Loviagin E V, Kuznetsov K O, Noskov A A
Vestn Rentgenol Radiol. 1992 Mar-Apr(2):12-6.
The results of routine roentgenotomography, CT and USI in the diagnosis of intrathoracic metastases of lung cancer were compared in 69 patients (central type--52, peripheral--17). These results were compared with operative findings in 45 patients. The sensitivity of USI in the diagnosis of enlarged paravasal lymph nodes exceeded that of roentgenotomography and was slightly inferior to CT. CT was informative for all mediastinal lymph nodes whereas tomography and USI were informative in certain areas only. The authors recommend to combine the use of routine and ultrasound tomography to assess the spreading of lung cancer to the mediastinum. The information obtained increases the accuracy of staging and specifying a process, slightly yielding CT results.
对69例肺癌患者（中央型52例，周围型17例）进行了常规断层摄影、CT和超声检查（USI）诊断胸内转移的结果比较。将这些结果与45例患者的手术所见进行了比较。USI诊断纵隔旁淋巴结肿大的敏感性超过了断层摄影，略低于CT。CT对所有纵隔淋巴结都有诊断价值，而断层摄影和USI仅在某些区域有诊断价值。作者建议联合使用常规断层摄影和超声断层摄影来评估肺癌向纵隔的扩散。所获得的信息提高了分期的准确性并明确了病情，略逊于CT结果。
