Τίτλος:
The Evolving Landscape of Lung Cancer Surgical Resection: An Update for Radiologists With Focus on Key Chest CT Findings
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Evolution of the multimodality management of early lung cancer, including progress in surgical techniques, has introduced the possibility of resection for lung cancer cases that historically were considered unresectable (e.g., select cases of T4 disease and oligometastatic disease). However, the TNM classification does not uniformly correlate with lung cancer operability and resectability. Radiologic evaluation is therefore critical in identifying patients' suitability to undergo lung cancer resection and in guiding the selection of a surgical approach from among a range of such approaches, including wedge resection, segmentectomy, lobectomy, bilobectomy, and pneumonectomy. The radiologist must understand the available surgical options, along with their advantages and disadvantages, and provide a report that includes critical information on tumor size, location, and extension and anatomic relations that may influence the surgical technique. Preoperative CT findings may also help predict expected postoperative lung function and the associated impact on the postoperative course of the patient. This article reviews the role of chest CT in the preoperative evaluation of lung cancer, focusing on the key CT findings that help direct surgical decision making in the context of an expanding range of patients who may be considered candidates for resection. © 2022 American Roentgen Ray Society. All rights reserved.
Συγγραφείς:
Stefanidis, K.
Konstantellou, E.
Yusuf, G.
Moser, J.
Tan, C.
Vlahos, I.
Περιοδικό:
AJR. AMERICAN JOURNAL OF ROENTGENOLOGY
Εκδότης:
American Roentgen Ray Society
Λέξεις-κλειδιά:
anatomical variation; Article; clinical decision making; computer assisted diagnosis; computer assisted tomography; diagnostic accuracy; disease free survival; forced expiratory volume; human; image reconstruction; inoperable cancer; intermethod comparison; lung biopsy; lung cancer; lung emphysema; lung function; lung lobectomy; lung resection; non small cell lung cancer; nuclear magnetic resonance imaging; overall survival; patient safety; positron emission tomography-computed tomography; postoperative period; practice guideline; prediction; predictive value; preoperative evaluation; radiologist; segmentectomy; sensitivity and specificity; sleeve lobectomy; surgical approach; surgical technique; thoracotomy; treatment contraindication; treatment indication; tumor invasion; tumor localization; tumor volume; video assisted thoracoscopic surgery; wedge resection; diagnostic imaging; lung; lung tumor; procedures; radiologist; x-ray computed tomography, Humans; Lung; Lung Neoplasms; Radiologists; Tomography, X-Ray Computed
DOI:
10.2214/AJR.21.26408
