THE DIAGNOSTIC PERFORMANCE OF ROUTINELY ACQUIRED AND REPORTED COMPUTED TOMOGRAPHY IMAGING IN PATIENTS PRESENTING WITH SUSPECTED PLEURAL MALIGNANCY

Highlights • The sensitivity of routinely performed CT for pleural malignancy was only 58%. • Nearly half of the malignant cases had a benign CT (negative predictive value 54%). • CTPA and non-specialist radiology reporting were associated with lower sensitivity. • CT specificity was 80%, and was no...

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Veröffentlicht in:	Lung cancer (Amsterdam, Netherlands) Netherlands), 2017-01, Vol.103, p.38-43
Hauptverfasser:	Tsim, Selina, Stobo, David B, Alexander, Laura, Kelly, Caroline, Blyth, Kevin G
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Biomarkers, Tumor Computed tomography Computed Tomography Angiography - methods Diagnosis Female Hematology, Oncology and Palliative Medicine Humans Lung cancer Lung Neoplasms - blood supply Lung Neoplasms - diagnostic imaging Lung Neoplasms - pathology Male Mesothelioma Mesothelioma - diagnostic imaging Mesothelioma - metabolism Mesothelioma - pathology Pleura - diagnostic imaging Pleura - pathology Pleural Neoplasms - diagnostic imaging Pleural Neoplasms - pathology Pulmonary/Respiratory Retrospective Studies Thoracic oncology Tomography, X-Ray Computed - methods
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Zusammenfassung:	Highlights • The sensitivity of routinely performed CT for pleural malignancy was only 58%. • Nearly half of the malignant cases had a benign CT (negative predictive value 54%). • CTPA and non-specialist radiology reporting were associated with lower sensitivity. • CT specificity was 80%, and was not affected by use of CTPA or specialist reporting. • Pleural malignancy is frequently occult on routinely acquired CT imaging.
ISSN:	0169-5002 1872-8332
DOI:	10.1016/j.lungcan.2016.11.010