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


     

This Article
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
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Woodard, P. K.
Right arrow Articles by Jost, R. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Woodard, P. K.
Right arrow Articles by Jost, R. G.

Radiology, Vol 209, 705-709, Copyright © 1998 by Radiological Society of North America

ARTICLES

Detection of CT-proved pulmonary nodules: comparison of selenium-based digital and conventional screen-film chest radiographs

PK Woodard, RM Slone, SS Sagel, MJ Fleishman, FR Gutierrez, GG Reiker, TK Pilgram and RG Jost
Electronic Radiology Laboratory, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110, USA.

PURPOSE: To compare hard-copy digital chest radiographs obtained with a selenium-based system with wide-latitude asymmetric screen-film radiographs for detection of pulmonary nodules. MATERIALS AND METHODS: Fifty patients undergoing thoracic computed tomography (CT) for suspected pulmonary nodules were recruited to undergo both digital and screen-film posteroanterior (PA) and lateral chest radiography. Three chest radiologists blinded to the CT results independently reviewed each digital and screen-film radiograph, identified each nodule, and graded their confidence for its presence. RESULTS: Seventy-eight pulmonary nodules (mean diameter, 1.5 cm; range, 0.5-3.5 cm; 62 soft tissue, 16 calcified) were identified with CT in 34 patients, while 16 patients had clear lungs. The mean sensitivity for the detection of all nodules by all readers (PA and lateral) was 66% (95% Cl, 54%, 76%) for digital radiographs and 64% (95% Cl, 52%, 74%) for screen-film radiographs. Differences between the two techniques were not statistically significant (P > .05, Student t test). There was no difference in mean false-positive-true-positive ratios (PA, 0.35; lateral, 0.53) or positive predictive values (PA, 74%; lateral, 65%), and no significant difference (P > .05) was seen in mean reader confidence rating. CONCLUSION: In detecting pulmonary nodules, radiologists perform comparably with selenium-based digital and wide- latitude asymmetric screen-film radiographs.


This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
F. Li, R. Engelmann, K. Doi, and H. MacMahon
Improved Detection of Small Lung Cancers with Dual-Energy Subtraction Chest Radiography
Am. J. Roentgenol., April 1, 2008; 190(4): 886 - 891.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
S. Metz, P. Damoser, R. Hollweck, R. Roggel, C. Engelke, K. Woertler, B. Renger, E. J. Rummeny, and T. M. Link
Chest Radiography with a Digital Flat-Panel Detector: Experimental Receiver Operating Characteristic Analysis
Radiology, March 1, 2005; 234(3): 776 - 784.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
T. S. Kim, J.-G. Im, J. M. Goo, K. H. Lee, Y.-J. Lee, S. H. Kim, and S. Kim
Detection of Pulmonary Edema in Pigs: Storage Phosphor versus Amorphous Selenium-based Flat-Panel-Detector Radiography
Radiology, June 1, 2002; 223(3): 695 - 701.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
K. Awai, M. Komi, and S. Hori
Selenium-Based Digital Radiography Versus High-Resolution Storage Phosphor Radiography in the Detection of Solitary Pulmonary Nodules Without Calcification: Receiver Operating Characteristic Curve Analysis
Am. J. Roentgenol., November 1, 2001; 177(5): 1141 - 1144.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
J. M. Goo, J.-G. Im, J. H. Kim, J. B. Seo, T. S. Kim, S. J. Shine, and W. Lee
Digital Chest Radiography with a Selenium-Based Flat-Panel Detector Versus a Storage Phosphor System: Comparison of Soft-Copy Images
Am. J. Roentgenol., October 1, 2000; 175(4): 1013 - 1018.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
L. Ketai, M. Malby, K. Jordan, A. Meholic, and J. Locken
Small Nodules Detected on Chest Radiography : Does Size Predict Calcification?
Chest, September 1, 2000; 118(3): 610 - 614.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
R. M. Slone, D. H. Foos, B. R. Whiting, E. Muka, D. A. Rubin, T. K. Pilgram, K. S. Kohm, S. S. Young, P. Ho, and D. D. Hendrickson
Assessment of Visually Lossless Irreversible Image Compression: Comparison of Three Methods by Using an Image-Comparison Workstation
Radiology, May 1, 2000; 215(2): 543 - 553.
[Abstract] [Full Text]

Home page
 Am. J. Roentgenol.Home page
M. Garmer, S. P. Hennigs, H. J. Jager, F. Schrick, T. van de Loo, A. Jacobs, A. Hanusch, A. Christmann, and K. Mathias
Digital Radiography Versus Conventional Radiography in Chest Imaging: Diagnostic Performance of a Large-Area Silicon Flat-Panel Detector in a Clinical CT-Controlled Study
Am. J. Roentgenol., January 1, 2000; 174(1): 75 - 80.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1998 by the Radiological Society of North America.