Computed tomography in the preoperative evaluation of bronchogenic carcinoma

Journal Article · Wed Dec 01 04:00:00 EST 1982 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.145.3.7146404· OSTI ID:6121442

Baron, R L; Levitt, R G; Sagel, S S; White, M J

Preoperative determination of the extend of bronchogenic carcinoma at presentation was assessed by CT using a 3-second scan time in 98 patients whose disease was later surgically staged. Prospective CT interpretations correctly staged 33 of 35 (94%) resectable lesions, and disease in 41 of 45 (91%) patients who had lesions that were not resectable for cure. No definite opinion was rendered on the scans of the remaning 18 patients. Retrospective analysis using slightly modified criteria resulted in a correct prediction of resectability in 28 of 30 (93%) patients (scans showed a normal mediastinum with no lymph node larger than 1 cm in diameter), and nonresectability for cure in 34 of 34 (100%) patients (scans showed either direct extension of the primary neoplasm into the mediastinum or mediastinal lymph-node enlargement greater than 2 cm in diameter). However, scans of 34 of 98 (35%) patients showed inconclusive findings (mediastinal lymph-nodes with 1-cm to 2-cm diameters, neoplasms abutting but not definitely invading the mediastinum, pleural or pericardial thickening, or additional noncalcified nodules.)

• Research Organization: Washington Univ. School of Medicine, St. Louis, MO
• OSTI ID: 6121442
• Journal Information: Radiology; (United States), Journal Name: Radiology; (United States) Vol. 145:3; ISSN RADLA
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
550900 -- Pathology
59 BASIC BIOLOGICAL SCIENCES
62 RADIOLOGY AND NUCLEAR MEDICINE
BODY
BODY AREAS
CARCINOMAS
CHEST
COMPUTERIZED TOMOGRAPHY
DIAGNOSTIC TECHNIQUES
DISEASES
LUNGS
MEDIASTINUM
NEOPLASMS
ORGANS
PATHOLOGY
PATIENTS
RESPIRATORY SYSTEM
TOMOGRAPHY