Imaging and Nodal staging
Criteria
CT
PET-CT
Sensitivity
Specificity
PPV
NPV
55 %
81 %
58 %
83 %
62 %
90 %
63 %
90 %
For mediastinal nodes with a short axis
≥
1 cm
Silvestri GA, Chest 2013
De Leyn P, Eur J Cardiothorac Surg 2014
Mc Loud Radiology 1992
37 % of nodes between 2 and 4 cm are non metastatic (Mc Loud)
A pathological confirmation highly recommended