Effect of Lung Volume and Gravity on the Attenuation and Size of a Pure Ground-Glass Nodule

被引:7
|
作者
Ferretti, Gilbert R. [1 ,4 ,6 ]
Arbib, Francois [3 ]
Roux, Jean Francois
Bland, Vincent [5 ]
Lantuejoul, Sylvie [2 ,4 ,6 ]
机构
[1] CHU Grenoble, Clin Univ Radiol & Imagerie Med, F-38043 Grenoble, France
[2] CHU Grenoble, Dept Pathol, F-38043 Grenoble, France
[3] CHU Grenoble, Clin Univ Pneumol, F-38043 Grenoble, France
[4] Univ Grenoble 1, Dept Pathol, Grenoble, France
[5] Cabinet Med Anat Cytol Pathol, Grenoble, France
[6] Inst A Bonniot, Dept Pathol, La Tronche, France
关键词
lung cancer; in situ adenocarcinoma; ground-glass opacity; ground-glass nodule; gravity-dependent gradient; computed tomographic scan prone position; COMPUTED-TOMOGRAPHY; CT FINDINGS; ADENOCARCINOMAS; GROWTH;
D O I
10.1097/RTI.0b013e31820c7929
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Detecting potentially malignant changes in a pure ground-glass nodule (GGN) is challenging. The development of a solid component is a known sign, which may help in differentiating benign from malignant GGN. We report the case of a 58-year-old man presenting with a pure GGN in the posterior segment of the right lower lobe. Follow-up computed tomographic scan after 1 year showed marked increase in attenuation (from - 319HU to + 27HU), whereas the average size of the nodule decreased (from 7 to 4.7 mm). On a computed tomographic scan in the prone position the nodule seemed larger (7.8mm) and appeared as a pure GGN (-406HU). Such changes were attributed to the reduction of lung volume and gravity.
引用
收藏
页码:W15 / W17
页数:3
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