title: Multi-detector spiral CT study of the relationships between pulmonary ground-glass nodules and blood vessels.
abstract: OBJECTIVE
  To investigate the relationships between pulmonary ground-glass nodules (GGN) and blood vessels and their diagnostic values in differentiating GGNs.
  
  
  METHODS
  Multi-detector spiral CT imaging of 108 GGNs was retrospectively reviewed. The spatial relationships between GGNs and supplying blood vessels were categorized into four types: I, vessels passing by GGNs; II, intact vessels passing through GGNs; III, distorted, dilated or tortuous vessels seen within GGNs; IV, more complicated vasculature other than described above. Relationship types were correlated to pathologic and/or clinical findings of GGNs.
  
  
  RESULTS
  Of 108 GGNs, 10 were benign, 24 preinvasive nodules and 74 adenocarcinomas that were pathologically proven. Types I, II, III and IV vascular relationships were observed in 9, 58, 21 and 20 GGNs, respectively. Type II relationship was the dominating relationship for each GGN group, but significant differences were shown among them. Correlation analysis showed strong correlation between invasive adenocarcinoma and type III and IV relationships. Subgroup analysis indicated that type III was more commonly seen in IAC with comparison to type IV more likely seen in MIA.
  
  
  CONCLUSIONS
  Different GGNs have different relationships with vessels. Understanding and recognising characteristic GGN-vessel relationships may help identify which GGNs are more likely to be malignant.
authors.affiliation: Department of Radiology, Huadong Hospital Fudan University, 221 West Yan'an Road, Shanghai, 200040, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Gao
authors.forename: Ming
authors.initials: M
authors.lastname: Li
authors.forename: Xiaojun
authors.initials: X
authors.lastname: Ge
authors.forename: Xiangpeng
authors.initials: X
authors.lastname: Zheng
authors.forename: Qingguo
authors.initials: Q
authors.lastname: Ren
authors.forename: Yan
authors.initials: Y
authors.lastname: Chen
authors.forename: Fangzhen
authors.initials: F
authors.lastname: Lv
authors.forename: Yanqing
authors.initials: Y
authors.lastname: Hua
mesh_terms: D000230:Adenocarcinoma / Q000098:blood supply* / Q000000981:diagnostic imaging* / Q000473:pathology; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000098:blood supply* / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D003074:Solitary Pulmonary Nodule / Q000098:blood supply* / Q000000981:diagnostic imaging* / Q000473:pathology; D036542:Tomography, Spiral Computed; D014057:Tomography, X-Ray Computed / Q000379:methods; D055815:Young Adult