Title: The use of multi-slice spiral CT to predict bronchial involvement from central lung cancer
Abstract: Objective: To assess the accuracy of multi-slice spiral CT (MSCT) with imaging reconstruction in judging bronchial involvement from central lung cancer. Methods: MSCT was done in 30 patients who were diagnosed as central lung cancer. Images of bronchi related to lobectomy or pneumonectomy were reconstructed by means of imaging processing techniques. Then the relation between tumor and bronchus was assessed prospectively with both axial CT and CT with imaging reconstruction in comparison with subsequent pathologic and surgical findings. Results: All 30 patients underwent thoracotomy, lobectomy or pneumonectomy. Total 66 bronchi were studied. Compared with axial CT images, CT with imaging reconstruction was better in judging the relation of bronchus and tumor in comparison with subsequent pathologic and surgical findings (0.01P0.05). The positive predictive value of nonresectability of the bronchi was remarkably higher(0.01P0.05). Conclusion: MSCT with imaging reconstruction could provide better detection of neoplastic invasion of the bronchi. It can be used to foresee the resectability of central lung cancer and aid in surgery planning.
Publication Year: 2003
Publication Date: 2003-01-01
Language: en
Type: article
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