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Fig. 1B. Assessment of fractional lung function by quantitative CT
versus perfusion scintigraphy. Preoperative forced expiratory volume in 1 sec
(FEV1) in 73-year-old man with chronic dyspnea with recent
hemoptysis for 2 months was 1.21 L. FEV1 after left-sided
pneumonectomy was 0.81 L. Loss of FEV1 was 33%, close to prediction
by quantitative CT. Attenuation histogram of quantitative CT integrated from
multiple slices encompassing both lungs entirely. Entire lung volume was
calculated from area under curve measuring from -1,024 to -200 H. Functional
lung volume was fractional volume between -500 and -910 H (two vertical
lines). Functional lung volume of left lung was 1,363 mL; functional lung
volume of right lung was 2,292 mL. Left/right ratio of functional lung volume
was 35% versus 65%. Quantitative CTpredicted forced expiratory volume
in 1 sec (FEV1) loss was 35%. R = right lung, L = left lung, R + L
= combination.