Is Thoracic Ultrasound a Better Way to Predict Rib Invasion of Lung Cancer?
Bratislava Medical Journal, cilt.127, sa.8, ss.3732-3738, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 127 Sayı: 8
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s44411-026-00714-y
- Dergi Adı: Bratislava Medical Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Ultimate (EBSCO)
- Sayfa Sayıları: ss.3732-3738
- Anahtar Kelimeler: Lung cancer, Neoadjuvant therapy, Sensitivity and specificity, Rib invasion
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: Stage is the most important factor determining the prognosis of lung cancer and rib invasion is one of the components directly affecting the stage. It is known that computerized tomography (CT) is inadequate in detecting rib invasions. In this study, we aimed to investigate whether thoracic ultrasonography (US) is an effective method for predicting tumor invasion to the ribs. Materials and methods: 48 eligible patients who were operated on in our hospital between March 2022 and November 2023 and were suspected of having rib invasion were examined with CT and thoracic US. Decisions about the presence of rib invasion were noted by the operator based on the CT image and by the researcher based on the US result, without being aware of each other. The results were checked with the pathological report of the specimen. Results: Of the 48 patients included in the study, 41 were men and 7 were women. 8 patients were operated after neoadjuvant oncological treatment. Rib invasion was observed in 19 patients. The sensitivity of US was calculated as 89.4% and its specificity as 93.1%, while the sensitivity of CT was calculated as 57.8% and specificity as 72.4%. Conclusion: Thoracic US provides more accurate results than CT imaging in examining rib invasion. Due to reliable preoperative data, patients’ staging can be done accurately, thus appropriate patients can be identified to receive neoadjuvant treatment. We think that utilization of US in patients with suspected rib invasion provides cheap, fast and reliable information that will benefit the patient’s treatment plan.