Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Staples, C. A.
Right arrow Articles by Nelems, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Staples, C. A.
Right arrow Articles by Nelems, B.

Radiology, Vol 167, 367-372, Copyright © 1988 by Radiological Society of North America

ARTICLES

Mediastinal nodes in bronchogenic carcinoma: comparison between CT and mediastinoscopy

CA Staples, NL Muller, RR Miller, KG Evans and B Nelems
Department of Radiology, University of British Columbia, Vancouver, Canada.

Computed tomography (CT) and mediastinoscopy were compared in 151 patients with bronchogenic carcinoma. In all patients in whom findings at mediastinoscopy were negative, all accessible nodes were either removed or sampled at thoracotomy. Several size criteria for identifying nodes as enlarged on CT scans were compared. The long axis greater than or equal to 15 mm and short axis greater than 10 mm had very low sensitivity (61%), and the long axis greater than 5 mm had a low specificity (23%). CT (long axis greater than 10 mm) allowed sensitivity equal to that of mediastinoscopy (79%) in the detection of mediastinal metastases, but the specificity with CT was lower (65% vs. 100%). In seven of 44 patients with nodes greater than 10 mm on CT scans and with positive findings at mediastinoscopy, tumor was present not in the enlarged nodes but rather in normal-sized nodes in a different nodal station. The sensitivity of CT for actual nodal stations involved with tumor was only 66%. Eighty-three percent of patients with false-negative findings at mediastinoscopy but only 33% of patients with false-negative findings at CT had surgically resectable stage IIIa disease.


This article has been cited by other articles:


Home page
 JNMHome page
D. Hellwig, T. P. Graeter, D. Ukena, A. Groeschel, G. W. Sybrecht, H.-J. Schaefers, and C.-M. Kirsch
18F-FDG PET for Mediastinal Staging of Lung Cancer: Which SUV Threshold Makes Sense?
J. Nucl. Med., November 1, 2007; 48(11): 1761 - 1766.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
F. C. Detterbeck, M. A. Jantz, M. Wallace, J. Vansteenkiste, and G. A. Silvestri
Invasive Mediastinal Staging of Lung Cancer: ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition)
Chest, September 1, 2007; 132(3_suppl): 202S - 220S.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
B.-T. Kim, K. S. Lee, S. S. Shim, J. Y. Choi, O J. Kwon, H. Kim, Y. M. Shim, J. Kim, and S. Kim
Stage T1 Non-Small Cell Lung Cancer: Preoperative Mediastinal Nodal Staging with Integrated FDG PET/CT--A Prospective Study
Radiology, November 1, 2006; 241(2): 501 - 509.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
S. Shiraishi, S. Tomiguchi, D. Utsunomiya, K. Kawanaka, K. Awai, S. Morishita, T. Okuda, K. Yokotsuka, and Y. Yamashita
Quantitative Analysis and Effect of Attenuation Correction on Lymph Node Staging of Non-Small Cell Lung Cancer on SPECT and CT.
Am. J. Roentgenol., May 1, 2006; 186(5): 1450 - 1457.
[Abstract] [Full Text] [PDF]

Home page
 JNMHome page
T. Bunyaviroch and R. E. Coleman
PET Evaluation of Lung Cancer
J. Nucl. Med., March 1, 2006; 47(3): 451 - 469.
[Full Text] [PDF]

Home page
 RadiologyHome page
S. S. Shim, K. S. Lee, B.-T. Kim, M. J. Chung, E. J. Lee, J. Han, J. Y. Choi, O J. Kwon, Y. M. Shim, and S. Kim
Non-Small Cell Lung Cancer: Prospective Comparison of Integrated FDG PET/CT and CT Alone for Preoperative Staging
Radiology, September 1, 2005; 236(3): 1011 - 1019.
[Abstract] [Full Text] [PDF]

Home page
 Jpn J Clin OncolHome page
I. S. Choi, D.-Y. Oh, J. H. Kwon, S.-I. Kim, S. R. Park, J.-Y. Bak, J. H. Kim, D.-W. Kim, Y. T. Kim, T.-Y. Kim, et al.
Paclitaxel/Platinum-based Perioperative Chemotherapy and Surgery in Stage IIIA Non-small Cell Lung Cancer
Jpn. J. Clin. Oncol., January 1, 2005; 35(1): 6 - 12.
[Abstract] [Full Text] [PDF]

Home page
 JCOHome page
G. Antoch, N. Saoudi, H. Kuehl, G. Dahmen, S. P. Mueller, T. Beyer, A. Bockisch, J. F. Debatin, and L. S. Freudenberg
Accuracy of Whole-Body Dual-Modality Fluorine-18-2-Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography and Computed Tomography (FDG-PET/CT) for Tumor Staging in Solid Tumors: Comparison With CT and PET
J. Clin. Oncol., November 1, 2004; 22(21): 4357 - 4368.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
F. C. Detterbeck, S. Falen, M. P. Rivera, J. S. Halle, and M. A. Socinski
Seeking a Home for a PET, Part 2: Defining the Appropriate Place for Positron Emission Tomography Imaging in the Staging of Patients With Suspected Lung Cancer
Chest, June 1, 2004; 125(6): 2300 - 2308.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
A. T. Rocha, M. McCormack, G. Montana, and G. Schreiber
Association Between Lower Lobe Location and Upstaging for Early-Stage Non-small Cell Lung Cancer
Chest, April 1, 2004; 125(4): 1424 - 1430.
[Abstract] [Full Text] [PDF]

