Solitary pulmonary nodule: CT evaluation of enhancement with iodinated contrast material - A preliminary report

Stephen J. Swensen, Richard L. Morin, Beth A. Schueler, Larry R. Brown, Denis A. Cortese, Peter C. Pairolero, W. Mark Brutinel

Research output: Contribution to journalReview article

130 Scopus citations

Abstract

The authors hypothesized that the degree of contrast material enhancement of a pulmonary nodule, measured with computed tomography (CT), may indicate the likelihood of malignancy. Fifty-two patients with uncalcified solitary pulmonary nodules (diameter, 6-30 mm) were studied. Five single serial thin-section CT scans were obtained at 1-minute intervals after injection of 100 mL of nonionic contrast material. Twenty-two patients were excluded because the diagnosis was not clearly established: The observation period was less than 2 years, or the examination was technically inadequate. Malignant nodules were identified in 23 of the 30 remaining patients, and benign nodules were identified in seven. Within the first 2 minutes after the injection, all the malignant nodules had enhanced by 20 HU or greater (only one benign nodule had that degree of enhancement). The authors conclude that the degree of contrast material enhancement of pulmonary nodules as measured with CT may indicate the likelihood of malignancy.

Original languageEnglish (US)
Pages (from-to)343-347
Number of pages5
JournalRadiology
Volume182
Issue number2
DOIs
StatePublished - Feb 1992

Keywords

  • Lung neoplasms, CT, 60.1211
  • Lung, CT, 60.1211
  • Lung, neoplasms, diagnosis, 60.31, 60.32
  • Lung, nodule, 60.31, 60.32

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Swensen, S. J., Morin, R. L., Schueler, B. A., Brown, L. R., Cortese, D. A., Pairolero, P. C., & Brutinel, W. M. (1992). Solitary pulmonary nodule: CT evaluation of enhancement with iodinated contrast material - A preliminary report. Radiology, 182(2), 343-347. https://doi.org/10.1148/radiology.182.2.1732947