Surgery Today

, Volume 44, Issue 7, pp 1197–1206

Diagnostic imaging in the preoperative management of lung cancer

  • Kazuhiro Imai
  • Yoshihiro Minamiya
  • Hajime Saito
  • Satoru Motoyama
  • Yusuke Sato
  • Aki Ito
  • Kei Yoshino
  • Satoshi Kudo
  • Shinogu Takashima
  • Yasushi Kawaharada
  • Nobuyasu Kurihara
  • Kimito Orino
  • Jun-ichi Ogawa
Review Article

DOI: 10.1007/s00595-013-0660-z

Cite this article as:
Imai, K., Minamiya, Y., Saito, H. et al. Surg Today (2014) 44: 1197. doi:10.1007/s00595-013-0660-z
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Abstract

Surgical resection is the accepted standard of care for patients with non-small cell lung cancer (NSCLC). Several imaging modalities play central roles in the detection and staging of the disease. The aim of this review is to evaluate the utility of computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET) and PET/CT for NSCLC staging. Radiographic staging refers to the use of CT as a non-invasive diagnostic technique. However, while the vast majority of patients undergo only CT, CT is a notoriously inaccurate means of tumor and nodal staging in many situations. PET/CT clearly improves the staging, particularly nodal staging, compared to CT or PET alone. In addition, as a result of the increased soft-tissue contrast, MRI is superior to CT for distinguishing between tissue characteristics. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), which is a minimally invasive technique, also has pathological diagnostic potential. Extensive research and the resultant improvements in the understanding of genetics, histology, molecular biology and oncology are transforming our understanding of lung cancer, and it is clear that imaging modalities such as CT, MRI, PET and PET/CT will have an important role in its preoperative management. However, thoracic surgeons should also be aware of the limitations of these techniques.

Keywords

Lung cancer Preoperative management Computed tomography Magnetic resonance imaging Positron emission tomography 

Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Kazuhiro Imai
    • 1
  • Yoshihiro Minamiya
    • 1
  • Hajime Saito
    • 1
  • Satoru Motoyama
    • 1
  • Yusuke Sato
    • 1
  • Aki Ito
    • 1
  • Kei Yoshino
    • 1
  • Satoshi Kudo
    • 1
  • Shinogu Takashima
    • 1
  • Yasushi Kawaharada
    • 1
  • Nobuyasu Kurihara
    • 1
  • Kimito Orino
    • 1
  • Jun-ichi Ogawa
    • 1
  1. 1.Department of Chest (& Endocrinological) SurgeryAkita University Graduate School of MedicineAkitaJapan

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