scholarly journals Characteristics of Ground-Glass Nodules Detected by Low-Dose Computed Tomography as a Regular Health Examination Among Chinese Hospital Employees and Their Parents

2021 ◽  
Vol 11 ◽  
Author(s):  
Bihan Ouyang ◽  
Maoyuan Li ◽  
Li Li ◽  
Shaohui Liu ◽  
Min Li
Keyword(s):  
Detection Rate ◽  
Smoking Status ◽  
Clinical Information ◽  
Ground Glass ◽  
Health Examination ◽  
Lower Grade ◽  
Parent Group ◽  
Hospital Employees ◽  
Employee Group ◽  
Ground Glass Nodules

IntroductionAnnual LDCT has been offered as a regular examination among many unit staff in China. Along with the wide application of LDCT, more and more ground-glass nodules were found. We focused on characteristics and relationship of ground-glass nodules detected by LDCT as a regular health examination among Chinese hospital employees and their parents.MethodsWe recorded LDCT-detected ground-glass nodules (GGNs) in the hospital employees and parents between 2019 and 2020. Clinical information, including age, gender, smoking status was collected and analyzed.ResultsA total of 5,574 employees and 2,686 employs’ parents ≥60 years in Xiangya hospital performed annual physical examination. In total, LDCT incidentally detected ground-glass nodules 392 (24.78%, 392/1,582) in hospital employees and 254 in parents (10.80%, 254/2,352). The GGN-detection rate was significantly greater in employee group than parent group and more non-smokers in former (P <0.001). The detection rate was significantly greater in female than male both in employees group and parents group, and the proportion of female was bigger in employees group (P <0.001). There were more pure-GGNs both in employees group and parents group. There were less participants with solitary GGN in employee group than parent group (P = 0.033). Besides, there were more large GGNs (≥10 mm) (P <0.001), LU-RADS 4 GGNs (P <0.001) and LU-RADS 4B GGNs (P = 0.003), LU-RADS 4C-5 GGNs (P = 0.001) in parent group than employee group. There were 36 employee–parent pairs (27.07%) both had GGNs among 133 pairs who both performed LDCT. GGNs in employees were smaller and lower-grade than their parents (P < 0.001, P = 0.001).ConclusionsAmong the employees and parents who had ground glass nodules, 1/4 of them both detected GGNs. Although the detection rate of GGNs in the parent group was lower than that in the employee group, the grade of nodules was significantly higher. All these suggest that the occurrence and development of ground glass nodules may be related to genetic factors.

Radiomics features of ground glass nodules tailored different pathological grades of lung adenocarcinoma.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e23127-e23127
Author(s):  
C Zhang ◽  
Haoran Zhai ◽  
Lan He ◽  
Zai-Yi Liu ◽  
Yi-Long Wu ◽  
...  
Keyword(s):  
Smoking Status ◽  
Ground Glass ◽  
Low Grade ◽  
High Grade ◽  
Ratio Model ◽  
Intermediate Grade ◽  
Potential Predictor ◽  
Continuation Ratio ◽  
Radiomics Signature ◽  
Ground Glass Nodules

e23127 Background: Different pathological subtypes as well as different grades of adenocarcinoma based on the IASLC/ATS/ERS classification had been proven to be stage-independent predictor of survival. Radiomics features, as a novel analytic method, has been increasingly applied in variety cancer research and may be a potential predictor for preoperatively differentiating pathological grades of adenocarcinoma. Methods: Patients (pts) with radiological proved as solitary ground glass nodule were eligible in this study. Radiomics features derived from computed tomography (CT) images were extracted by Chinese Academy of Science. All pts will be categorized into three groups with lepidic predominance as low-grade, acinar and papillary predominance as intermediate-grade, micropapillary and solid predominance as high-grade. We used L1 penalized constrained continuation ratio model to select relevant radiomics features, and corresponding radiomics signature was constructed. Association between the radiomics signature and pathological grades of adenocarcinoma was explored using the Kruskal-Wallis test and C-index was performed to test the efficacy of differentiating. Results: 82 pts were included in this study. Low-grade, intermediate-grade and high-grade contained 15 (18.3%), 53 (64.6%), 14 (17.1%) pts respectively. 475 radiomics features were extracted from thin section CT image and 10 of them selected through L1 penalized constrained continuation ratio model composed radiomics signature which significantly associated with pathological grades (P < 0.0001). C-index for radiomics signature were 0.813 (95%CI 0.793-0.833). Since clinical characters including gender, age, smoking status, NSE, CEA and CYFRA21-1 were not associated with different grades of adenocarcinoma, we could not establish nomogram based on the radiomics signature and correlated clinical characters. Conclusions: Radiomics features only can be a potential predictor for preoperatively differentiating pathological grades of adenocarcinoma, which may be a more applicable clinical predictor for patients’ survival. Yet large sample sizes are warranted to confirm the results.

