The demonstration of nodule notch due to pleural indentation in mulitplanar reconstruction / 中华放射学杂志

ABSTRACT

Objective To investigate the imaging finding,the pathologic bases,and the diagnostic value of nodule notch due to pleural indentation (NNPI),and to evaluate the potential role of multiplanar reconstruction (MPR) in the diagnosis of small peripheral lung cancer (SPLC) associated with pleural indentation (PI).Methods (1) 91 cases of SPLC and 59 cases of benign nodule confirmed by pathology were collected in this paper.A correlative study was done between the two groups.Eleven fresh lobectonic specimens from 9 cases of SPLC and 2 cases of benign nodule were collected.A correlative study to the preoperative CT scans,postoperative scans of the inflated specimens with the gross pathology of the specimens was done.(2) Twenty cases of SPLC and 12 cases of benign nodule,associated with PI,were collected in the study about MPR.Attention was focused on its role in showing NNPI.Results (1) NNPI was depicted as follows: On the position of the connection between the nodule and the line associated with PI,and a notch was shaped on the margin of nodule.The specificity of NNPI to malignant PI was 96.5%.(2) On MPR image,the occurrence of NNPI (80%) was higher than that on CT scans (? 2=13.205,P