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Preliminary Application of High-Definition Computed Tomographic Gemstone Spectral Imaging in Lung Cancer

Wang, Guangli MM; Zhang, Chengqi MD, PhD; Li, Mingying MM; Deng, Kai PhD; Li, Wei MM

Journal of Computer Assisted Tomography: January/February 2014 - Volume 38 - Issue 1 - p 77–81
doi: 10.1097/RCT.0b013e3182a21633
Thoracic Imaging

Rationale and Objectives: To evaluate the feasibility of multiparameter quantitative measurement lung cancer by Gemstone Spectral Imaging (GSI) high-definition computed tomography.

Materials and Methods: Seventy-seven patients who were found to have a lung mass or a nodule by CT plain scan for the first time received chest contrast CT scan with GSI mode on high-definition computed tomography. The GSI viewer was used to display the spectral curve, iodine-based images, water-based images, and 101 sets of monochromatic images of a selected region of interest from the relative homogeneous area of the mass or nodule. Iodine concentration, water concentration, spectral curve slope, and CT values at 40 keV of the region of interest were measured. Finally, 68 eligible patients were divided into a pneumonia group (n = 24) and a malignant tumor group (n = 44, including squamous carcinoma, n = 29, and adenocarcinoma, n = 15).

Results: Significant differences existed in iodine concentration (t = 6.459), spectral curve slope (t = 6.276), and CT values at 40 keV (t = 6.698) between the pneumonia group and the malignant tumor group (P < 0.05), as well as between squamous carcinoma and adenocarcinoma (t = 6.494, 5.634, 6.091, respectively, P < 0.05), whereas water concentrations were found to have no difference between the 2 groups (t = 0.082, P > 0.05) and between the 2 types of malignant tumors (t = 1.234, P > 0.05).

Conclusions: High-definition computed tomographic GSI technique might be helpful to differentiate lung cancer from lung benign lesions by providing qualitative and quantitative information.

From the Department of Radiology, Qianfoshan Hospital Affiliated to Shandong University, Jinan, China.

Received for publication April 6, 2013; accepted June 24, 2013.

Reprints: Chengqi Zhang, MD, PhD, Department of Radiology, Qianfoshan Hospital Affiliated to Shandong University, Jinan, 250014 China (e-mail: chengqizhangjn@yahoo.com.cn).

The study was supported by the Science and Technology Development Plan of Shandong Province (grant no. 2009GG10002040) and the Medical Science and Technology Development Plan of Shandong Province (grant no. 2011QW020).

The authors declare no conflict of interest.

© 2014 by Lippincott Williams & Wilkins