radiological, Oncological and Pathological Sciences, Policlinico Umberto ISapienza University of RomeRomeItaly
  2. 2.Department of RadiologyPoliclinico Universitario Campus Bio-MedicoRomeItaly

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