scholarly journals Clinical Characters in Pre-invasive and Invasive Adenocarcinoma with Pulmonary Ground-glass Nodules

2021 ◽  
Author(s):  
han zheng ◽  
Chongbiao Huang
Keyword(s):  
Early Stage ◽  
Clinical Information ◽  
Genetic Mutation ◽  
Ground Glass ◽  
Invasive Adenocarcinoma ◽  
Mutational Burden ◽  
Mutational Hotspots ◽  
Tumor Mutational Burden ◽  
Exon 19 Deletion ◽  
Ground Glass Nodules

Abstract Purpose: With the increasing prevalence of pulmonary ground-glass nodules (GGNs) among younger population, its clinicopathologic performance, lung cancer-associated genetic mutation, and immune landscape features between pre-invasive adenocarcinoma and invasive adenocarcinoma (IAC) need to be get well known.Methods: We retrospectively reviewed basic clinical information, analyzed radiological characteristics, and then evaluated the status of mutational hotspots and tumor mutational burden by sequencing genome in tissue. Programmed death ligand 1 (PD-L1) expression was detected by immunohistochemistry staining. Results: Nodules vastly increased the probability of IAC when the diameter of GGNs was more than 1.15 mm or the consolidation-to-tumor ratio was at least 8.5%, with the latter predictor having a better diagnostic specificity. Tumors positive for exon 19 deletion and exon 21 L858R in EGFR mutation had a higher prevalence in IAC. However, there was no difference in PD-L1 expression. As expected, tumor mutational burden in IAC was higher, despite a low background mutational burden as a whole. Conclusions: GGNs should be pay high attention when several aggressive behaviors showed in radiology and inner solid components increased gradually, providing more evidence apt to a diagnosis of IAC. We found that GGNs of IAC performed early genomic alternations events during the slow growth carcinogenesis stage of GGNs, including the most common proto-oncogene EGFR activation, which mainly concentrates on IAC. Indolent GGNs at an early stage usually have negative PD-L1 expression.

A Study on Possibility of Special Health Examination to the Hospital Employees

1996 ◽  
Vol 8 (2) ◽  
pp. 191
Author(s):  
Su Ill Lee ◽  
Byung Mann Cho ◽  
Bong Soo Cho ◽  
Young Wook Kirn ◽  
Kwang Wook Koh ◽  
...  
Keyword(s):  
Health Examination ◽  
Hospital Employees ◽  
Special Health

CT Characteristics for Predicting Invasiveness in Pulmonary Pure Ground-Glass Nodules

2020 ◽  
Vol 215 (2) ◽  
pp. 351-358 ◽  
Author(s):  
Zhi-gang Chu ◽  
Wang-jia Li ◽  
Bin-jie Fu ◽  
Fa-jin Lv
Keyword(s):  
Ground Glass ◽  
Ground Glass Nodules

scholarly journals Diffuse Cystic Metastases in the Lung after Nivolumab Treatment in a Patient with Non-Small Cell Lung Cancer: A Case Report

