Quantitative CT analysis of pulmonary ground-glass opacity nodules for the distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.

OBJECTIVES: We aimed to analyze the CT findings of ground-glass opacity nodules diagnosed pathologically as adenocarcinoma in situ (AIS), minimally invasive adenocarcinoma (MIA), and invasive adenocarcinoma in order to investigate whether quantitative CT parameters enable distinction of invasive ade...

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Main Authors: Ji Ye Son, Ho Yun Lee, Kyung Soo Lee, Jae-Hun Kim, Joungho Han, Ji Yun Jeong, O Jung Kwon, Young Mog Shim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4125172?pdf=render
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author Ji Ye Son
Ho Yun Lee
Kyung Soo Lee
Jae-Hun Kim
Joungho Han
Ji Yun Jeong
O Jung Kwon
Young Mog Shim
author_facet Ji Ye Son
Ho Yun Lee
Kyung Soo Lee
Jae-Hun Kim
Joungho Han
Ji Yun Jeong
O Jung Kwon
Young Mog Shim
author_sort Ji Ye Son
collection DOAJ
description OBJECTIVES: We aimed to analyze the CT findings of ground-glass opacity nodules diagnosed pathologically as adenocarcinoma in situ (AIS), minimally invasive adenocarcinoma (MIA), and invasive adenocarcinoma in order to investigate whether quantitative CT parameters enable distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma. METHODS: We reviewed CT images and pathologic specimens from 191 resected ground-glass opacity nodules with little or no solid component at CT. Nodule size, volume, density, mass, skewness/kurtosis, and CT attenuation values at the 2.5th-97.5th percentiles on histogram, and texture parameters (uniformity and entropy) were assessed from CT datasets. RESULTS: Of 191 tumors, 38 were AISs (20%), 61 were MIAs (32%), and 92 (48%) were invasive adenocarcinomas. Multivariate logistic regression analysis helped identify the 75th percentile CT attenuation value (P = 0.04) and entropy (P<0.01) as independent predictors for invasive adenocarcinoma, with an area under the receiver operating characteristic curve of 0.780. CONCLUSION: Quantitative analysis of preoperative CT imaging metrics can help distinguish invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.
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spelling doaj.art-f698da7810d845308548ab73d6b212462022-12-21T17:33:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0198e10406610.1371/journal.pone.0104066Quantitative CT analysis of pulmonary ground-glass opacity nodules for the distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.Ji Ye SonHo Yun LeeKyung Soo LeeJae-Hun KimJoungho HanJi Yun JeongO Jung KwonYoung Mog ShimOBJECTIVES: We aimed to analyze the CT findings of ground-glass opacity nodules diagnosed pathologically as adenocarcinoma in situ (AIS), minimally invasive adenocarcinoma (MIA), and invasive adenocarcinoma in order to investigate whether quantitative CT parameters enable distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma. METHODS: We reviewed CT images and pathologic specimens from 191 resected ground-glass opacity nodules with little or no solid component at CT. Nodule size, volume, density, mass, skewness/kurtosis, and CT attenuation values at the 2.5th-97.5th percentiles on histogram, and texture parameters (uniformity and entropy) were assessed from CT datasets. RESULTS: Of 191 tumors, 38 were AISs (20%), 61 were MIAs (32%), and 92 (48%) were invasive adenocarcinomas. Multivariate logistic regression analysis helped identify the 75th percentile CT attenuation value (P = 0.04) and entropy (P<0.01) as independent predictors for invasive adenocarcinoma, with an area under the receiver operating characteristic curve of 0.780. CONCLUSION: Quantitative analysis of preoperative CT imaging metrics can help distinguish invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.http://europepmc.org/articles/PMC4125172?pdf=render
spellingShingle Ji Ye Son
Ho Yun Lee
Kyung Soo Lee
Jae-Hun Kim
Joungho Han
Ji Yun Jeong
O Jung Kwon
Young Mog Shim
Quantitative CT analysis of pulmonary ground-glass opacity nodules for the distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.
PLoS ONE
title Quantitative CT analysis of pulmonary ground-glass opacity nodules for the distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.
title_full Quantitative CT analysis of pulmonary ground-glass opacity nodules for the distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.
title_fullStr Quantitative CT analysis of pulmonary ground-glass opacity nodules for the distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.
title_full_unstemmed Quantitative CT analysis of pulmonary ground-glass opacity nodules for the distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.
title_short Quantitative CT analysis of pulmonary ground-glass opacity nodules for the distinction of invasive adenocarcinoma from pre-invasive or minimally invasive adenocarcinoma.
title_sort quantitative ct analysis of pulmonary ground glass opacity nodules for the distinction of invasive adenocarcinoma from pre invasive or minimally invasive adenocarcinoma
url http://europepmc.org/articles/PMC4125172?pdf=render
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