A Practical Algorithmic Approach to the Diagnosis and Management of Solitary Pulmonary Nodules Part 1: Radiologic Characteristics and Imaging Modalities

被引:116
作者
Patel, Vishal K. [1 ]
Naik, Sagar K. [1 ]
Naidich, David P. [2 ]
Travis, William D. [3 ]
Weingarten, Jeremy A. [1 ]
Lazzaro, Richard [1 ]
Gutterman, David D. [4 ]
Wentowski, Catherine [1 ]
Grosu, Horiana B. [1 ]
Raoof, Suhail [1 ]
机构
[1] New York Methodist Hosp, Brooklyn, NY 11215 USA
[2] NYU, Langone Med Ctr, New York, NY USA
[3] Mem Sloan Kettering Canc Ctr, New York, NY 10021 USA
[4] Med Coll Wisconsin, Milwaukee, WI 53226 USA
关键词
CELL LUNG-CANCER; POSITRON-EMISSION-TOMOGRAPHY; GUIDELINES 2ND EDITION; THIN-SECTION CT; MEDIASTINAL NODAL METASTASIS; GROUND-GLASS NODULES; HIGH-RESOLUTION CT; COMPUTED-TOMOGRAPHY; CLINICAL-PRACTICE; FOLLOW-UP;
D O I
10.1378/chest.12-0960
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The solitary pulmonary nodule (SPN) is frequently encountered on chest imaging and poses an important diagnostic challenge to clinicians. The differential diagnosis is broad, ranging from benign granulomata and infectious processes to malignancy. Important concepts in the evaluation of SPNs include the definition, morphologic characteristics via appropriate imaging modalities, and the calculation of pretest probability of malignancy. Morphologic differentiation of SPN into solid or subsolid types is important in the choice of follow-up and further management. In this first part of a two-part series, we describe the morphologic characteristics and various imaging modalities available to further characterize SPN. In Part 2, we will describe the determination of pretest probability of malignancy and an algorithmic approach to the diagnosis of SPN. CHEST 2013; 143(3):825-839
引用
收藏
页码:825 / 839
页数:15
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