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Detection of Pulmonary Metastases with Multi–Detector Row CT Scans of 5-mm Nominal Section Thickness: Autopsy Lung Study¹

¹ From the Department of Radiology, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan (T.K., T.J., S.H., H. Naito, N.T., M. Koyama, N.M., O.H., H. Nakamura); and GE Yokogawa Medical Systems, Hino, Japan (M. Kudo). Received January 29, 2001; revision requested March 21; final revision received March 21, 2002; accepted April 30. Address correspondence to T.K. (e-mail: koz@radiol.med.osaka-u.ac.jp).

PURPOSE: To determine the effect of changing pitch and collimation on depiction of pulmonary metastases on scans of 5-mm section thickness obtained with multi–detector row computed tomography (CT) compared with those obtained with single–detector row CT.

MATERIALS AND METHODS: In five autopsy lungs, 1,013 metastatic 0.5–30.0-mm nodules were detected at helical CT with 1-mm collimation and histopathologically diagnosed as metastases. Each nodule was numbered, and its localization was recorded as the standard for subsequent studies. Four types of scans of 5-mm section thickness were obtained with multi–detector row CT and four sets of helical pitch and table speed, respectively, as follows: set A, 3:1 and 7.5 mm per rotation; set B, 6:1 and 15 mm per rotation; set C, 6:1 and 30 mm per rotation; set D, conventional and 5-mm interval. Conventional helical CT scans (set E) were obtained with 5-mm collimation at single–detector row CT. Two independent observers evaluated the five sets of CT scans.

RESULTS: Acquisition times for sets A–D, respectively, were 1.9, 3.8, 7.5, and 1.5 times faster than they were for set E. The mean numbers of detected nodules were 671 (66%) in set A, 661 (65%) in set B, 678 (67%) in set C, 654 (65%) in set D, and 656 (65%) in set E; there was no significant difference in the number of detected nodules among the five sets (P = .997, McNemar test and Bonferroni equation).

CONCLUSION: Regardless of varying pitch or detector collimation, multi– and single–detector row CT scans obtained with 5-mm section thickness have almost the same ability to depict pulmonary metastases and are equivalent.

© RSNA, 2002

Index terms: Computed tomography (CT), helical, 60.12115 • Computed tomography (CT), multi–detector row, 60.12119 • Experimental study • Lung, nodule, 60.332, 60.333 • Lung neoplasms, metastases, 60.33

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