Image staging of subsolid nodular lung adenocarcinoma by low-dose CT

WANG Yong; WANG Jinrsquo; HU Chao; WANG Miao; LIU Zhengjin

doi:10.19732/j.cnki.1008-617X.2018.04.009

您当前的位置：

首页 >

文章列表页 >

Image staging of subsolid nodular lung adenocarcinoma by low-dose CT

更新时间：2025-12-15

- Image staging of subsolid nodular lung adenocarcinoma by low-dose CT
- Vol. 27, Issue 4, Pages: 289-294(2018)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.1008-617X.2018.04.009
  CLC：
- Published Online：17 September 2018，
  
  Published：17 September 2018
- 稿件说明：
移动端阅览
王勇,王金岸,胡超,等. 低剂量CT对亚实性肺腺癌结节影像分期的研究[J]. 肿瘤影像学, 2018, 27(4): 289-294 https://doi.

org/10.19732/j.cnki.1008-617X.2018.04.009
王勇,王金岸,胡超,等. 低剂量CT对亚实性肺腺癌结节影像分期的研究[J]. 肿瘤影像学, 2018, 27(4): 289-294 https://doi. DOI： 10.19732/j.cnki.1008-617X.2018.04.009.

org/10.19732/j.cnki.1008-617X.2018.04.009 DOI：

摘要

目的：

评价低剂量CT（low-dose CT，LDCT）在孤立性亚实性肺腺癌结节影像分期中的价值。

方法：

搜集LDCT筛查发现并经病理学检查证实的亚实性肺腺癌结节53例，其中男性19例，女性34例，平均年龄55岁。采用Kappa检验回顾性分析影像与病理分期的一致性，以及不同胸部影像科医师之间影像分期的一致性。

结果：

LDCT对亚实性肺腺癌结节影像T和N分期的准确率分别为88.7%（47/53）和94.3%（50/53）。影像与病理分期及不同胸部影像科医师之间影像分期的一致性良好（Kappa=0.803，0.733；

＜0.05）。

结论：

亚实性肺腺癌结节多为早期肺癌，淋巴结或远处转移发生率低， LDCT适用于其术前影像分期。

Abstract

Objective:

To determine the value of low dose CT (LDCT) in the preoperative staging of solitary subsolid nodular lung adenocarcinoma.

Methods:

A total of 53 patients [19 male and 34 female; mean age of 55 years

]

with solitary subsolid nodular lung adenocarcinoma who underwent LDCT before surgery or needle biopsy were included. The CT findings were assessed in terms of nodule size

density and relationship with pleura. Kappa test was used to analyze the consistency between CT-TNM and p-TNM or staging diagnosis of subsolid nodular lung adenocarcinoma between different radiologists. Lymph node metastasis and distant metastasis diagnosed by LDCT were compared with histopathological findings.

Results:

The accuracy of LDCT in T staging and N staging of subsolid nodular lung adenocarcinoma was 88.7% (47/53) and 94.3% (50/53)

respectively. There was a good consistency between CT-TNM and p-TNM or different radiologists (Kappa=0.803

0.733;

0.05).

Conclusion:

LDCT has clear advantages in the image staging of solitary subsolid lung adenocarcinoma because of the low incidences of lymph node metastasis and distant organ metastasis.

关键词

Keywords

references

Views

1850

下载量

CNKI被引量

Alert me when the article has been cited

提交

Tools

Publicity Resources

The efficacy and safety of ¹⁷⁷Lu-DOTA-IBA in the treatment of bone metastases from lung cancer: a prospective single-arm study

The efficacy and safety of ¹⁷⁷Lu-FAP-2286 radioligand therapy in patients with advanced lung cancer

Advance of deep learning in diagnosis and treatment of ¹⁸ F-FDG PET/CT for lung cancer

Application progress of ⁶⁸ Ga/ ¹⁸F labeled PSMA in the diagnosis and treatment of solid tumors other than prostate cancer

Artificial intelligence in medical imaging: application progress in the therapeutic response evaluation and prediction of lung cancer

Related Author

Yue CHEN

Xinyi LIN

Wei WANG

Tingting XU

Lin QIU

Jian YANG

Lixian MOU

Chunyin ZHANG

Related Institution

Department of Nuclear Medicine, The Affiliated Hospital of Southwest Medical University

Nuclear Medicine and Theranostics Key Laboratory of Sichuan Province

Institute of Nuclear Medicine, Southwest Medical University

Targeted Radiopharmaceuticals Creation Key Laboratory of Sichuan Province

Collaborative Innovation Center for Molecular Imaging of Precision Medicine Shanxi Medical University

AI问答

⁰