Retrospective Analysis of Subsolid Nodules’ Frequency Using Chest Computed Tomography Detection in an Outpatient Population

Introduction: The study was designed to evaluate the frequency of detection and the characteristics of subsolid nodules (SSNs) in outpatients’ chest computed tomography (CT) scans from a private hospital in Southern Brazil. Methods: A retrospective analysis of all chest CT scans was performed in adu...

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Main Authors: Ana Paula Zanardo, Vicente Bohrer Brentano, Rafael Domingos Grando, Rafael Ramos Rambo, Felipe Teixeira Hertz, Luis Carlos Anflor Junior, Jonatas Favero Prietto Dos Santos, Gabriela Schneider Galvao, Cristiano Feijo Andrade
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Tomography
Subjects:
Online Access:https://www.mdpi.com/2379-139X/9/4/119
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author Ana Paula Zanardo
Vicente Bohrer Brentano
Rafael Domingos Grando
Rafael Ramos Rambo
Felipe Teixeira Hertz
Luis Carlos Anflor Junior
Jonatas Favero Prietto Dos Santos
Gabriela Schneider Galvao
Cristiano Feijo Andrade
author_facet Ana Paula Zanardo
Vicente Bohrer Brentano
Rafael Domingos Grando
Rafael Ramos Rambo
Felipe Teixeira Hertz
Luis Carlos Anflor Junior
Jonatas Favero Prietto Dos Santos
Gabriela Schneider Galvao
Cristiano Feijo Andrade
author_sort Ana Paula Zanardo
collection DOAJ
description Introduction: The study was designed to evaluate the frequency of detection and the characteristics of subsolid nodules (SSNs) in outpatients’ chest computed tomography (CT) scans from a private hospital in Southern Brazil. Methods: A retrospective analysis of all chest CT scans was performed in adult patients from ambulatory care (non-lung cancer screening population) over a thirty-day period. Inclusion criteria were age > 18 years and lung-scanning protocols, including standard-dose high-resolution chest CT (HRCT), enhanced CT, CT angiography, and low-dose chest CT (LDCT). SSNs main features collected were mean diameter, number, density (pure or heterogenous ground glass nodules and part-solid), and localization. TheLungRADS system and the updated Fleischner Society’s pulmonary nodules recommendations were used for categorization only for study purposes, although not specifically fitting the population. The presence of emphysema, as well as calcified and solid nodules were also addressed. Statistical analysis was performed using R software, categorial variables are shown as absolute or relative frequencies, and continuous variables as mean and interquartile ranges. Results: Chest computed tomography were performed in 756 patients during the study period (September 2019), and 650 met the inclusion criteria. The IQR for age was 53/73 years; most participants were female (58.3%) and 10.6% had subsolid nodules detected. Conclusions: The frequency of SSNs detection in patients in daily clinical practice, not related to screening populations, is not negligible. Regardless of the final etiology, follow-up is often indicated, given the likelihood of malignancy for persistent lesions.
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spelling doaj.art-731e3359ac2048ea81fffb3b022cb3172023-11-19T03:13:56ZengMDPI AGTomography2379-13812379-139X2023-08-01941494150310.3390/tomography9040119Retrospective Analysis of Subsolid Nodules’ Frequency Using Chest Computed Tomography Detection in an Outpatient PopulationAna Paula Zanardo0Vicente Bohrer Brentano1Rafael Domingos Grando2Rafael Ramos Rambo3Felipe Teixeira Hertz4Luis Carlos Anflor Junior5Jonatas Favero Prietto Dos Santos6Gabriela Schneider Galvao7Cristiano Feijo Andrade8Hospital Moinhos de Vento, Porto Alegre 90560-030, BrazilHospital Moinhos de Vento, Porto Alegre 90560-030, BrazilHospital Moinhos de Vento, Porto Alegre 90560-030, BrazilHospital Moinhos de Vento, Porto Alegre 90560-030, BrazilHospital Moinhos de Vento, Porto Alegre 90560-030, BrazilHospital Moinhos de Vento, Porto Alegre 90560-030, BrazilHospital Moinhos de Vento, Porto Alegre 90560-030, BrazilHospital Moinhos de Vento, Porto Alegre 90560-030, BrazilPostgraduate Course in Pulmonology Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-003, BrazilIntroduction: The study was designed to evaluate the frequency of detection and the characteristics of subsolid nodules (SSNs) in outpatients’ chest computed tomography (CT) scans from a private hospital in Southern Brazil. Methods: A retrospective analysis of all chest CT scans was performed in adult patients from ambulatory care (non-lung cancer screening population) over a thirty-day period. Inclusion criteria were age > 18 years and lung-scanning protocols, including standard-dose high-resolution chest CT (HRCT), enhanced CT, CT angiography, and low-dose chest CT (LDCT). SSNs main features collected were mean diameter, number, density (pure or heterogenous ground glass nodules and part-solid), and localization. TheLungRADS system and the updated Fleischner Society’s pulmonary nodules recommendations were used for categorization only for study purposes, although not specifically fitting the population. The presence of emphysema, as well as calcified and solid nodules were also addressed. Statistical analysis was performed using R software, categorial variables are shown as absolute or relative frequencies, and continuous variables as mean and interquartile ranges. Results: Chest computed tomography were performed in 756 patients during the study period (September 2019), and 650 met the inclusion criteria. The IQR for age was 53/73 years; most participants were female (58.3%) and 10.6% had subsolid nodules detected. Conclusions: The frequency of SSNs detection in patients in daily clinical practice, not related to screening populations, is not negligible. Regardless of the final etiology, follow-up is often indicated, given the likelihood of malignancy for persistent lesions.https://www.mdpi.com/2379-139X/9/4/119subsolid nodulesground glass noduleslungcomputed tomographyCTdetection
spellingShingle Ana Paula Zanardo
Vicente Bohrer Brentano
Rafael Domingos Grando
Rafael Ramos Rambo
Felipe Teixeira Hertz
Luis Carlos Anflor Junior
Jonatas Favero Prietto Dos Santos
Gabriela Schneider Galvao
Cristiano Feijo Andrade
Retrospective Analysis of Subsolid Nodules’ Frequency Using Chest Computed Tomography Detection in an Outpatient Population
Tomography
subsolid nodules
ground glass nodules
lung
computed tomography
CT
detection
title Retrospective Analysis of Subsolid Nodules’ Frequency Using Chest Computed Tomography Detection in an Outpatient Population
title_full Retrospective Analysis of Subsolid Nodules’ Frequency Using Chest Computed Tomography Detection in an Outpatient Population
title_fullStr Retrospective Analysis of Subsolid Nodules’ Frequency Using Chest Computed Tomography Detection in an Outpatient Population
title_full_unstemmed Retrospective Analysis of Subsolid Nodules’ Frequency Using Chest Computed Tomography Detection in an Outpatient Population
title_short Retrospective Analysis of Subsolid Nodules’ Frequency Using Chest Computed Tomography Detection in an Outpatient Population
title_sort retrospective analysis of subsolid nodules frequency using chest computed tomography detection in an outpatient population
topic subsolid nodules
ground glass nodules
lung
computed tomography
CT
detection
url https://www.mdpi.com/2379-139X/9/4/119
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