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...
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Format: | Article |
Language: | Russian |
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Russian Academy of Sciences, Tomsk National Research Medical Center
2017-11-01
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Series: | Сибирский онкологический журнал |
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Online Access: | https://www.siboncoj.ru/jour/article/view/608 |
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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 |
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