Type |
Central, tumour located in the segmental or more proximal bronchi; peripheral, tumour located in the subsegmental bronchi or more distal airway |
Location |
The distribution of each lesion in the lung was recorded, including left upper lobe, left lower lobe, right upper lobe, right middle lobe and right lower lobe |
Tumour size |
Longest diameter of the tumour in MPR images |
Texture |
Predominantly solid, Tumour solid component/ground glass component > 0.5; Predominantly ground glass opacity, tumour solid diameter/ground glass diameter ≤ 0.5 |
Ground glass opacity |
Ground glass dense nodules with internal vessels and bronchi visible |
Mix ground glass opacity |
Composition of both ground glass opacity and solid |
Pure ground glass opacity |
Composition of ground glass opacity only |
Shape |
Indicated as lobulated, others (round, or oval) |
Lobulated |
The surface of the tumour showed as multiple arc-shaped projections |
Spiculate |
Evaluated in the lung window, and indicated as different degrees of spinous or burr-like protrusions at the tumour margin |
Margin definition |
Evaluated in the lung window, and indicated as well-defined, or poor-defined |
Air bronchogram |
Tube like or branched air structure within the tumour |
Bubble-like lucency |
The 1–3 mm of air density area within the mass |
Margins |
Evaluated in the lung window, and indicated as smooth, or spiculated |
Heterogeneity |
Evaluated in the soft tissue window, and heterogeneity indicated as the difference of CT values in tumour was greater than 20HU |
Pleural attachment |
Retraction of the pleura towards the tumour |
Thickening of the adjacent pleura |
Thickening of the adjacent fissural or peripheral pleura pleura |
Pleural effusion |
Presence or absence of pleural effusion |
Cavitation |
Presence or absence of cavitation |
Intramodular calcifications |
Presence or absence of calcifications |
Necrosis |
Low-density area in the tumour, without enhancement in enhance CT |
Peripheral emphysema |
Presence or absence of peripheral emphysema |
Peripheral fibrosis |
Pulmonary fibrosis around the tumour |
Vascular convergence |
Convergence of vessels to the tumour, applied to the peripheral tumours |
Enhancement |
“mild” = 0–20 HU; “moderate” = 20–40 HU, “marked” > 40 HU |
Lymphadenopathy |
Presence or absence of lymphadenopathy thoracic lymph nodes (hilar or mediastinal) with short-axis diameter greater than 1 cm |
Distance metastases |
Including metastasis in bone, brain, liver metastasis, etc. Detected at the same time as the diagnosis of primary tumour or occurred within 6 months’ following up after surgery |