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Solid Indeterminate Pulmonary Nodules Less Than or Equal to 250 mm3: Application of the Updated Fleischner Society Guidelines in Clinical Practice
المؤلفون المشاركون
Borghesi, Andrea
Michelini, Silvia
Nocivelli, Giorgio
Silva, Mario
Scrimieri, Alessandra
Pezzotti, Stefania
Maroldi, Roberto
Farina, Davide
المصدر
Radiology Research and Practice
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-01-03
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
The latest version of the Fleischner Society guidelines for management of incidental pulmonary nodules was published in 2017.
The main purpose of these guidelines is to reduce the number of unnecessary computed tomography (CT) examinations during the follow-up of small indeterminate nodules.
Objective.
The present study aimed to evaluate the performance of these guidelines for management of solid indeterminate pulmonary nodules (SIPNs) ≤ 250 mm3.
Materials and Methods.
During a 7-year period, we retrospectively reviewed the chest CT scans of 672 consecutive patients with SIPNs.
The study sample was selected according to the following inclusion criteria: solitary SIPN; diameter ≥ 3 mm; volume ≤ 250 mm3; two or more CT scans performed with the same scanner and same acquisition/reconstruction protocol; thin-section 1-mm images in DICOM format; histologic diagnosis or follow-up ≥ 2 years; and no oncological history.
Applying these criteria, a total of 27 patients with single SIPNs ≤ 250 mm3 were enrolled.
For each SIPN, the volume and doubling time were calculated using semiautomatic software throughout the follow-up period.
For each SIPN, we applied the Fleischner Society guidelines, and the recommended management was compared to what was actually done.
Results.
A significant volumetric increase was detected in 5/27 (18.5%) SIPNs; all growing nodules were observed in high-risk patients.
In these SIPNs, a histologic diagnosis of malignancy was obtained.
Applying the Fleischner Society recommendations, all five malignant nodules would have been identified.
None of the SIPNs < 100 mm3 in low-risk patients showed significant growth during the follow-up period.
The application of the new guidelines would have led to a significant reduction in follow-up CT examinations (Hodges-Lehmann median difference, -2 CT scans; p = 0.0001).
Conclusion.
The application of the updated Fleischner Society guidelines has been shown to be effective in the management of SIPNs ≤ 250 mm3 with a significant reduction in radiation dose.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Borghesi, Andrea& Michelini, Silvia& Nocivelli, Giorgio& Silva, Mario& Scrimieri, Alessandra& Pezzotti, Stefania…[et al.]. 2019. Solid Indeterminate Pulmonary Nodules Less Than or Equal to 250 mm3: Application of the Updated Fleischner Society Guidelines in Clinical Practice. Radiology Research and Practice،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1207576
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Borghesi, Andrea…[et al.]. Solid Indeterminate Pulmonary Nodules Less Than or Equal to 250 mm3: Application of the Updated Fleischner Society Guidelines in Clinical Practice. Radiology Research and Practice No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1207576
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Borghesi, Andrea& Michelini, Silvia& Nocivelli, Giorgio& Silva, Mario& Scrimieri, Alessandra& Pezzotti, Stefania…[et al.]. Solid Indeterminate Pulmonary Nodules Less Than or Equal to 250 mm3: Application of the Updated Fleischner Society Guidelines in Clinical Practice. Radiology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1207576
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1207576
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