Comparison of computed and conventional whole lung tomography in detecting pulmonary nodules: a prospective radiologic-pathologic study
| Autor: | John L. Doppman, Schaner Eg, D. M. Conkle, S. A. Rosenberg, Alfred E. Chang, M. W. Flye |
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| Rok vydání: | 1978 |
| Předmět: |
Adult
Male medicine.medical_specialty Lung Neoplasms Adolescent medicine.medical_treatment medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Thoracotomy Neoplasm Metastasis Child Prospective cohort study Rhabdomyosarcoma Melanoma Osteosarcoma Lung Tomography X-Ray business.industry Nodule (medicine) General Medicine medicine.disease medicine.anatomical_structure Female Radiology Tomography Sarcoma medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | American Journal of Roentgenology. 131:51-54 |
| ISSN: | 1546-3141 0361-803X |
| Popis: | Whole lung computed tomography (CT) was performed on 25 patients with clinical diagnoses including osteogenic sarcoma. Ewing's sarcoma, rhabdomyosarcoma, fibrosarcoma, and melanoma in whom conventional tomography had revealed from one to four parenchymal nodules in one lung deemed resectable for either staging or treatment purposes. Thoracotomy was performed within 3 weeks after conventional and computed whole lung tomography. All palpable nodules were resected, measured at the time of surgery, mapped by anatomic segment, and submitted for individual histologic evaluation. CT defined more nodules than conventional tomography in 48% of cases. The additional nodules were usually pleural or subpleural and 3--6 mn in diameter. CT identified 78% of all resected nodules greater than 3 mm in diameter, compared to 59% using conventional tomography. CT was also of value in detecting bilateral nodules earlier than conventional tomography and in documenting small nodule growth on successive examination. However, 60% of the additional nodules defined by CT and resected proved to be benign granulomas and pleural-based nodes at thoracotomy. |
| Databáze: | OpenAIRE |
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