Differential diagnosis of benign and malignant solitary pulmonary nodule with computer-aided detection.
- Author:
Ming-peng WANG
1
;
Yong-qiang TAN
;
Guo-zhen ZHANG
;
Jian-guo ZHANG
;
Hao WU
;
Jian-ying YANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Diagnosis, Differential; Female; Humans; Lung Neoplasms; diagnostic imaging; Male; Middle Aged; Sensitivity and Specificity; Solitary Pulmonary Nodule; diagnostic imaging; Tomography, Spiral Computed
- From: Acta Academiae Medicinae Sinicae 2006;28(1):64-67
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the morphological features of benign and malignant solitary pulmonary nodules (SPNs) and explore the radiological evidences for the differentiation of SPNs.
METHODSWith SPN Dicom View software, we analyzed and compared images obtained from 23 patients with malignant SPNs and 22 patients with benign SPNs who received CT scanning with or without contrast medium injection.
RESULTSThe enhancement in malignant SPNs group was significantly higher than in the benign SPNs group (P < 0.0001). The irregular enhancement in malignant SPNs group was significantly higher than in the benign SPNs group (P = 0. 0084). The mean range of enhancement was (45.04 +/- 26.76) HU in malignant SPNs group, which was significantly higher than that in the benign SPNs group [(15.70 +/- 17.84) HU, P = 0.033]. The mean peak enhancement value was (136.09 +/- 41.72) HU in malignant SPNs group, which was significantly higher than in benign SPNs group [ (60.60 +/- 60.27) HU, P = 0.007]. The mean enhancement area was (21.69 +/- 21.01)% in malignant SPNs group and (8.61 +/- 10.83)% in benign SPNs group (P = 0.203).
CONCLUSIONThe enhancement range and peak enhancement value as well as the morphologically irregular enhancement of SPNs may provide useful information in the clinical radiological diagnosis of SPNs.
