Evidence map›Paper›PMID 40229674›Full record

ArticleBMC medical imaging2025

Exploration of CT-based discrimination and diagnosis of various pathological types of ground glass nodules in the lungs.

Haihui Wu, Xiong Zhang, Zheng Zhong

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Article in BMC medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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6 citing papers in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Haihui WuMeizhou People's Hospital, No. 63 Huangtang Road, Meijiang District, Meizhou, Guangdong, 514031, China. lin74074sci@163.com.
Xiong ZhangMeizhou People's Hospital, No. 63 Huangtang Road, Meijiang District, Meizhou, Guangdong, 514031, China.
Zheng ZhongMeizhou People's Hospital, No. 63 Huangtang Road, Meijiang District, Meizhou, Guangdong, 514031, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to examine the diagnostic usefulness of CT imaging in distinguishing between various pathological forms of lung ground-glass nodules (GGNs).

methodsWe conducted a retrospective analysis on 210 patients with lung ground-glass nodules (GGNs) who received diagnosis and treatment at our hospital between January 2021 and May 2024. Every patient had comprehensive imaging and pathology investigations. Lesion size, three-dimensional ratio, two-dimensional ratio, size of solid components, form, spiculation, lobulation, and cavitation were studied across several pathological kinds of pulmonary ground-glass nodules (GGNs).

resultsOf the 210 patients, 51 were diagnosed with benign conditions, while 159 had malignant lesions distributed across AIS, MIA, and IAC. The imaging data revealed that pulmonary ground-glass nodules (GGNs) exhibiting spiculation, lobulation, cavitation, pleural indentation, irregular shape, and fuzzy borders were considerably more prevalent in the inflammatory group, atypical adenomatous hyperplasia (AAH) group, adenocarcinoma in situ (AIS) group, minimally invasive adenocarcinoma (MIA) group, and invasive adenocarcinoma (IAC) group. These differences were statistically significant (P < 0.05). Significant variations in lesion size and size of solid components were observed among the groups, with the inflammatory group having the smallest size, followed by the AAH group, AIS group, MIA group, and finally the IAC group (P < 0.05). Nevertheless, there were no statistically significant disparities in the three-dimensional ratio and two-dimensional ratio across the five groups (P > 0.05). The calculated areas under the curve for distinguishing pre-invasive lesions from MIA and MIA from IAC, depending on the size of solid components, were 0.705 and 0.814, respectively. These values indicate a high diagnostic accuracy.

conclusionA thorough examination of the CT imaging characteristics of ground-glass nodules is crucial for accurately distinguishing between various pathological forms of pulmonary GGNs.

Indexed as

Lung NeoplasmsSolitary Pulmonary NoduleTomography, X-Ray ComputedAdultAgedAged, 80 and overDiagnosis, DifferentialFemaleHumansLungMaleMiddle AgedRetrospective StudiesDifferential diagnosis valueHigh-resolution CTInvasive adenocarcinomaMinimally invasive adenocarcinomaPre-invasive lesionsPulmonary ground-glass nodules

Identifiers

PMID40229674
PMCPMC11998462

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.