Verfeinertes Staging von hilusnahen Bronchialkarzinomen durch EKG-gegatete Mehrschicht-Spiral-CT - Fallbeschreibung

Equivocal initial CT-based staging in 2 patients with hilar bronchial neoplasms was reassessed with retrospective ECG-gated Multislice-CT and optimized examination parameters prior to definition of treatment. An initially suspected irresectable T₄ tumor with mediastinal infiltration was downstaged to T₂ in one case, while tumor infiltration into the left atrium could be confirmed in the other case. In doubtful conditions, ECG-gated multislice CT with optimized examination parameters may be helpful for refined staging in patients with hilar bronchial neoplasms, thus possibly influencing treatment strategies.