RadioGraphics
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

DOI: 10.1148/rg.282075710
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Google Scholar
Right arrow Articles by Bruzzi, J. F.
Right arrow Articles by Erasmus, J. J.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bruzzi, J. F.
Right arrow Articles by Erasmus, J. J.
Related Collections
Right arrow Chest Radiology
Right arrow Oncologic Imaging
Right arrowRelated Article
RadioGraphics 2008;28:561-572
© RSNA, 2008

EDUCATION EXHIBIT

Imaging of Non–Small Cell Lung Cancer of the Superior Sulcus

Part 2: Initial Staging and Assessment of Resectability and Therapeutic Response1

John F. Bruzzi, FFRRCSI, Ritsuko Komaki, MD, Garrett L. Walsh, MD, Mylene T. Truong, MD, Gregory W. Gladish, MD, Reginald F. Munden, MD, and Jeremy J. Erasmus, MD

1 From the Division of Diagnostic Imaging (J.F.B., M.T.T., G.W.G., R.F.M., J.J.E.), Department of Radiation Oncology (R.K.), and Department of Thoracic and Cardiovascular Surgery (G.L.W.), M. D. Anderson Cancer Center, Houston, Tex. Received March 9; revision requested May 25 and received June 26; accepted June 29. All authors have no financial relationships to disclose. Address correspondence to J.F.B., Department of Radiology, University College Hospital Galway, Galway, Ireland (e-mail: John.Bruzzi{at}hse.ie).

Imaging plays a crucial role in the diagnosis and staging of superior sulcus tumors, assessment of their resectability, determination of the optimal approach to disease management, and evaluation of the response to therapy. Computed tomography (CT), magnetic resonance (MR) imaging, and positron emission tomography (PET)/CT contribute important and complementary information. Whereas CT is optimal for depicting bone erosion and for staging of intrathoracic disease, MR imaging is superior for evaluating tumor extension to the intervertebral neural foramina, the spinal cord, and the brachial plexus, primarily because of the higher contrast resolution and multiplanar capability available with MR imaging technology. Use of PET/CT enables the detection of unsuspected nodal and distant metastases. However, imaging has only limited usefulness for evaluating the response of a tumor to induction therapy and detecting local recurrence, and surgical biopsy often is necessary to verify the results of therapy.

© RSNA, 2008


Related Article

Imaging of Non–Small Cell Lung Cancer of the Superior Sulcus: Part 1: Anatomy, Clinical Manifestations, and Management
John F. Bruzzi, Ritsuko Komaki, Garrett L. Walsh, Mylene T. Truong, Gregory W. Gladish, Reginald F. Munden, and Jeremy J. Erasmus
RadioGraphics 2008 28: 551-560. [Abstract] [Full Text] [PDF]





HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOGRAPHICS RADIOLOGY RSNA JOURNALS ONLINE
Copyright © 2008 by the Radiological Society of North America.