SOLITARY PULMONARY NODULES: EFFECTIVENESS OF DYNAMIC CT IN THE DIFFERENTIAL DIAGNOSIS

The differential diagnosis of solitary pulmonary nodules remains a challenge in oncology. Dynamic contrastenhanced CT is a potentially valuable tool capable of detecting malignancy. The purpose of the study was to evaluate the value of dynamic CT in the differential diagnosis of solitary pulmonary n...

Full description

Bibliographic Details
Main Authors: N. K. Silanteva, A. P. Petrosian, Z. N. Shavladze, A. Yu. Usacheva, Yu. A. Ragulin, V. S. Usache
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Tomsk National Research Medical Center 2017-11-01
Series:Сибирский онкологический журнал
Subjects:
Online Access:https://www.siboncoj.ru/jour/article/view/608
_version_ 1797875839036030976
author N. K. Silanteva
A. P. Petrosian
Z. N. Shavladze
A. Yu. Usacheva
Yu. A. Ragulin
V. S. Usache
author_facet N. K. Silanteva
A. P. Petrosian
Z. N. Shavladze
A. Yu. Usacheva
Yu. A. Ragulin
V. S. Usache
author_sort N. K. Silanteva
collection DOAJ
description The differential diagnosis of solitary pulmonary nodules remains a challenge in oncology. Dynamic contrastenhanced CT is a potentially valuable tool capable of detecting malignancy. The purpose of the study was to evaluate the value of dynamic CT in the differential diagnosis of solitary pulmonary nodules. Material and methods. Fifty two patients with solitary pulmonary nodules underwent CT examination using a GE Optima CT660. The CT protocol included: 1) scan volume from the jugular notch to the end of the diaphragmatic dome; 2) location of the nodule in the lung; 3) scanning time for 30 sec, 1 min, 2 min, 4 min and 6 min following contrast agent injection. The image processing was carried out on an Advantage Workstation for Windows (AW4.5, GE Healthcare). The CT findings were verified by histology after CT-guided transthoracic biopsy of lung lesions and lung surgeries. Results. The sensitivity, specificity and accuracy of dynamic contract-enhanced CT were higher than those without dynamic CT (85, 95 and 92 % versus 71, 95 and 88 %, respectively).
first_indexed 2024-04-10T01:52:52Z
format Article
id doaj.art-0f1b329df8bd41f8ae8ae8072dac9da8
institution Directory Open Access Journal
issn 1814-4861
2312-3168
language Russian
last_indexed 2024-04-10T01:52:52Z
publishDate 2017-11-01
publisher Russian Academy of Sciences, Tomsk National Research Medical Center
record_format Article
series Сибирский онкологический журнал
spelling doaj.art-0f1b329df8bd41f8ae8ae8072dac9da82023-03-13T09:05:50ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682017-11-01165182610.21294/1814-4861-2017-16-5-18-26479SOLITARY PULMONARY NODULES: EFFECTIVENESS OF DYNAMIC CT IN THE DIFFERENTIAL DIAGNOSISN. K. Silanteva0A. P. Petrosian1Z. N. Shavladze2A. Yu. Usacheva3Yu. A. Ragulin4V. S. Usache5Медицинский радиологический научный центр имени А.Ф. Цыба – филиал федерального государственного бюджетного учреждения «Национальный медицинский исследовательский радиологический центр» Министерства здравоохранения Российской ФедерацииМедицинский радиологический научный центр имени А.Ф. Цыба – филиал федерального государственного бюджетного учреждения «Национальный медицинский исследовательский радиологический центр» Министерства здравоохранения Российской ФедерацииМедицинский радиологический научный центр имени А.Ф. Цыба – филиал федерального государственного бюджетного учреждения «Национальный медицинский исследовательский радиологический центр» Министерства здравоохранения Российской ФедерацииМедицинский радиологический научный центр имени А.