PURPOSE: To compare the accuracy of low-dose thin-section computed tomography (CT), chest radiography, and conventional-dose thin-section CT in diagnosis of chronic infiltrative lung disease (CILD). MATERIALS AND METHODS:Chest radiographs and low-dose (80-mAs) and conventional-dose (340-mAs) thin-section (1.5-mm) CT scans from 50 patients with CILD and 10 healthy control subjects were randomized and analyzed retrospectively. For CT, three images were obtained: at the aortic arch, at the tracheal carina, and 1 cm above the right hemidiaphragm. Two independent observers listed three likely diagnoses and recorded the degree of confidence in their first choice. RESULTS: A correct first-choice diagnosis was made more often with either CT technique than with radiography (P < .02). A high confidence level in the diagnosis was reached in 42% of radiographic, 61% of low-dose CT, and 63% of conventional-dose CT interpretations, which were correct in 92%, 90%, and 96% of the studies, respectively. CONCLUSION: The superior diagnostic accuracy of low-dose thin-section CT was achieved without an increase in effective radiation dose.
RCT Entities:
PURPOSE: To compare the accuracy of low-dose thin-section computed tomography (CT), chest radiography, and conventional-dose thin-section CT in diagnosis of chronic infiltrative lung disease (CILD). MATERIALS AND METHODS: Chest radiographs and low-dose (80-mAs) and conventional-dose (340-mAs) thin-section (1.5-mm) CT scans from 50 patients with CILD and 10 healthy control subjects were randomized and analyzed retrospectively. For CT, three images were obtained: at the aortic arch, at the tracheal carina, and 1 cm above the right hemidiaphragm. Two independent observers listed three likely diagnoses and recorded the degree of confidence in their first choice. RESULTS: A correct first-choice diagnosis was made more often with either CT technique than with radiography (P < .02). A high confidence level in the diagnosis was reached in 42% of radiographic, 61% of low-dose CT, and 63% of conventional-dose CT interpretations, which were correct in 92%, 90%, and 96% of the studies, respectively. CONCLUSION: The superior diagnostic accuracy of low-dose thin-section CT was achieved without an increase in effective radiation dose.
Authors: Nicholas J Screaton; Fiona N A C Miller; Bipen D Patel; Ashley Groves; Angela D Tasker; David A Lomas; Christopher D R Flower Journal: Eur Radiol Date: 2010-08-24 Impact factor: 5.315
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