ArticleJournal of thoracic disease2014
Evidence based imaging strategies for solitary pulmonary nodule.
Article in Journal of thoracic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Surgical consensus for screening, diagnosis, staging, multimodal management and surveillance of early-stage resectable non-small cell lung cancer (NSCLC) in Malaysia.Translational lung cancer research · 2025Review
- Precision patient selection for improved detection of circulating genetically abnormal cells in pulmonary nodules.Scientific reports · 2024Article
- Comparative study of the effect of preoperative hookwire and methylene blue localization techniques on post-operative hospital stay and complications in thoracoscopic pulmonary nodule surgery.BMC pulmonary medicine · 2022Article
- Solitary Pulmonary Inflammatory Nodule: CT Features and Pathological Findings.Journal of inflammation research · 2021Article
- Optical Flow Methods for Lung Nodule Segmentation on LIDC-IDRI Images.Journal of digital imaging · 2020Article
- Spiculation Sign Recognition in a Pulmonary Nodule Based on Spiking Neural P Systems.BioMed research international · 2020Article
- Magnetic resonance imaging of adrenal gland: state of the art.Gland surgery · 2019Review
- Consistency of radiologists in identifying pulmonary nodules based on low-dose computed tomography.Journal of thoracic disease · 2019Article
- CT and MRI of adrenal gland pathologies.Quantitative imaging in medicine and surgery · 2018Review
- Characterization of Pulmonary Nodules Based on Features of Margin Sharpness and Texture.Journal of digital imaging · 2018Review
- Image-based management of empiric lung stereotactic body radiotherapy (SBRT) without biopsy: Predictors from a 10-year single institution experience.Thoracic cancer · 2018Article
- Logistic regression analysis and a risk prediction model of pneumothorax after CT-guided needle biopsy.Journal of thoracic disease · 2017Article
- The impact of chemotherapy on persistent ground-glass nodules in patients with lung adenocarcinoma.Journal of thoracic disease · 2017Article
- Solid pulmonary nodule risk assessment and decision analysis: comparison of four prediction models in 285 cases.European radiology · 2016Observational
- Enhanced characterization of solid solitary pulmonary nodules with Bayesian analysis-based computer-aided diagnosis.World journal of radiology · 2016Review
- On pancreatic cancer screening by magnetic resonance imaging with the recent evidence by Del Chiaro and colleagues.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2015Article
- Magnetic resonance imaging for lung cancer screen.Journal of thoracic disease · 2014Review
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Solitary pulmonary nodule (SPN) is defined as a rounded opacity ≤3 cm in diameter surrounded by lung parenchyma. The majority of smokers who undergo thin-section CT have SPNs, most of which are smaller than 7 mm. In the past, multiple follow-up examinations over a two-year period, including CT follow-up at 3, 6, 12, 18, and 24 months, were recommended when such nodules are detected incidentally. This policy increases radiation burden for the affected population. Nodule features such as shape, edge characteristics, cavitation, and location have not yet been found to be accurate for distinguishing benign from malignant nodules. When SPN is considered to be indeterminate in the initial exam, the risk factor of the patients should be evaluated, which includes patients' age and smoking history. The 2005 Fleischner Society guideline stated that at least 99% of all nodules 4 mm or smaller are benign; when nodule is 5-9 mm in diameter, the best strategy is surveillance. The timing of these control examinations varies according to the nodule size (4-6, or 6-8 mm) and the type of patients, specifically at low or high risk of malignancy concerned. Noncalcified nodules larger than 8 mm diameter bear a substantial risk of malignancy, additional options such as contrast material-enhanced CT, positron emission tomography (PET), percutaneous needle biopsy, and thoracoscopic resection or videoassisted thoracoscopic resection should be considered.
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