Sixty six patients who were operated as lung cancer during the period from Mar. 1991 to Sep. 1993 at the department of Thoracic and cardiovascular surgery, were reviewed retrospectively and the accuracy of regional lymph node in preoperative CT
were
compared with histopathologic report obtained from operation.
The age ranged from 30 to 72 years old(mean age:56.5), and 51 patients were male and 15 patients were female. The author analysed the true positive, true negative, false positive and false negative and sensitivity, specificity, positive
predictive
index, negative predictive index and accuracy of each nodes. The result is that there were differences between seven nodal groups in specificity, sensitivity, positive predictive index, negative predictive predictive index and accuracy. The range
of
each nodal group is from 81.7 to 98.3%. The nodes of the most poor accuracy are aortopulmonary area and hilar area.
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