Computed Tomography Clinical Trial
Official title:
Measurement of Tracheobronchial Tree Using Multiplane CT Reconstructions to Guide Selecting Double-lumen Tubes
Anatomical variations of right main bronchus have been discouraged anesthesiologists' use of
right-sided double lumen tubes to facilitate one-lung anesthesia. However, there are absolute
indications of right-sided DLTs surgically, such as left pneumonectomy or in cases with left
main endobronchial lesions.
With recent advances of 3-dimensional spiral CT reconstruction technique, the investigators
conducted this retrospective study to measure accurate length of right and left main bronchus
and the angle between the center of the right main bronchus and right upper lobe orifice in
axial image to help choosing and further manufacturing right-sided double-lumen tubes.
All CT images will be reviewed using the image measurement software with a slice thickness of
1 mm. A level of -450 Hounsfield units and a width of 1000 Hounsfield units were used for
bronchial window settings.
The length of right and left main bronchus will be measured from the tracheal bifurcation to
the point of their first branches, respectively, in both 2D- and 3D-CT images. The
anteroposterior angulation of right upper lobar bronchus will be measured from the axial
2D-images by the angle between the horizontal midline of the right main bronchus and the
center of the RUL orifice which indicates the origin of the RUL bronchus in which the right
upper lobar bronchus shows maximal diameter.
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