Radiologic imaging is vital to determining whether lung volume reduction surgery (LVRS) is a potential therapeutic option for patients with severe chronic obstructive pulmonary disease. The importance of imaging in patient selection for LVRS has been emphasized by numerous studies relating preoperative imaging features to postoperative outcomes. This article reviews the radiologic features assessed in the LVRS evaluation, summarizes the relationships between preoperative radiologic features and postoperative outcomes, and addresses the limitations of imaging in guiding patient selection.
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