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Volume 81
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10.5603/ARM.27523
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Advances in Respiratory Medicine is published by MDPI from Volume 90 Issue 4 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Via Medica.
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Article

Staging of Non-Small Cell Lung Cancer Using CT and Integrated PET-CT

by
Lucyna Opoka
1,*,
Jolanta Kunikowska
2,
Zbigniew Podgajny
3,
Katarzyna Błasińska-Przerwa
1,
Barbara Burakowska
1,
Karina Oniszh
1,
Magdalena Gola
1,
Renata Langfort
4,
Piotr Rudziński
5,
Iwona Bestry
1 and
Kazimierz Roszkowski-Śliż
6
1
Department of Radiology, National Tuberculosis and Lung Diseases Research Institute, ul. Płocka 26, 01-138 Warsaw, Poland
2
Department of Nuclear Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland
3
Masovian PET-CT Centre, 02-091 Warsaw, Poland
4
Department of Pathomorphology, National Tuberculosis and Lung Diseases Research Institute, ul. Płocka 26, 01-138 Warsaw, Poland
5
Department of Surgery, National Tuberculosis and Lung Diseases Research Institute, ul. Płocka 26, 01-138 Warsaw, Poland
6
3rd Department of Lung Diseases, National Tuberculosis and Lung Diseases Research Institute, ul. Płocka 26, 01-138 Warsaw, Poland
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2013, 81(1), 5-15; https://doi.org/10.5603/ARM.27523
Submission received: 20 February 2012 / Revised: 13 December 2012 / Accepted: 13 December 2012 / Published: 13 December 2012

Abstract

Introduction: Lung cancer is the leading cause of death from cancer in developed countries. Radiological imaging methods are the basic methods in early diagnosis of this disease. TNM classification is a very important tool for optimal treatment in non-small lung cancer (NSCLC). Conventional radiological techniques allow the evaluation of the stage on the basis of anatomical changes only, while PET-CT provides information about the biochemical processes that may precede anatomical changes. The aim of this study was to compare the accuracy and sensitivity of CT and PET-CT in the staging of NSCLC. Material and methods: The study was conducted on a group of 99 patients with NSCLC diagnosed at the National Tuberculosis and Lung Diseases Research Institute in the period from January 2008 to May 2010. CT and PET-CT were performed in all patients. Histological or cytological examination of the material obtained from biopsy, bronchoscopy, mediastinoscopy, and intraoperatively was the reference test. TNM classification was performed independently after CT and PET-CT. Results and conclusions: It has been shown that PET-CT is a more accurate and sensitive method than CT in the staging process in NSCLC. PET-CT allowed the correct classification of the T, N, M, and total TNM in, respectively, 97%, 95%, 99%, and 89% of cases, while for CT it was, respectively, 95%, 84%, 84%, and 68% (p = 0.0002).
Keywords: lung cancer; PET-CT; TNM; staging lung cancer; PET-CT; TNM; staging

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MDPI and ACS Style

Opoka, L.; Kunikowska, J.; Podgajny, Z.; Błasińska-Przerwa, K.; Burakowska, B.; Oniszh, K.; Gola, M.; Langfort, R.; Rudziński, P.; Bestry, I.; et al. Staging of Non-Small Cell Lung Cancer Using CT and Integrated PET-CT. Adv. Respir. Med. 2013, 81, 5-15. https://doi.org/10.5603/ARM.27523

AMA Style

Opoka L, Kunikowska J, Podgajny Z, Błasińska-Przerwa K, Burakowska B, Oniszh K, Gola M, Langfort R, Rudziński P, Bestry I, et al. Staging of Non-Small Cell Lung Cancer Using CT and Integrated PET-CT. Advances in Respiratory Medicine. 2013; 81(1):5-15. https://doi.org/10.5603/ARM.27523

Chicago/Turabian Style

Opoka, Lucyna, Jolanta Kunikowska, Zbigniew Podgajny, Katarzyna Błasińska-Przerwa, Barbara Burakowska, Karina Oniszh, Magdalena Gola, Renata Langfort, Piotr Rudziński, Iwona Bestry, and et al. 2013. "Staging of Non-Small Cell Lung Cancer Using CT and Integrated PET-CT" Advances in Respiratory Medicine 81, no. 1: 5-15. https://doi.org/10.5603/ARM.27523

APA Style

Opoka, L., Kunikowska, J., Podgajny, Z., Błasińska-Przerwa, K., Burakowska, B., Oniszh, K., Gola, M., Langfort, R., Rudziński, P., Bestry, I., & Roszkowski-Śliż, K. (2013). Staging of Non-Small Cell Lung Cancer Using CT and Integrated PET-CT. Advances in Respiratory Medicine, 81(1), 5-15. https://doi.org/10.5603/ARM.27523

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