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Table 1 Characterization of morphological features of axillary lymph nodes on SPECT/CT

From: Redefining the clinical axillary lymph node staging using SPECT/CT in early breast cancer during SLNB

Nodal CT features (n = 178)

Findings number of hot nodes*

Size (enlarged) > 15 mm

11

Rounded shape (long axis to short axis ratio of less than 2 (i.e., a rounded node)

19

Irregular-appearing or eccentrically thickened cortex

4

Matted nodes (clumped)

4

Fixed to the surrounding tissues

1

Hilar effacement, (removal of fat)

11

Focal cortical bulge or eccentric cortical thickening (irregular)

2

Gross nodal replacement with tumor

3

Loss of fatty hila

3

Extra nodal spread into adjacent axillary fat

1

Speculations

1

Concentric cortical thickening (defined as > 2 mm)

4

Diffuse cortical thickening (regular)

8

Pleomorphic microcalcifications (different size)

3

Normal Appearing nodes

138

  1. *Out of 40 LNs showing abnormal morphology many showed more than one abnormal morphological feature on CT (Therefore total morphological features are 75)