Effect of size and position on chest lesion detection

Kelsey, C A; Moseley, RD; Brogdon, B. G.; Bhave, DG; Hallberg, Josef

doi:10.2214/ajr.129.2.205

Cited by 35 publications

(6 citation statements)

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“…However, some authors 9,18 state that on a good-quality chest radiograph, a nodule of 3 to 4 mm is the smallest lesion that can be detected. In two studies 5,7 with lesions of 8 to 10 mm in size, detection rates of 40% and 87% were found. In the present study, a detection rate of 29% in lesions Յ 10 mm in diameter was found.…”

Section: Discussionmentioning

confidence: 93%

Miss Rate of Lung Cancer on the Chest Radiograph in Clinical Practice

Quekel

Kessels

Goei

et al. 1999

Chest

283

151

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Section: Discussionmentioning

confidence: 93%

Miss Rate of Lung Cancer on the Chest Radiograph in Clinical Practice

Quekel

Kessels

Goei

et al. 1999

Chest

283

151

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“…Kelsey et al have already noticed that probably more important than the quadrant position is the location of the nodule with respect to overlying anatomic structures (e. g., ribs, blood vessels, heart) [20].…”

Section: The Nodule and Its Environmentmentioning

confidence: 99%

Characteristics of missed lung cancer on chest radiographs: a French experience

Monnier‐Cholley¹,

Arrivé²,

Porcel³

et al. 2001

European Radiology

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The purpose of this study was to report 30 cases of missed lung cancers and describe characteristics of each case. Reasons for misdiagnosis were analyzed from the report. Each radiograph was subsequently reviewed by a panel of two experts who quantified several parameters regarding image analysis and film quality. Lesions were not described in 67% of the cases and were misinterpreted as benign processes in 33% of cases. Comparison to previous chest radiographs and clinical information were seldom available on the report. Size of the lesions varied between 1 and 7 cm, location was primarily apical and paramediastinal, normal anatomy was highly or moderately complex in 87%, and distracting lesions were present in 63% of the cases. Image quality was considered perfect in 3 cases only. Among all the factors responsible for missed lung cancer, certain factors can be improved as film quality, comparison with previous radiographs, and better awareness of clinical information.

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“…6 Average ROC curves of internists and radiologists in part 1 and part 2-part 1 with either chest film (radiologists) or clinical information (internists) and part 2 with both chest film and clinical information scribed as consolidations, interstitial or peribronchial opacities. Furthermore, cases of IPA with subtle findings illustrated the limits of detection with conventional images since diagnostic performance depends on size and attenuation of the radiological lesion [23]. Differential diagnoses that were most often misinterpreted showed nodules, cavities and consolidations frequently seen in IPA.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of IPA in HIV: the role of the chest X-ray and radiologist

et al. 2004

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The role of clinical information and chest film for the discrimination between invasive pulmonary aspergillosis (IPA) and its differential diagnoses in human immunodeficiency virus (HIV) infection was studied. The diagnostic performance of clinical information and chest film alone and in combination was studied for eight internists and eight radiologists with regular exposure to IPA patients. The multicenter case sample consisted of 25 patients with proven IPA and 25 with other pulmonary diseases typical for HIV. The cases were presented on a CD-ROM. Receiver operating characteristics (ROC) methodology was employed. With clinical information alone, internists achieved the highest diagnostic performance (area under curve/AUC=0.84). Viewing the chest films did not contribute to their performance (AUC=0.80, P=0.26). The radiologist's performance on the basis of viewing the chest film (AUC=0.75) increased significantly ( P=0.012) when clinical information (AUC=0.83) was supplied. IPA cases with characteristic radiological appearance were correctly identified in 90% with chest film. For radiologists with regular exposure to HIV patients, chest films hold relevant information and contribute to the determination in cases with characteristic radiological appearance. Overall and especially in cases with less characteristic radiological appearance, they have significant profit from full access to the clinical data. For internists with regular exposure to HIV patients, chest films do not provide information essential for the verification or differentiation of potential IPA.

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Effect of size and position on chest lesion detection

Cited by 35 publications

References 0 publications

Miss Rate of Lung Cancer on the Chest Radiograph in Clinical Practice

Miss Rate of Lung Cancer on the Chest Radiograph in Clinical Practice

Characteristics of missed lung cancer on chest radiographs: a French experience

Diagnosis of IPA in HIV: the role of the chest X-ray and radiologist

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