Mintzer R A, Malave S R, Neiman H L, Michaelis L L, Vanecko R M, Sanders J H
Radiology. 1979 Sep;132(3):653-9. doi: 10.1148/132.3.653.
One hundred patients, ultimately proved to have chest malignancies, were evaluated prospectively with conventional chest tomography and computed tomography. In 58 patients with primary malignancies, conventional tomograms were more useful in evaluation of the hilus than CT scans. The mediastinum was better assessed by CT. Thus, evaluation of the presence of neoplasia is better accomplished by conventional examination, while extent of disease is best assessed by CT. Thoracotomy for curative resection was not attempted (in the latter cases of this series) based on CT findings of mediastinal involvement. In 42 patients with metastases to the chest, CT scans of the lung parenchyma were more sensitive than whole lung tomography but had little additional impact on patient treatment. Nevertheless, in 18 patients the results of CT or whole lung tomography directly affected patient therapy.
最终被证实患有胸部恶性肿瘤的100例患者接受了传统胸部断层扫描和计算机断层扫描的前瞻性评估。在58例原发性恶性肿瘤患者中，传统断层扫描在评估肺门方面比CT扫描更有用。CT对纵隔的评估更好。因此，通过传统检查更好地完成肿瘤存在的评估，而疾病范围最好通过CT评估。基于纵隔受累的CT表现，（在本系列的后一些病例中）未尝试进行根治性切除的开胸手术。在42例胸部转移患者中，肺实质的CT扫描比全肺断层扫描更敏感，但对患者治疗几乎没有额外影响。然而，在18例患者中，CT或全肺断层扫描的结果直接影响了患者的治疗。
