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A ventilation/perfusion lung scan, also called a V/Q lung scan, or ventilation/perfusion scintigraphy, is a type of medical imaging using scintigraphy and medical isotopes to evaluate the circulation of air and blood within a patient's lungs, [1] [2] in order to determine the ventilation/perfusion ratio.
Ventilation Scan is abnormal but perfusion scan is normal indicating abnormal airway suggesting COPD or asthma. Ventilation Scan is normal but perfusion is abnormal indicating any obstruction to the blood flow (perfusion), may be because of the pulmonary embolism obstructing the flow. Both scans are abnormal. It may be found in pneumonia or COPD.
This matching may be assessed in the lung as a whole, or in individual or in sub-groups of gas-exchanging units in the lung. On the other side Ventilation-perfusion mismatch is the term used when the ventilation and the perfusion of a gas exchanging unit are not matched. The actual values in the lung vary depending on the position within the lung.
Ventilation/perfusion scans, sometimes called a VQ (V=Ventilation, Q=perfusion) scan, is a way of identifying mismatched areas of blood and air supply to the lungs. It is primarily used to detect a pulmonary embolus. The perfusion part of the study uses a radioisotope tagged to the blood which shows where in the lungs the blood is perfusing.
A pulmonary ventilation-perfusion scan (lung V/Q scan) can be used to diagnose the V/Q mismatch. A ventilation scan is used to measure airflow spread and a perfusion scan for blood flow distribution in the lungs. A radioactive tracer is used to scan the whole lung and the ventilation and perfusion function. [21]
State of the art modern CT scanners with a scan rate of up to 320 mm/s can acquire all the images within a 1-second X-ray exposure, avoiding the problems of respiratory motion, cardiac motion and contrast draining from the pulmonary circulation during the study. Even though the actual scan may be completed in 1 second or less, considerable ...
Surgery to remove these items typically costs between $800 and $5,000, depending on the complexity of the procedure and whether the object caused any internal damage. Endoscopic procedures are ...
Pulmonary function testing is a safe procedure; however, there is cause for concern regarding untoward reactions and the value of the test data should be weighed against potential hazards. Some complications include dizziness, shortness of breath, coughing, pneumothorax, and inducing an asthma attack.