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In assessing chest wall invasion, computed tomography has no greater predictive value than a history of localized pain. The absence of nodes greater than 1.0 cm in short axis diameter on computed tomograms of the thorax is associated with low risk of tumor in mediastinal nodes, but tissue diagnosis is required for certainty. The finding of nodes larger than 1.0 cm may be useful in guiding the surgeon during staging procedures. Currently, there is no advantage of magnetic resonance imaging over computed tomography in evaluation of mediastinal nodes.<\/jats:p><jats:p>Complete history and physical examination with routine serum chemistries will identify patients at high risk for metastases and will guide selection of appropriate special studies.<\/jats:p><jats:p>It is emphasized that accurate staging requires histologic diagnosis and that CT and thorough surgical evaluation of the mediastinum are complementary procedures in staging of lung cancer.<\/jats:p>","DOI":"10.1002\/ssu.2980090205","type":"journal-article","created":{"date-parts":[[2007,2,22]],"date-time":"2007-02-22T09:30:27Z","timestamp":1172136627000},"page":"85-91","source":"Crossref","is-referenced-by-count":2,"title":["Diagnostic imaging and staging of primary lung 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