Chest wall and mediastinal invasion by lung cancer: evaluation with multisection expiratory dynamic CT.

Murata, Kiyoshi; Takahashi, Maiko; Mori, Masatoshi; Shimoyama, K; Mishina, A; Fujino, Syozo; Itoh, H; Morita, R

doi:10.1148/radiology.191.1.8134583

Cited by 71 publications

(41 citation statements)

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“…As well as the technique of inducing artificial pneumothoraces as described earlier, dynamic expiratory multisection CT (viewed as a cine loop) has also been evaluated. In a study of 15 patients, this was found to be 100% accurate for chest wall and mediastinal fixation at pathological examination [100]. With conventional CT imaging, the only reliable criterion for establishing definite invasion is bony destruction with or without tumour mass extending between the ribs and into the chest wall ( fig.…”

Section: Tumour Statusmentioning

confidence: 98%

Diagnostic imaging of lung cancer

Hollings¹,

Shaw²

2002

Eur Respir J

124

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Carcinoma of the bronchus is the most common malignancy in the Western world. It is also the leading cause of cancer-related death accounting for 32% of all cancer deaths in males and 25% in females [1]. In the USA it causes more deaths than cancers of the colon, breast and prostate combined [2]. Disappointingly, in a recent UK survey of improvements in cancer survival [3], carcinoma of the bronchus showed the smallest percentage reduction in the number of deaths avoided between 1981-1990 (0.2%). This compares badly with breast (11% reduction) and melanoma (32%). The overall 5-yr survival for lung cancer diagnosed between 1986-1990 was only 5.3% (against 66% for breast and 76% for melanoma). It is on this background that the radiologist remains actively employed in the detection, diagnosis, staging and review of this common malignancy.

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Section: Tumour Statusmentioning

confidence: 98%

Diagnostic imaging of lung cancer

Hollings¹,

Shaw²

2002

Eur Respir J

124

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“…In a similar fashion to MR, the evaluation then relies on coronal and sagittal images reconstructed from these data. Dynamic CT during a single expiratory manoeuvre over a time period of 10 s relies either on electron beam scanning (200 ms?image -1 , one image every second [40]), or on continuous data acquisition using spiral CT scanners (250-500 ms?image -1 ). Such expiratory dynamic CT was found to provide accurate information in all 15 patients studied [40] but only proved to be helpful for tumours located in the middle and lower lobes.…”

Section: T-stagingmentioning

confidence: 99%

New imaging techniques in the treatment guidelines for lung cancer

Schaefer-Prokop¹,

Prokop²

2002

Eur Respir J

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New imaging techniques in the treatment guidelines for lung cancer. C. SchaeferProkop, M. Prokop. #ERS Journals Ltd 2002. ABSTRACT: Computed tomography (CT) remains the main imaging technique for the preoperative staging and post-therapeutic evaluation of bronchogenic carcinoma. Spiral CT has already overcome some of the problems encountered with central or more extensive tumours. Multislice CT offers further improvement and allows for scanning of the whole chest within a single breath-hold using a thin-section high-resolution technique. Problem-adapted sections in arbitrary directions become available and provide an excellent spatial resolution. One can expect improved accuracy for the evaluation of transfissural tumour growth, chest wall involvement, mediastinal infiltration and lymph node staging.Despite recent advances in magnetic resonance (MR) techniques for imaging the chest, the role of MR for staging of bronchogenic carcinoma remains limited. It offers advantages such as the assessment of chest-wall involvement or mediastinal involvement in patients in whom CT remains equivocal. Lymph-node-specific MR contrast agents offer new diagnostic potential for the assessment of metastatic disease.New techniques for the display of three-dimensional data sets include volume rendering and virtual bronchoscopy. These techniques represent new tools for the evaluation and demonstration of pathology within the central tracheobronchial tree. Their most important application is the guidance of bronchoscopic biopsies.The assessment of an indeterminate pulmonary nodule is frequently based on positron emission tomography imaging. As an alternative, nodule vascularization (contrast enhancement patterns on CT or magnetic resonance imaging (MRI)), calcifications (absorption characteristics at various X-ray energies on CT or dual energy radiography), and morphological features (high resolution imaging at CT) can be used as the basis for nodule differentiation. The dynamics of contrast enhancement in CT or MRI can also be used for the assessment of tumour viability after chemotherapy.Lung cancer screening programmes are still controversial. Low-dose computed tomography scanning and computed assisted detection algorithms based on chest radiographs or computed tomography scans form the technical basis for such projects.

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“…Outros estudos utilizando TC com avaliação dinâmica do movimento respiratório, que observa a mudança relativa de localização entre o tumor pulmonar periférico e a parede durante a respiração, mostraram que a presença de tal deslocamento é um confiável indicador de ausência de invasão pleural parietal pelo tumor (12,13) .…”

Section: Avaliação Do Tumor Primário (Fator T)unclassified

“…Radiologia do câncer de pulmão massa adjacente à estrutura mediastinal, espessamento pleural ou pericárdico (10)(11)(12)(13)(14)(15)(16)(17) .…”

Section: Figura 1 -Imagem De Tc Obtida No Plano Axial Com 2mm De Colunclassified

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Radiologia do câncer de pulmão

Barcellos

2002

J. Pneumologia

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A avaliação do paciente com câncer de pulmão envolve a detecção de aumento linfonodal mediastinal, invasão das estruturas mediastinais e também a determinação de metástases extratorácicas. Este artigo revisa a maioria das técnicas de imagem mais utilizadas no processo de estadiamento do câncer pulmonar broncogênico. O estudo radiológico do nódulo pulmonar solitário tem tido grande impacto.Estadiamento mediastinal com os métodos de imagem correntes é impreciso. TC e RM do tórax e abdome superior são freqüentemente usados para estadiar o câncer pulmonar presumido ou conhecido. A despeito de suas limitações, os estudos de imagem podem prevenir toracotomias ou procedimentos invasivos desnecessários na presença de achados inequívocos de doença avançada. RM pode ser útil na avaliação de regiões do tórax que são maldemonstradas nas imagens axiais de TC. PET-FDG é um método complementar ao TC na avaliação do paciente com câncer de pulmão, porém estratégias para o seu uso merecem futuras investigações. Pneumol 2002;28(2):94-99) Lung cancer radiology conjunto estão presentes o estudo radiológico convencional, tomografia linear, tomografia computadorizada (TC) e ressonância magnética (RM). A radiografia simples de tórax é o método inicial na avaliação do paciente com câncer pulmonar presumido ou conhecido. A tomografia computadorizada tornou-se a principal técnica de imagem para a avaliação desses pacientes devido às inúme-ras vantagens em relação aos métodos convencionais, principalmente com os recentes avanços dos equipamentos helicoidais single ou multi-slice. Vários procedimen-INTRODUÇÃO Diferentes modalidades de imagem têm sido utilizadas no diagnóstico e estadiamento do câncer de pulmão. Neste

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Chest wall and mediastinal invasion by lung cancer: evaluation with multisection expiratory dynamic CT.

Abstract: Multisection ED CT may improve the accuracy of CT in prediction of chest wall or mediastinal invasion of lung cancer.

Cited by 71 publications

References 0 publications

Diagnostic imaging of lung cancer

Diagnostic imaging of lung cancer

New imaging techniques in the treatment guidelines for lung cancer

Radiologia do câncer de pulmão

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