Department of Radiology, NYU Langone Health, NYU Grossman School of Medicine, New York, NY.
Department of Radiology, NYU Langone Health, NYU Grossman School of Medicine, New York, NY.
Semin Ultrasound CT MR. 2022 Jun;43(3):230-245. doi: 10.1053/j.sult.2022.01.006. Epub 2022 Feb 5.
Lung nodules are frequently encountered while interpreting chest CTs and are challenging to detect, characterize, and manage given they can represent both benign or malignant etiologies. An understanding of features associated with malignancy and causes of interpretive pitfalls is helpful to avoid misdiagnoses. This review addresses pertinent topics related to the etiologies for missed lung nodules on radiography and CT. Additionally, CT imaging technical pitfalls and challenges in addition to issues in the evaluation of nodule morphology, attenuation, and size will be discussed. Nodule management guidelines will be addressed as well as recent investigations that further our understanding of lung nodules.
在解读胸部 CT 时经常会遇到肺结节,由于它们可能代表良性或恶性病因,因此检测、特征描述和管理具有挑战性。了解与恶性相关的特征和解释陷阱的原因有助于避免误诊。本综述讨论了与放射摄影和 CT 上漏诊肺结节的病因相关的相关主题。此外,还将讨论 CT 成像技术陷阱和挑战以及结节形态、衰减和大小评估中的问题。还将讨论结节管理指南以及进一步了解肺结节的最新研究。