Computed tomographic evaluation of lesions in the thoracic apex.

Journal Article

Fifty patients with clinically suspected lesions of the chest apex underwent computed tomography (CT) and plain film (PF) examinations in an attempt to define the underlying etiology as benign or malignant. CT was slightly more sensitive in diagnosing malignancy (90%) compared with PF (77%), with a higher predictive value of a negative test (85% vs. 70%), although the differences were not statistically significant. The specificity and predictive value of a positive test were similar for CT and PF. CT's advantage was better elucidation of the soft tissues of the chest apex. CT provided additional information beyond PF in 17/20 patients with benign conditions and in 29/30 patients with cancer. In 21 of these 29 cancer patients, CT findings significantly altered subsequent management.

Full Text

Duke Authors

Cited Authors

  • Takasugi, JE; Godwin, JD; Halvorsen, RE; Williford, ME; Silverman, PM; Putman, CE

Published Date

  • May 1, 1985

Published In

Volume / Issue

  • 20 / 3

Start / End Page

  • 260 - 266

PubMed ID

  • 4030263

Pubmed Central ID

  • 4030263

International Standard Serial Number (ISSN)

  • 0020-9996

Digital Object Identifier (DOI)

  • 10.1097/00004424-198505000-00006


  • eng

Conference Location

  • United States