Castellino R A, Blank N, Hoppe R T, Cho C
Radiology. 1986 Sep;160(3):603-5. doi: 10.1148/radiology.160.3.3737899.
Chest radiographs and chest computed tomography (CT) scans were compared in 203 patients with newly diagnosed Hodgkin disease. The incidence of positive findings was tabulated from six intrathoracic lymph node groups, lung parenchyma, pericardium, pleura, and chest wall. The discordant cases were assessed to determine impact on clinical management. The CT scans provided additional evidence of disease involvement, ranging from 0% to 15% at each of the designated anatomic sites. Treatment was altered in 9.4% of all patients (19 of 203), including 13.8% (nine of 65) of those undergoing radiation therapy alone and 8.2% (ten of 122) of those undergoing combined-modality treatment. We conclude that routine chest CT examinations are valuable in the clinical management of those patients for whom radiation therapy is planned.
对203例新诊断的霍奇金病患者的胸部X光片和胸部计算机断层扫描（CT）进行了比较。从六个胸内淋巴结组、肺实质、心包、胸膜和胸壁中列出了阳性结果的发生率。对不一致的病例进行评估，以确定其对临床管理的影响。CT扫描提供了疾病累及的额外证据，在每个指定的解剖部位，其发生率从0%到15%不等。所有患者中有9.4%（203例中的19例）的治疗方案发生了改变，其中仅接受放射治疗的患者中有13.8%（65例中的9例），接受综合治疗的患者中有8.2%（122例中的10例）。我们得出结论，对于计划进行放射治疗的患者，常规胸部CT检查在临床管理中具有重要价值。
