Radiology, Vol 160, 603-605, Copyright © 1986 by Radiological Society of North America

ARTICLES

Hodgkin disease: contributions of chest CT in the initial staging evaluation

RA Castellino, N Blank, RT Hoppe and C Cho

Chest radiographs and chest computed tomography (CT) scans were compared in 203 patients with newly diagnosed Hodgkin disease. The incidence of positive findings was tabulated from six intrathoracic lymph node groups, lung parenchyma, pericardium, pleura, and chest wall. The discordant cases were assessed to determine impact on clinical management. The CT scans provided additional evidence of disease involvement, ranging from 0% to 15% at each of the designated anatomic sites. Treatment was altered in 9.4% of all patients (19 of 203), including 13.8% (nine of 65) of those undergoing radiation therapy alone and 8.2% (ten of 122) of those undergoing combined- modality treatment. We conclude that routine chest CT examinations are valuable in the clinical management of those patients for whom radiation therapy is planned.

This article has been cited by other articles:

				T Suwatanapongched and D S Gierada CT of thoracic lymph nodes. Part II: diseases and pitfalls Br. J. Radiol., December 1, 2006; 79(948): 999 - 1000. [Abstract] [Full Text] [PDF]

				B. V. Duwe, D. H. Sterman, and A. I. Musani Tumors of the Mediastinum Chest, October 1, 2005; 128(4): 2893 - 2909. [Abstract] [Full Text] [PDF]

				A. Sharma, P. Fidias, L. A. Hayman, S. L. Loomis, K. H. Taber, and S. L. Aquino Patterns of Lymphadenopathy in Thoracic Malignancies RadioGraphics, March 1, 2004; 24(2): 419 - 434. [Abstract] [Full Text] [PDF]

				B. Kiani, C. M. Magro, and P. Ross Jr Endobronchial presentation of Hodgkin lymphoma: a review of the literature Ann. Thorac. Surg., September 1, 2003; 76(3): 967 - 972. [Abstract] [Full Text] [PDF]

				S. Beckh, P. L. Bolcskei, and K.-D. Lessnau Real-Time Chest Ultrasonography: A Comprehensive Review for the Pulmonologist Chest, November 1, 2002; 122(5): 1759 - 1773. [Abstract] [Full Text] [PDF]

				A. Guermazi, P. Brice, E. de Kerviler, C. Ferme, C. Hennequin, V. Meignin, and J. Frija Extranodal Hodgkin Disease: Spectrum of Disease RadioGraphics, January 1, 2001; 21(1): 161 - 179. [Abstract] [Full Text] [PDF]

				A. J. Bradley, B. M. Carrington, J. A.L. Lawrance, W. D.J. Ryder, and J. A. Radford Assessment and Significance of Mediastinal Bulk in Hodgkin's Disease: Comparison Between Computed Tomography and Chest Radiography J. Clin. Oncol., August 1, 1999; 17(8): 2493 - 2493. [Abstract] [Full Text] [PDF]

				B. D. Fletcher, A. S. Glicksman, and P. Gieser Interobserver Variability in the Detection of Cervical-Thoracic Hodgkin's Disease by Computed Tomography J. Clin. Oncol., July 1, 1999; 17(7): 2153 - 2153. [Abstract] [Full Text] [PDF]