Detection of pulmonary nodules by multislice computed tomography: improved detection rate with reduced slice thickness

• Published in: European radiology 2003-10, Vol.13 (10), p.2378-2383
• Main Authors: Fischbach, Frank, Knollmann, Friedrich, Griesshaber, Volker, Freund, Torsten, Akkol, Ethem, Felix, Roland
• Format: Article
• Language: English
• Subjects: Adult; Aged; Agreements; Cohort Studies; Confidence Intervals; Female; Humans; Imaging, Three-Dimensional; Lung Neoplasms - diagnostic imaging; Lung Neoplasms - pathology; Male; Middle Aged; Neoplasm Staging; Observer Variation; Radiographic Image Interpretation, Computer-Assisted - methods; Sampling Studies; Sensitivity and Specificity; Solitary Pulmonary Nodule - diagnostic imaging; Solitary Pulmonary Nodule - pathology; Studies; Tomography, X-Ray Computed - methods
• ISSN: 0938-7994; 1432-1084
• DOI: 10.1007/s00330-003-1915-7

The purpose of this study was to find out if the use of 1.25-mm collimated thin-slice technique helps to detect more small pulmonary lung nodules than the use of 5 mm. A total of 100 patient examinations that allowed a reconstruction of 1.25-mm slice thickness in addition to the standard of 5-mm slices were included in a prospective study. Acquisition technique included four rows of 1-mm slices. Two sets of contiguous images were reconstructed and compared with 1.25- and 5-mm slice thickness, respectively. Two radiologists performed a film-based analysis of the images. The size and the confidence of the seen nodules were reported. We did not perform a histological verification, according to the normal clinical procedure, although it would be optimal regarding research. Statistical analysis was performed by using longitudinal analysis described by Brunner and Langer. In addition, sensitivity, specificity, negative predictive value and positive predictive value were calculated for each reader using the 1.25-mm sections as the gold standard. As an index for concordance the kappa value was used. A value of p