Diagnostic utility of chest wall vessel involvement sign on ultra-high-resolution CT for primary lung cancer infiltrating the chest wall Article Swipe
Fuga Uota
,
Shingo Iwano
,
Shinichiro Kamiya
,
Rintaro Ito
,
Shota Nakamura
,
Toyofumi F. Chen‐Yoshikawa
,
Shinji Naganawa
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1007/s00330-025-11382-x
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1007/s00330-025-11382-x
Objectives Chest wall infiltration in primary lung cancer affects the surgical and therapeutic strategies. This study evaluates the efficacy of the chest wall vessel involvement in subpleural lung cancer (CWVI) on ultra-high-resolution CT (UHR-CT) for detecting chest wall invasion. Materials and methods A retrospective analysis of lung cancer cases with confirmed pleural and chest wall invasion was conducted from November 2019 to April 2022 . Seventy-seven patients (mean ± standard deviation age 70 ± 8 years, 64 males) who underwent preoperative contrast-enhanced UHR-CT were included. They were grouped into 51 non-chest wall infiltration (pl1 and pl2) and 26 chest wall infiltration (pl3). Clinical, histopathological, and UHR-CT findings were reviewed. Results Upper lobe tumors exhibited a higher chest wall invasion rate ( p < 0.001). Rib destruction was evident in five patients with chest wall invasion but none with pleural invasion ( p < 0.001). CWVI was present in 19 of 26 patients with chest wall invasion and 2 of 51 patients with pleural invasion ( p < 0.001). The maximum tumor diameter (Dmax), arch distance which means the interface length between the primary tumor and the chest wall (Adist), and the ratio of Dmax to Adist were higher in chest wall invasion cases (all p < 0.001). After excluding patients with rib destruction, in multivariate logistic regression analysis, only CWVI was a significant predictor for chest wall invasion (odds ratio 29.22 (95% confidence interval 9.13–262.90), p < 0.001). Conclusion CWVI on UHR-CT can help diagnose lung cancer infiltrating the chest wall, offering a potential tool for clinical decision-making. Key Points Question Chest wall infiltration in primary lung cancer has implications for the treatment plan, but diagnosis is often difficult with conventional CT. Findings Chest wall vessel involvement in subpleural lung cancer on ultra-high-resolution CT is a valuable predictor for diagnosing chest wall infiltration. Clinical relevance The delineation of chest wall vessels with contrast-enhanced ultra-high-resolution CT may improve the diagnosis of chest wall infiltration and allow accurate staging and optimal treatment options for subpleural primary lung cancer. Graphical Abstract
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00330-025-11382-x
- OA Status
- hybrid
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4406896999
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4406896999Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00330-025-11382-xDigital Object Identifier
- Title
-
Diagnostic utility of chest wall vessel involvement sign on ultra-high-resolution CT for primary lung cancer infiltrating the chest wallWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-01-28Full publication date if available
- Authors
-
Fuga Uota, Shingo Iwano, Shinichiro Kamiya, Rintaro Ito, Shota Nakamura, Toyofumi F. Chen‐Yoshikawa, Shinji NaganawaList of authors in order
- Landing page
-
https://doi.org/10.1007/s00330-025-11382-xPublisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1007/s00330-025-11382-xDirect OA link when available
- Concepts
-
Medicine, Thoracic wall, Radiology, Lung cancer, Lung, Odds ratio, Chest pain, Confidence interval, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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32Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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