Brief Report: Increasing Prevalence of Ground-Glass Nodules and Semisolid Lung Lesions on Outpatient Chest Computed Tomography Scans

Autor: Gavitt A. Woodard, MD, Brooks V. Udelsman, MD, MHS, Samantha R. Prince, BS, Justin D. Blasberg, MD, Andrew P. Dhanasopon, MD, Christopher P. Gange, Jr., MD, Leah Traube, MD, Vincent J. Mase, MD, Daniel J. Boffa, MD, Frank C. Detterbeck, MD, Anna S. Bader, MD, MS
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: JTO Clinical and Research Reports, Vol 4, Iss 12, Pp 100583- (2023)
Druh dokumentu: article
ISSN: 2666-3643
DOI: 10.1016/j.jtocrr.2023.100583
Popis: Introduction: The increased use of cross-sectional imaging frequently identifies a growing number of lung nodules that require follow-up imaging studies and physician consultations. We report here the frequency of finding a ground-glass nodule (GGN) or semisolid lung lesion (SSL) in the past decade within a large academic health system. Methods: A radiology system database review was performed on all outpatient adult chest computed tomography (CT) scans between 2013 and 2022. Radiology reports were searched for the terms “ground-glass nodule,” “subsolid,” and “semisolid” to identify reports with findings potentially concerning for an adenocarcinoma spectrum lesion. Results: A total of 175,715 chest CT scans were performed between 2013 and 2022, with a steadily increasing number every year from 10,817 in 2013 to 21,916 performed in the year 2022. Identification of GGN or SSL on any outpatient CT increased from 5.9% in 2013 to 9.2% in 2022, representing a total of 2019 GGN or SSL reported on CT scans in 2022. The percentage of CT scans with a GGN or SSL finding increased during the study period in men and women and across all age groups above 50 years old. Conclusions: The total number of CT scans performed and the percentage of chest CT scans with GGN or SSL has more than doubled between 2013 and 2022; currently, 9% of all chest CT scans report a GGN or SSL. Although not all GGN or SSL radiographic findings represent true adenocarcinoma spectrum lesions, they are a growing burden to patients and health systems, and better methods to risk stratify radiographic lesions are needed.
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