Solitary pulmonary nodules: Detection, characterization, and guidance for further diagnostic workup and treatment

被引:97
作者
Jeong, Yeong Joo
Yi, Chin A.
Lee, Kyung Soo
机构
[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol, Seoul 135710, South Korea
[2] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Ctr Imaging Sci, Seoul 135710, South Korea
关键词
chest imaging; dynamic CT; lung; lung neoplasms; PET/CT; screening; solitary pulmonary nodules;
D O I
10.2214/AJR.05.2131
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 [临床医学]; 100207 [影像医学与核医学]; 1009 [特种医学];
摘要
OBJECTIVE. The purpose of our study is to improve radiologists' understanding of the clinical issues involved in making a diagnosis and to guide further diagnostic workup and treatment of solitary pulmonary nodules (SPNs). CONCLUSION. Information on the morphologic and hemodynamic characteristics of SPNs provided by dynamic helical CT, with high specificity and reasonably high accuracy, can be used for initial assessment. PET/CT is more sensitive at detecting malignancy than dynamic helical CT, and all malignant nodules may be potentially diagnosed as malignant by both techniques. Therefore, PET/CT may be selectively performed to characterize SPNs that show indeterminate results at dynamic helical CT.
引用
收藏
页码:57 / 68
页数:12
相关论文
共 86 条
[1]
Evolution of peripheral lung adenocarcinomas: CT findings correlated with histology and tumor doubling time [J].
Aoki, T ;
Nakata, H ;
Watanabe, H ;
Nakamura, K ;
Kasai, T ;
Hashimoto, H ;
Yasumoto, K ;
Kido, M .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 174 (03) :763-768
[2]
Peripheral lung adenocarcinoma: Correlation of thin-section CT findings with histologic prognostic factors and survival [J].
Aoki, T ;
Tomoda, Y ;
Watanabe, H ;
Nakata, H ;
Kasai, T ;
Hashimoto, H ;
Kodate, M ;
Osaki, T ;
Yasumoto, K .
RADIOLOGY, 2001, 220 (03) :803-809
[3]
Lung cancer: Performance of automated lung nodule detection applied to cancers missed in a CT screening program [J].
Armato, SG ;
Li, F ;
Giger, ML ;
MacMahon, H ;
Sone, S ;
Doi, K .
RADIOLOGY, 2002, 225 (03) :685-692
[4]
Resection of pulmonary nodules using video-assisted thoracic surgery [J].
Bernard, A ;
Azorin, J ;
Bellenot, F ;
Bonnette, P ;
Brichon, PY ;
Brutus, P ;
Chapelier, A ;
Charpentier, R ;
Dahan, M ;
Dujon, A ;
Escande, G ;
Faillon, MJ ;
Giudicelli, R ;
Grosdidier, G ;
Grunenwald, D ;
Jancovici, R ;
Joyeux, A ;
Meriot, S ;
Monteau, M ;
Moreau, JL ;
Moreau, P ;
Mouroux, J ;
Pouliquen, E ;
Raut, Y ;
Regnard, JF ;
Riquet, M ;
Valverde, JP ;
Velly, JF ;
Wilhm, JM .
ANNALS OF THORACIC SURGERY, 1996, 61 (01) :202-204
[5]
Feasibility and value of video-assisted thoracoscopic surgery wedge excision of small pulmonary nodules in patients with malignancy [J].
Burdine, J ;
Joyce, LD ;
Plunkett, MB ;
Inampudi, S ;
Kaye, MG ;
Dunn, DH .
CHEST, 2002, 122 (04) :1467-1470
[6]
THE SIGNIFICANCE OF PULMONARY NODULES DETECTED BY CT BUT NOT BY CHEST RADIOGRAPHY IN TUMOR STAGING [J].
CHALMERS, N ;
BEST, JJK .
CLINICAL RADIOLOGY, 1991, 44 (06) :410-412
[7]
DIAGNOSTIC EFFICACY OF PET-FDG IMAGING IN SOLITARY PULMONARY NODULES - POTENTIAL ROLE IN EVALUATION AND MANAGEMENT [J].
DEWAN, NA ;
GUPTA, NC ;
REDEPENNING, LS ;
PHALEN, JJ ;
FRICK, MP .
CHEST, 1993, 104 (04) :997-1002
[8]
Video-assisted thoracoscopic surgery for pulmonary nodules after computed tomography-guided marking with a spiral wire [J].
Eichfeld, U ;
Dietrich, A ;
Ott, R ;
Kloeppel, R .
ANNALS OF THORACIC SURGERY, 2005, 79 (01) :313-317
[9]
Solitary pulmonary nodules: Part II. Evaluation of the indeterminate nodule [J].
Erasmus, JJ ;
McAdams, HP ;
Connolly, JE .
RADIOGRAPHICS, 2000, 20 (01) :59-66
[10]
Solitary pulmonary nodules: Part I. Morphologic evaluation for differentiation of benign and malignant lesions [J].
Erasmus, JJ ;
Connolly, JE ;
McAdams, HP ;
Roggli, VL .
RADIOGRAPHICS, 2000, 20 (01) :43-58