Refined staging in Hilar bronchial neoplasms with ECG-gated multislice-CT---case report

Equivocal initial CT-based staging in 2 patients with hilar bronchial neoplasms was reassessed with retrospective ECG-gated Multislice-CT and optimized examination parameters prior to definition of treatment. An initially suspected irresectable T4 tumor with mediastinal infiltration was downstaged t...

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Bibliographic Details
Published in:Röntgenpraxis (Stuttgart) 2008, Vol.56 (5), p.185-190
Main Authors: Ohlmann, Susanne, Nowak, Ralf, Daliri, Armand, Michulla, Rainer, Froelich, Jens J
Format: Article
Language:ger
Subjects:
Aged
Bronchi - pathology
Carcinoma, Bronchogenic - pathology
Carcinoma, Bronchogenic - surgery
Carcinoma, Small Cell - pathology
Carcinoma, Small Cell - surgery
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Cardiac-Gated Imaging Techniques
Contrast Media
Female
Heart Ventricles - pathology
Humans
Image Processing, Computer-Assisted - methods
Iopamidol - analogs & derivatives
Lung - pathology
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Male
Mediastinum - pathology
Middle Aged
Neoplasm Invasiveness
Neoplastic Cells, Circulating
Prognosis
Sensitivity and Specificity
Tomography, Spiral Computed - methods
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Summary:Equivocal initial CT-based staging in 2 patients with hilar bronchial neoplasms was reassessed with retrospective ECG-gated Multislice-CT and optimized examination parameters prior to definition of treatment. An initially suspected irresectable T4 tumor with mediastinal infiltration was downstaged to T2 in one case, while tumor infiltration into the left atrium could be confirmed in the other case. In doubtful conditions, ECG-gated multislice CT with optimized examination parameters may be helpful for refined staging in patients with hilar bronchial neoplasms, thus possibly influencing treatment strategies.
ISSN:0035-7820