Ф. Цыба – филиал федерального государственного бюджетного учреждения «Национальный медицинский исследовательский радиологический центр» Министерства здравоохранения Российской ФедерацииМедицинский радиологический научный центр имени А.Ф. Цыба – филиал федерального государственного бюджетного учреждения «Национальный медицинский исследовательский радиологический центр» Министерства здравоохранения Российской ФедерацииМедицинский радиологический научный центр имени А.Ф. Цыба – филиал федерального государственного бюджетного учреждения «Национальный медицинский исследовательский радиологический центр» Министерства здравоохранения Российской ФедерацииThe differential diagnosis of solitary pulmonary nodules remains a challenge in oncology. Dynamic contrastenhanced CT is a potentially valuable tool capable of detecting malignancy. The purpose of the study was to evaluate the value of dynamic CT in the differential diagnosis of solitary pulmonary nodules. Material and methods. Fifty two patients with solitary pulmonary nodules underwent CT examination using a GE Optima CT660. The CT protocol included: 1) scan volume from the jugular notch to the end of the diaphragmatic dome; 2) location of the nodule in the lung; 3) scanning time for 30 sec, 1 min, 2 min, 4 min and 6 min following contrast agent injection. The image processing was carried out on an Advantage Workstation for Windows (AW4.5, GE Healthcare). The CT findings were verified by histology after CT-guided transthoracic biopsy of lung lesions and lung surgeries. Results. The sensitivity, specificity and accuracy of dynamic contract-enhanced CT were higher than those without dynamic CT (85, 95 and 92 % versus 71, 95 and 88 %, respectively).https://www.siboncoj.ru/jour/article/view/608очаговое образование в легкихдифференциальная диагностикадинамическая кт
spellingShingle N. K. Silanteva
A. P. Petrosian
Z. N. Shavladze
A. Yu. Usacheva
Yu. A. Ragulin
V. S. Usache
SOLITARY PULMONARY NODULES: EFFECTIVENESS OF DYNAMIC CT IN THE DIFFERENTIAL DIAGNOSIS
Сибирский онкологический журнал
очаговое образование в легких
дифференциальная диагностика
динамическая кт
title SOLITARY PULMONARY NODULES: EFFECTIVENESS OF DYNAMIC CT IN THE DIFFERENTIAL DIAGNOSIS
title_full SOLITARY PULMONARY NODULES: EFFECTIVENESS OF DYNAMIC CT IN THE DIFFERENTIAL DIAGNOSIS
title_fullStr SOLITARY PULMONARY NODULES: EFFECTIVENESS OF DYNAMIC CT IN THE DIFFERENTIAL DIAGNOSIS
title_full_unstemmed SOLITARY PULMONARY NODULES: EFFECTIVENESS OF DYNAMIC CT IN THE DIFFERENTIAL DIAGNOSIS
title_short SOLITARY PULMONARY NODULES: EFFECTIVENESS OF DYNAMIC CT IN THE DIFFERENTIAL DIAGNOSIS
title_sort solitary pulmonary nodules effectiveness of dynamic ct in the differential diagnosis
topic очаговое образование в легких
дифференциальная диагностика
динамическая кт
url https://www.siboncoj.ru/jour/article/view/608
work_keys_str_mv AT nksilanteva solitarypulmonarynoduleseffectivenessofdynamicctinthedifferentialdiagnosis
AT appetrosian solitarypulmonarynoduleseffectivenessofdynamicctinthedifferentialdiagnosis
AT znshavladze solitarypulmonarynoduleseffectivenessofdynamicctinthedifferentialdiagnosis
AT ayuusacheva solitarypulmonarynoduleseffectivenessofdynamicctinthedifferentialdiagnosis
AT yuaragulin solitarypulmonarynoduleseffectivenessofdynamicctinthedifferentialdiagnosis
AT vsusache solitarypulmonarynoduleseffectivenessofdynamicctinthedifferentialdiagnosis