Evidence map›Paper›PMID 40009185›Full record

ArticleSurgery today2025

An increase in micro-vessels beneath the pleural surface on computed tomography as a preoperative predictor of pleural adhesions: a prospective study.

Tomoyuki Kawamura, Naohiro Kobayashi, Takahiro Yanagihara, Yukinobu Goto, Hideo Ichimura, Yukio Sato

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PubMed Full text at PMC Publisher
In one paragraph

Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Tomoyuki KawamuraDepartment of Thoracic Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.
Naohiro KobayashiDepartment of Thoracic Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan. naohiro.kobayashi@md.tsukuba.ac.jp.
Takahiro YanagiharaDepartment of Thoracic Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.
Yukinobu GotoDepartment of Thoracic Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.
Hideo IchimuraDepartment of Thoracic Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.
Yukio SatoDepartment of Thoracic Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePleural adhesions, which may be present in varying degrees and involve blood vessels, often complicate thoracic surgery. The blood flow within pleural adhesions can be identified on computed tomography (CT) as micro-vessels beneath the pleural surface (MVBP). We conducted a prospective study to assess if MVBP can be detected on preoperative CT to predict intraoperative pleural adhesions.

methodsThis prospective study investigated the preoperative CT images of patients scheduled to undergo surgery for lung tumors. MVBP was defined as positive when lung vessels were identified below the pleura on CT. MVBP was evaluated for each lung segment, and intraoperative findings of pleural adhesions on the segments were then recorded.

resultsThis study included 173 patients, with 1532 segments evaluated. Pleural adhesions were found in 51 patients and confirmed in 92 segments. The number of segments evaluated preoperatively as MVBP-positive was 134 (9%), of which 36 (26.9%) had pleural adhesions. Multivariable analysis identified that MVBP was an independent significant predictor (odds ratio = 2.29, 95% confidence interval 1.09-4.80, P = 0.028) of pleural adhesions on a per-patient basis.

conclusionsMVBP is a valuable predictor of pleural adhesions. The method is useful in clinical practice because it does not require additional examinations and is easy to assess.

Indexed as

MicrovesselsPleuraPleural DiseasesTomography, X-Ray ComputedAdultAgedAged, 80 and overFemaleHumansLungLung NeoplasmsMaleMiddle AgedPredictive Value of TestsPreoperative CarePreoperative PeriodBlood flowPleural adhesionPreoperative CTThoracic surgery

Identifiers

PMID40009185
PMCPMC12339646

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