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01-07-2014 | Review Article

Diagnostic imaging in the preoperative management of lung cancer

Authors: Kazuhiro Imai, Yoshihiro Minamiya, Hajime Saito, Satoru Motoyama, Yusuke Sato, Aki Ito, Kei Yoshino, Satoshi Kudo, Shinogu Takashima, Yasushi Kawaharada, Nobuyasu Kurihara, Kimito Orino, Jun-ichi Ogawa

Published in: Surgery Today | Issue 7/2014

Abstract

Surgical resection is the accepted standard of care for patients with non-small cell lung cancer (NSCLC). Several imaging modalities play central roles in the detection and staging of the disease. The aim of this review is to evaluate the utility of computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET) and PET/CT for NSCLC staging. Radiographic staging refers to the use of CT as a non-invasive diagnostic technique. However, while the vast majority of patients undergo only CT, CT is a notoriously inaccurate means of tumor and nodal staging in many situations. PET/CT clearly improves the staging, particularly nodal staging, compared to CT or PET alone. In addition, as a result of the increased soft-tissue contrast, MRI is superior to CT for distinguishing between tissue characteristics. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), which is a minimally invasive technique, also has pathological diagnostic potential. Extensive research and the resultant improvements in the understanding of genetics, histology, molecular biology and oncology are transforming our understanding of lung cancer, and it is clear that imaging modalities such as CT, MRI, PET and PET/CT will have an important role in its preoperative management. However, thoracic surgeons should also be aware of the limitations of these techniques.

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Title: Diagnostic imaging in the preoperative management of lung cancer
Authors: Kazuhiro Imai
Yoshihiro Minamiya
Hajime Saito
Satoru Motoyama
Yusuke Sato
Aki Ito
Kei Yoshino
Satoshi Kudo
Shinogu Takashima
Yasushi Kawaharada
Nobuyasu Kurihara
Kimito Orino
Jun-ichi Ogawa
Publication date: 01-07-2014
Publisher: Springer Japan
Published in: Surgery Today / Issue 7/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-013-0660-z

At a glance: The ONWARDS insulin icodec trials

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Diagnostic imaging in the preoperative management of lung cancer

Abstract

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