caa a22 4500 475753089 CHVBK 20180406123530.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/s005950070038 doi (NATIONALLICENCE)springer-10.1007/s005950070038 Analysis of the anatomic changes in the thoracic cage after a lung resection using magnetic resonance imaging [Elektronische Daten] [Makoto Nonaka, Mitsutaka Kadokura, Shigeru Yamamoto, Daisuke Kataoka, Katsuyoshi Iyano, Tamio Kushihashi, Tadanori Kawada, Toshihiro Takaba] The thoracic cage after a lung resection is filled by the remaining lobes, the elevated diaphragm, the diminished thoracic cage, and by mediastinal shifting. The changes in the thorax after a lung resection were quantified using magnetic resonance imaging. The study group consisted of 39 patients who had undergone a lobectomy, four who had undergone a pneumonectomy, and 14 controls. The left ventricular angle, ascending aortic angle, mediastinal shift, longitudinal length of the thoracic cage, the distance between the thoracic apex and the level of the aortic valve, and diaphragmatic elevation were all measured. After a right lower lobectomy, the mediastinum shifted more rightward than after a right upper lobectomy. The diaphragm became more greatly elevated after a right upper lobectomy than after a right lower lobectomy. When a chest wall resection was added to a right upper lobectomy, the mediastinal anatomical changes decreased. After a left upper lobectomy, the degree of mediastinal shifting was greater than after a left lower lobectomy. A left upper lobectomy shifted the mediastinum at the level of the right atrium. This method is easily reproducible and was found to be effective for quantifying the changes in the thorax after a lung resection. Springer-Verlag, 2000 Lung lobectomy nationallicence Magnetic resonance imaging nationallicence Left ventricular geometry nationallicence Mediastinum nationallicence Diaphragm nationallicence Nonaka Makoto First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut Kadokura Mitsutaka First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut Yamamoto Shigeru First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut Kataoka Daisuke First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut Iyano Katsuyoshi First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut Kushihashi Tamio Department of Radiology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut Kawada Tadanori First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut Takaba Toshihiro First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut Surgery Today Springer-Verlag 30/10(2000-10-01), 879-885 0941-1291 30:10<879 2000 30 595 https://doi.org/10.1007/s005950070038 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070038 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nonaka Makoto First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut NATIONALLICENCE 700 1- Kadokura Mitsutaka First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut NATIONALLICENCE 700 1- Yamamoto Shigeru First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut NATIONALLICENCE 700 1- Kataoka Daisuke First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut NATIONALLICENCE 700 1- Iyano Katsuyoshi First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut NATIONALLICENCE 700 1- Kushihashi Tamio Department of Radiology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut NATIONALLICENCE 700 1- Kawada Tadanori First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut NATIONALLICENCE 700 1- Takaba Toshihiro First Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, 142-8666, Tokyo, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/10(2000-10-01), 879-885 0941-1291 30:10<879 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer