RSNA 2012 

Abstract Archives of the RSNA, 2012


LL-CHE2383

Update in the Evaluation of the Solitary Pulmonary Nodule: Solid and Subsolid Lesions

Education Exhibits

Presented in 2012

 Magna Cum Laude
 Selected for RadioGraphics

Participants

Santiago E. Rossi MD, Presenter: Nothing to Disclose
Jane P. Ko MD, Abstract Co-Author: Nothing to Disclose
Ignacio Rossi, Abstract Co-Author: Nothing to Disclose
Chitra Viswanathan MD, Abstract Co-Author: Nothing to Disclose
Mylene Thi Mytien Truong MD, Abstract Co-Author: Nothing to Disclose
Jeremy J. Erasmus MD, Abstract Co-Author: Nothing to Disclose

PURPOSE/AIM

- To review the differential diagnoses of solitary solid and subsolid pulmonary nodules - To review strategies in evaluating and managing solitary solid and subsolid pulmonary nodules. - To discuss the imaging findings useful in differentiating benign form malignant lesions.

CONTENT ORGANIZATION

- Clinical Assessment - Imaging Evaluation Morphology Growth Enhancement Characteristics Metabolism: FDG-PET - Decision Analysis Integrating clinical and imaging features Management algorithms (follow up, biopsy, surgery)  

SUMMARY

Noninvasive image-based assessment and management of solitary pulmonary nodules are evolving given advances in multidetector CT imaging technology, knowledge adquired from lung cancer screening studies, and understanding of the behavior of lung adenocarcinoma. Strategies for evaluating and managing solid and subsolid pulmonary nodules take into consideration lesion size, morphology, and growth rate as well as patients risk factors for malignancy, including age, smoking history,and hsitory of neoplasia. Although subsolid nodules can exhibit indolent behavior, it is important to identify the subset of lesions associated with invasive adenocarcinoma and requiring a more aggressive imaging and managment approach.

Cite This Abstract

Rossi, S, Ko, J, Rossi, I, Viswanathan, C, Truong, M, Erasmus, J, Update in the Evaluation of the Solitary Pulmonary Nodule: Solid and Subsolid Lesions.  Radiological Society of North America 2012 Scientific Assembly and Annual Meeting, November 25 - November 30, 2012 ,Chicago IL. http://archive.rsna.org/2012/12033667.html