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Insights into Imaging
Published in: Insights into Imaging 1/2020

01-12-2020 | Computed Tomography | Educational Review

Imaging indications and findings in evaluation of lung transplant graft dysfunction and rejection

Authors: Mnahi Bin Saeedan, Sanjay Mukhopadhyay, C. Randall Lane, Rahul D. Renapurkar

Published in: Insights into Imaging | Issue 1/2020

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Abstract

Lung transplantation is a treatment option in end-stage lung disease. Complications can develop along a continuum in the immediate or longer post-transplant period, including surgical and technical complications, primary graft dysfunction, rejection, infections, post-transplant lymphoproliferative disorder, and recurrence of the primary disease. These complications have overlapping clinical and imaging features and often co-exist. Time of onset after transplant is helpful in narrowing the differential diagnosis. In the early post transplantation period, imaging findings are non-specific and need to be interpreted in the context of the clinical picture and other investigations. In contrast, imaging plays a key role in diagnosing and monitoring patients with chronic lung allograft dysfunction. The goal of this article is to review primary graft dysfunction, acute rejection, and chronic rejection with emphasis on the role of imaging, pathology findings, and differential diagnosis.
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Metadata
Title
Imaging indications and findings in evaluation of lung transplant graft dysfunction and rejection
Authors
Mnahi Bin Saeedan
Sanjay Mukhopadhyay
C. Randall Lane
Rahul D. Renapurkar
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 1/2020
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1186/s13244-019-0822-7

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