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Nodule Volume MeasurementNodule Volume Measurement: Pushing the Pendulum: Pushing the Pendulum

Douglas A. Arenberg, MD, FCCP
Author and Funding Information

From the Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine, University of Michigan Medical School.

Correspondence to: Douglas A. Arenberg, MD, FCCP, University of Michigan Medical School, 1150 W Medical Ctr Dr, 6301 MSRB III, Ann Arbor, MI 48109-5642; e-mail: darenber@umich.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;145(3):440-442. doi:10.1378/chest.13-1964
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In 2005, when the original Fleischner Society recommendations for the management of indeterminate solitary pulmonary nodules was published, it was evident that incidental nodules were a growing clinical challenge.1 There is a reason that the Fleischner criteria paper1 is among the most commonly cited reference in the radiologic literature. We do more CT scans, for more reasons, with better and better resolution. We read scans on high-resolution screens often with > 500 images instead of films with 50 to 60 images. We are flush with nodules, and the role of the “oncopulmonologist” is to prove they are benign.

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