| Autor: |
Milanese G; Radiological Sciences, Department of Medicine and Surgery (DiMeC), University Hospital of Parma, 43126 Parma, Italy., Sabia F; Fondazione IRCCS Istituto Nazionale Tumori of Milan, 20133 Milan, Italy., Ledda RE; Radiological Sciences, Department of Medicine and Surgery (DiMeC), University Hospital of Parma, 43126 Parma, Italy.; Fondazione IRCCS Istituto Nazionale Tumori of Milan, 20133 Milan, Italy., Sestini S; Fondazione IRCCS Istituto Nazionale Tumori of Milan, 20133 Milan, Italy., Marchianò AV; Fondazione IRCCS Istituto Nazionale Tumori of Milan, 20133 Milan, Italy., Sverzellati N; Radiological Sciences, Department of Medicine and Surgery (DiMeC), University Hospital of Parma, 43126 Parma, Italy., Pastorino U; Fondazione IRCCS Istituto Nazionale Tumori of Milan, 20133 Milan, Italy. |
| Abstrakt: |
This study aims to compare the low-dose computed tomography (LDCT) outcome and volume-doubling time (VDT) derived from the measured volume (MV) and estimated volume (EV) of pulmonary nodules (PNs) detected in a single-center lung cancer screening trial. MV, EV and VDT were obtained for prevalent pulmonary nodules detected at the baseline round of the bioMILD trial. The LDCT outcome (based on bioMILD thresholds) and VDT categories were simulated on PN- and screenee-based analyses. A weighted Cohen's kappa test was used to assess the agreement between diagnostic categories as per MV and EV, and 1583 screenees displayed 2715 pulmonary nodules. In the PN-based analysis, 40.1% PNs were included in different LDCT categories when measured by MV or EV. The agreements between MV and EV were moderate (κ = 0.49) and fair (κ = 0.37) for the LDCT outcome and VDT categories, respectively. In the screenee-based analysis, 46% pulmonary nodules were included in different LDCT categories when measured by MV or EV. The agreements between MV and EV were moderate (κ = 0.52) and fair (κ = 0.34) for the LDCT outcome and VDT categories, respectively. Within a simulated lung cancer screening based on a recommendation by estimated volumetry, the number of LDCTs performed for the evaluation of pulmonary nodules was higher compared with in prospective volumetric management. |