Home page
 JAMAHome page
G. Antoch, F. M. Vogt, L. S. Freudenberg, F. Nazaradeh, S. C. Goehde, J. Barkhausen, G. Dahmen, A. Bockisch, J. F. Debatin, and S. G. Ruehm
Whole-Body Dual-Modality PET/CT and Whole-Body MRI for Tumor Staging in Oncology
JAMA, December 24, 2003; 290(24): 3199 - 3206.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
G. Antoch, J. Stattaus, A. T. Nemat, S. Marnitz, T. Beyer, H. Kuehl, A. Bockisch, J. F. Debatin, and L. S. Freudenberg
Non-Small Cell Lung Cancer: Dual-Modality PET/CT in Preoperative Staging
Radiology, November 1, 2003; 229(2): 526 - 533.
[Abstract] [Full Text] [PDF]

Home page
 JNMHome page
O. Schillaci, A. Spanu, F. Scopinaro, F. Monteleone, M. E. Solinas, P. Volpino, P. Pirina, P. Marongiu, V. Cangemi, and G. Madeddu
Mediastinal Lymph Node Involvement in Non-Small Cell Lung Cancer: Evaluation with 99mTc-Tetrofosmin SPECT and Comparison with CT
J. Nucl. Med., August 1, 2003; 44(8): 1219 - 1224.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
J. K. LeBlanc, R. Espada, and G. Ergun
Non-small Cell Lung Cancer Staging Techniques and Endoscopic Ultrasound: Tissue Is Still the Issue
Chest, May 1, 2003; 123(5): 1718 - 1725.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. P. Graeter, D. Hellwig, K. Hoffmann, D. Ukena, C.-M. Kirsch, and H.-J. Schafers
Mediastinal lymph node staging in suspected lung cancer: comparison of positron emission tomography with F-18-fluorodeoxyglucose and mediastinoscopy
Ann. Thorac. Surg., January 1, 2003; 75(1): 231 - 236.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
F. C. Detterbeck, M. M. DeCamp Jr., L. J. Kohman, and G. A. Silvestri
Invasive Staging: The Guidelines
Chest, January 1, 2003; 123(1_suppl): 167S - 175S.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
W. J. Scott, J. Howington, and B. Movsas
Treatment of Stage II Non-small Cell Lung Cancer
Chest, January 1, 2003; 123(1_suppl): 188S - 201S.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
H. Vesselle, J. M. Pugsley, E. Vallieres, and D. E. Wood
The impact of fluorodeoxyglucose F 18 positron-emission tomography on the surgical staging of non-small cell lung cancer
J. Thorac. Cardiovasc. Surg., September 1, 2002; 124(3): 511 - 519.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
N. Hollings and P. Shaw
Diagnostic imaging of lung cancer
Eur. Respir. J., April 1, 2002; 19(4): 722 - 742.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
J.F. Vansteenkiste
Imaging in lung cancer: positron emission tomography scan
Eur. Respir. J., February 1, 2002; 19(35_suppl): 49S - 60s.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
J.F. Vansteenkiste and S.G. Stroobants
The role of positron emission tomography with 18F-fluoro-2-deoxy-D-glucose in respiratory oncology
Eur. Respir. J., April 1, 2001; 17(4): 802 - 820.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
C. Laroche, I. Fairbairn, H. Moss, J. Pepke-Zaba, L. Sharples, C. Flower, and R. Coulden
Role of computed tomographic scanning of the thorax prior to bronchoscopy in the investigation of suspected lung cancer
Thorax, May 1, 2000; 55(5): 359 - 363.
[Abstract] [Full Text]

Home page
 ChestHome page
J. Deslauriers and J. Gregoire
Clinical and Surgical Staging of Non-Small Cell Lung Cancer
Chest, April 1, 2000; 117(4_suppl_1): 96S - 103S.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
N. C. Gupta, G. M. Graeber, and H. A. Bishop
Comparative Efficacy of Positron Emission Tomography With Fluorodeoxyglucose in Evaluation of Small (<1 cm), Intermediate (1 to 3 cm), and Large (>3 cm) Lymph Node Lesions
Chest, March 1, 2000; 117(3): 773 - 778.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Z. T. Hammoud, R. C. Anderson, B. F. Meyers, T. J. Guthrie, C. L. Roper, J. D. Cooper, and G. A. Patterson
THE CURRENT ROLE OF MEDIASTINOSCOPY IN THE EVALUATION OF THORACIC DISEASE
J. Thorac. Cardiovasc. Surg., November 1, 1999; 118(5): 894 - 899.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
G. A. Silvestri, B. J. Hoffman, M. S. Bhutani, R. H. Hawes, L. Coppage, A. Sanders-Cliette, and C. E. Reed
Endoscopic Ultrasound With Fine-Needle Aspiration in the Diagnosis and Staging of Lung Cancer
Ann. Thorac. Surg., May 1, 1996; 61(5): 1441 - 1445.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
P. E. Valk, T. R. Pounds, D. M. Hopkins, M. K. Haseman, G. A. Hofer, H. B. Greiss, R. W. Myers, and C. L. Lutrin
Staging Non-Small Cell Lung Cancer by Whole-Body Positron Emission Tomographic Imaging
Ann. Thorac. Surg., December 1, 1995; 60(6): 1573 - 1581.
[Abstract] [Full Text]

Home page
 Med Decis MakingHome page
W. C. Black and A. J. Dwyer
Local versus Global Measures of Accuracy: An Important Distinction for Diagnostic Imaging
Med Decis Making, December 1, 1990; 10(4): 266 - 273.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1988 by the Radiological Society of North America.