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Predicting the pathological invasiveness of early lung adenocarcinoma prior to surgery using Deauville criteria: reliability and validity.
- Source :
-
Japanese journal of radiology [Jpn J Radiol] 2023 Jul; Vol. 41 (7), pp. 768-776. Date of Electronic Publication: 2023 Feb 08. - Publication Year :
- 2023
-
Abstract
- Purpose: This retrospective study aimed to investigate the validity and reliability of FDG-PET/CT visual assessment using Deauville criteria to predict pathological invasiveness of early lung adenocarcinoma prior to surgery.<br />Materials and Methods: Between April 2020 and January 2022, 51 patients who underwent surgery for pathological stage 0/I lung adenocarcinoma were enrolled. The pulmonary lesions were divided into two groups according to pathological invasiveness: less invasive (including adenocarcinoma in situ and minimally invasive adenocarcinoma and invasive adenocarcinoma. We compared CT size (total and solid size), SUVmax, and Deauville score between the two groups. Furthermore, we investigated inter-rater and intra-rater agreements regarding the Deauville score. Receiver operating characteristic (ROC) curve analysis was performed to identify the diagnostic performance of each method.<br />Results: Based on pathologic diagnoses, 51 lesions in the 51 patients were divided into 6 less invasive and 45 invasive adenocarcinoma lesions. According to quadratic-weighted Kappa statistics, inter-rater (k = 0.93) and intra-rater (k = 0.97) agreements among all five components of the Deauville score indicated high agreement. There was a statistically significant difference in CT solid size, SUVmax, and Deauville score between the two groups. There were no significant differences between CT solid size and FDG-PET/CT assessments (AUC = 0.93 for Deauville score and SUVmax, AUC = 0.84 for CT solid size).<br />Conclusion: FDG-PET/CT visual assessment using the Deauville score could assist in deciding upon minimally invasive surgery for early lung adenocarcinoma.<br /> (© 2023. The Author(s).)
- Subjects :
- Humans
Positron Emission Tomography Computed Tomography methods
Fluorodeoxyglucose F18
Retrospective Studies
Reproducibility of Results
Lung Neoplasms diagnostic imaging
Lung Neoplasms surgery
Adenocarcinoma of Lung diagnostic imaging
Adenocarcinoma of Lung surgery
Adenocarcinoma of Lung pathology
Adenocarcinoma diagnostic imaging
Adenocarcinoma surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1867-108X
- Volume :
- 41
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Japanese journal of radiology
- Publication Type :
- Academic Journal
- Accession number :
- 36752955
- Full Text :
- https://doi.org/10.1007/s11604-023-01397-z