2021 ◽  
pp. 34-38
Author(s):  
Satoshi Muto ◽  
Yuki Ozaki ◽  
Takuya Inoue ◽  
Naoyuki Okabe ◽  
Yuki Matsumura ◽  
...  
Keyword(s):  
Lung Adenocarcinoma ◽  
Immune Checkpoint ◽  
Immune Checkpoint Inhibitors ◽  
Checkpoint Inhibitors ◽  
Lung Metastases ◽  
Sialyl Lewis X ◽  
Ground Glass ◽  
Cystic Lesions ◽  
Positron Emission ◽  
Ground Glass Nodules

Although diffuse cysts in the lung can be found in many diseases, they are uncommon in metastatic lung adenocarcinoma. They are even more unusual after the administration of immune checkpoint inhibitors. A case of lung adenocarcinoma that developed diffuse cysts in the lungs during treatment with nivolumab is reported. The patient was a 60-year-old woman with postoperative recurrent lung adenocarcinoma in mediastinal lymph nodes and pleural dissemination. After first-line treatment with cisplatin, pemetrexed, and bevacizumab, computed tomography (CT) showed disease progression. Treatment was then switched to nivolumab. After 5 courses of nivolumab, CT showed multiple ground-glass nodules in her lungs. After 4 more courses of nivolumab, the ground-glass nodules increased in size, and cystic air spaces appeared in their centers. The patient did not have any symptoms. Laboratory tests showed no evidence of infection or nivolumab-induced pneumonitis. Sialyl Lewis X-i antigen increased, and positron emission tomography showed abnormal uptake of 18F-fluorodeoxyglucose in these lesions. Considering this evidence, the cystic lesions were diagnosed as multiple lung metastases. Various differential diagnoses should be considered when diffuse cystic lesions are found in the lungs after the administration of immune checkpoint inhibitors.

scholarly journals Enlarged inflammatory multiple ground-glass nodules of the lung over five years' follow-up: A surgical case report

2015 ◽  
Vol 29 (7) ◽  
pp. 890-895
Author(s):  
Naoya Yokomakura ◽  
Hiroo Nishijima ◽  
Masakazu Yanagi ◽  
Kazuhiro Wakida ◽  
Aya Harada ◽  
...  
Keyword(s):  
Case Report ◽  
Ground Glass ◽  
Surgical Case ◽  
Ground Glass Nodules

scholarly journals Significance of intra-nodular vessel sign in differentiating benign and malignant pulmonary ground-glass nodules

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Bin-jie Fu ◽  
Fa-jin Lv ◽  
Wang-jia Li ◽  
Rui-yu Lin ◽  
Yi-neng Zheng ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Pulmonary Veins ◽  
Ground Glass ◽  
Occurrence Rate ◽  
Pathological Examination ◽  
Common Occurrence ◽  
Vascular Changes ◽  
Distance Ratio ◽  
Pulmonary Vessels ◽  
Ground Glass Nodules

Abstract Background The presence of pulmonary vessels inside ground-glass nodules (GGNs) of different nature is a very common occurrence. This study aimed to reveal the significance of pulmonary vessels displayed in GGNs in their diagnosis and differential diagnosis. Results A total of 149 malignant and 130 benign GGNs confirmed by postoperative pathological examination were retrospectively enrolled in this study. There were significant differences in size, shape, nodule-lung interface, pleural traction, lobulation, and spiculation (each p < 0.05) between benign and malignant GGNs. Compared with benign GGNs, intra-nodular vessels were more common in malignant GGNs (67.79% vs. 54.62%, p = 0.024), while the vascular categories were similar (p = 0.663). After adjusting the nodule size and the distance between the nodule center and adjacent pleura [radius–distance ratio, RDR], the occurrences of internal vessels between them were similar. The number of intra-nodular vessels was positively correlated with nodular diameter and RDR. Vascular changes were more common in malignant than benign GGNs (52.48% vs. 18.31%, p < 0.0001), which mainly manifested as distortion and/or dilation of pulmonary veins (61.19%). The occurrence rate, number, and changes of internal vessels had no significant differences among all the pre-invasive and invasive lesions (each p > 0.05). Conclusions The incidence of internal vessels in GGNs is mainly related to their size and the distance between nodule and pleura rather than the pathological nature. However, GGNs with dilated or distorted internal vessels, especially pulmonary veins, have a higher possibility of malignancy.

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