Chun-lei Lv,Shenjiang Li,Changcheng Li,Debin Liu,Wenjie Liang,Feng Zhu,Yan Zhu,Xuefeng Cui. Peripheral bronchogenic carcinoma: Enhancement pattern evaluation on PACS and CT workstations. Oncol Transl Med, 2014, 13: 567-571.
Peripheral bronchogenic carcinoma: Enhancement pattern evaluation on PACS and CT workstations
Received:September 11, 2014  Revised:December 10, 2014
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KeyWord:peripheral bronchogenic carcinoma; picture archiving and communication system (PACS); tomography, X-ray
Author NameAffiliationE-mail
Chun-lei Lv The Eighty-eighth Military Hospital, Tai’an 271000, China lishenjiang1971@sina.com 
Shenjiang Li The Eighty-eighth Military Hospital, Tai’an 271000, China lishenjiang1971@sina.com 
Changcheng Li The Eighty-eighth Military Hospital, Tai’an 271000, China  
Debin Liu The Eighty-eighth Military Hospital, Tai’an 271000, China  
Wenjie Liang The Eighty-eighth Military Hospital, Tai’an 271000, China  
Feng Zhu The Eighty-eighth Military Hospital, Tai’an 271000, China  
Yan Zhu The Eighty-eighth Military Hospital, Tai’an 271000, China  
Xuefeng Cui The Eighty-eighth Military Hospital, Tai’an 271000, China  
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Abstract:
      Objective: The aim of the study was to determine the efficiency and effectiveness of picture archiving and communication system (PACS) workstation in detecting enhancement pattern of peripheral bronchogenic carcinoma. Methods: The 62 patients with peripheral bronchogenic carcinoma underwent two-phase contrast material-enhanced multislices computed tomography (MSCT) of the chest in a single-breath-hold technique. Two spiral CT scans were obtained at 25 s and 90 s respectively after nonionic contrast material was administrated via the antecubital vein at a rate of 4 mL/s by using an autoinjector. Precontrast and postcontrast attenuation on every scan were measured on PACS and CT orkstations respectively and peak height was calculated. Enhancement pattern was evaluated on the image obtained at 90 s after injection of contrast medium on PACS and CT workstations respectively. Results: No statistically significant difference in precontrast attenuation, postcontrast attenuation at 25 s and 90 s was found between these measured on a PACS workstation [(40.21 ± 7.03) HU; (55.53 ± 11.09) HU; (75.95 ± 13.45) HU] and those [(39.01 ± 8.95) HU; (56.01 ± 10.91) HU; (76.03 ± 11.95) HU] on a CT workstation (t = 1.140, P = 0.256 > 0.05; t = 1.580, P = 0.149 > 0.05; t = 1.505, P = 0.150﹥0.05). The peak height that calculated on a PACS workstation was 35.74 HU (20 HU). There was not statistically significant difference in peak height between that calculated on a PACS workstation and that on a CT workstation [(37.02 ± 12.05) HU; t = 2.001, P = 0.099 > 0.05]. The tumors showed same enhancement pattern on PACS workstation and CT workstation. Of the 62 cases, 38 showed homogeneous enhancement, 17 showed heterogeneous enhancement, five showed peripheral enhancement, two showed central enhancement, at 90 s. The enhancement pattern revealed on PACS workstation was consistent with feature of peripheral bronchogenic carcinoma. Conclusion: The efficiency and effectiveness of PACS workstation is as same as those of CT workstation in detecting enhancement pattern of peripheral bronchogenic carcinoma.
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