Clinical and non-contrast computed tomography characteristics and disease development in patients with benign pulmonary subsolid nodules with a solid component ≤ 5 mm

作者全名："Wu, Shun; Fan, Xiao; Li, Xian; Luo, Tian-you; Li, Xing-hua; Li, Qi"

作者地址："[Wu, Shun; Luo, Tian-you; Li, Xing-hua; Li, Qi] Chongqing Med Univ, Affiliated Hosp 1, Dept Radiol, 1 Youyi Rd, Chongqing 400016, Peoples R China; [Fan, Xiao] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Radiol, Minist Educ,Key Lab Child Dev & Disorders,Children, Chongqing, Peoples R China; [Li, Xian] Chongqing Med Univ, Dept Pathol, Chongqing, Peoples R China"

通信作者："Li, XH; Li, Q (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Radiol, 1 Youyi Rd, Chongqing 400016, Peoples R China."

来源：INSIGHTS INTO IMAGING

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001137842200001

JCR分区：Q1

影响因子：4.7

年份：2024

卷号：15

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Computed tomography; Ground-glass opacity; Pulmonary nodules; Subsolid nodules

摘要："Objectives To evaluate the clinical and non-contrast computed tomography (CT) features of patients with benign pulmonary subsolid nodules (SSNs) with a solid component <= 5 mm and their development trends via follow-up CT.Methods We retrospectively collected 436 data from patients who had SSNs with a solid component <= 5 mm, including 69 with absorbable benign SSNs (AB-SSNs), 70 with nonabsorbable benign SSNs (NB-SSNs), and 297 with malignant SSNs (M-SSNs). Models 1, 2, and 3 for distinguishing the different types of SSNs were then developed and validated.Results Patients with AB-SSNs were younger and exhibited respiratory symptoms more frequently than those with M-SSNs. The frequency of nodules detected during follow-up CT was in the following order: AB-SSNs > NB-SSNs > M-SSNs. NB-SSNs were smaller than M-SSNs, and ill-defined margins were more frequent in AB-SSNs than in NB-SSNs and M-SSNs. Benign SSNs exhibited irregular shape, target sign, and lower CT values more frequently compared to M-SSNs, whereas the latter demonstrated bubble lucency more commonly compared to the former. Furthermore, AB-SSNs showed more thickened interlobular septa and satellite lesions than M-SSNs and M-SSNs had more pleural retraction than AB-SSNs (all p < 0.017). The three models had AUCs ranging 0.748-0.920 and 0.790-0.912 in the training and external validation cohorts, respectively. A follow-up CT showed nodule progression in four benign SSNs.Conclusions The three SSN types have different clinical and imaging characteristics, with some benign SSNs progressing to resemble malignancy.Critical relevance statement A good understanding of the imaging features and development trends of benign SSNs may help reduce unnecessary follow-up or interventions. This retrospective study explores the CT characteristics of benign SSNs with a solid component <= 5 mm by comparing AB-SSNs, NB-SSNs, and M-SSNs and delineates their development trends via follow-up CT."

基金机构：Chongqing medical scientific research project (Joint project of Chongqing Health Commission and Science and Technology Bureau)

基金资助正文：No Statement Available