Portnoĭ L M, Petrova G A, Nefedova V O
Vestn Rentgenol Radiol. 1995 Sep-Oct(5):5-12.
By using the data on 570 cases with lung cancer, 49 with various types of tuberculosis, 13 with benign tumours, and 223 with acute and chronic inflammatory lung diseases, the authors of the paper analyze their diagnosis by using the currently available techniques X-ray computed tomography (CT). The role of CT is compared with the techniques of the so-called classical roentgenology. In the authors' opinion, CT for central lung cancer is of the greatest importance in its peribronchial malignancy while in peripheral lung cancer it provides an objective insight into the involvement of the pleura. As for a large group of pulmonary diseases which may be subsumed under the heading of inflammatory diseases, CT has proved to be also a highly effective diagnostic technique that correctly interprets some complicated cases to make an accurate diagnosis. By and large, computed tomography for pulmonary tuberculosis is more effective in the assessment of the extent of a process, in case-finding and in the definition of the characteristics of cavities, small ones in particular (as small as 3-4 mm), which are present in the consolidated infiltrates, tuberculomas and individual foci, as well as in the detection of small seeding foci. The authors consider CT to become one of the leading techniques in the diagnosis of major pulmonary disease.
通过使用570例肺癌、49例各类肺结核、13例良性肿瘤以及223例急慢性肺部炎症疾病患者的数据，该论文的作者运用当前可用的X线计算机断层扫描（CT）技术对其进行诊断分析。将CT的作用与所谓经典X线诊断学技术进行了比较。作者认为，对于中央型肺癌，CT在支气管周围恶性病变方面最为重要；而对于周围型肺癌，它能客观显示胸膜受累情况。至于一大类可归类为炎症性疾病的肺部疾病，CT已被证明也是一种高效的诊断技术，能正确解读一些复杂病例以做出准确诊断。总体而言，计算机断层扫描在评估肺结核病程范围、病例发现以及确定实变浸润、结核瘤和单个病灶中存在的空洞（尤其是小至3 - 4毫米的小空洞）特征以及检测微小播散病灶方面更为有效。作者认为CT将成为诊断主要肺部疾病的主导技术之一。
