Comparison of plain radiography, conventional tomography, and computed tomography in detecting intrathoracic lymph node metastases from lung carcinoma

Journal Article · Fri Jan 01 04:00:00 EST 1982 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.142.1.7053525· OSTI ID:5760404

Osborne, D R; Korobkin, M; Ravin, C E

Forty-two patients with T2 bronchogenic carcinoma were evaluated with plain radiography, conventional 55/sup 0/ oblique hilar and anteroposterior mediastinal tomography, and computed tomography (CT) to compare their accuracy in assessing mediastinal and hilar nodal metastases. Definitive staging was achieved by thoracotomy and histopathological evaluation of resected specimens. All modalities demonstrated about the same accuracy, however, in the 25 patients with hilar and/or mediastinal lymphadenopathy, CT of the mediastinum was more sensitive but not more specific than the other two and conventional tomography was no more accurate than CT for hilar evaluation. Overall, no technicue was accurate enough for routine staging; their value may lie in directing biopsy or in treatment planning in patients with inoperable disease.

• Research Organization: Duke Univ. Medical Center, Durham, NC
• OSTI ID: 5760404
• Journal Information: Radiology; (United States), Journal Name: Radiology; (United States) Vol. 142:1; ISSN RADLA
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
ACCURACY
BIOMEDICAL RADIOGRAPHY
BODY
BODY AREAS
CARCINOMAS
CHEST
COMPARATIVE EVALUATIONS
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
LUNGS
MEDIASTINUM
MEDICINE
METASTASES
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
PATIENTS
RADIOLOGY
RESPIRATORY SYSTEM
TOMOGRAPHY