Guideline decision tool · Radiology
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Nodule Volume & Volume Doubling Time (VDT) — free guideline decision tool

Two CT volumes (or three diameters) plus the interval give percent volume change and volume doubling time, read against NELSON / BTS criteria. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Earlier volume (software; blank to use diameters)250 mm³
Current volume (software; blank to use diameters)400 mm³
Earlier long axis8 mm
Current long axis10 mm
Interval between scans90 days
Nodule typeSolid

→Volume doubling time133days

  • Earlier / current volume:250 / 400 mm³ (software volumes)
  • Volume change:+60.0%
  • Reading:Significant growth: VDT <400 days (NELSON positive)

Common questions

What is Nodule Volume & Volume Doubling Time (VDT)?

Two CT volumes (or three diameters) plus the interval give percent volume change and volume doubling time, read against NELSON / BTS criteria. Instant, browser-side.

How is Nodule Volume & Volume Doubling Time (VDT) calculated? What is the core formula?

V = π/6·a·b·c (sphere if only one diameter); VDT = Δt·ln2 / ln(V2/V1); change = (V2−V1)/V1.

When is Nodule Volume & Volume Doubling Time (VDT) used?

Assessing growth of lung nodules on follow-up CT; also usable for other lesions.

What are the key clinical points for Nodule Volume & Volume Doubling Time (VDT)?

Growth = ≥25% volume increase. Solid VDT <400 days is suspicious. 400–600 days indeterminate. Subsolid nodules can have long VDTs.

What are the limits and cautions when using Nodule Volume & Volume Doubling Time (VDT)?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

Does Nodule Volume & Volume Doubling Time (VDT) upload patient data? Where is it calculated?

Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.

How is Nodule Volume & Volume Doubling Time (VDT) calculated in practice? Can you show a worked example?

Inputs: Earlier volume (software; blank to use diameters) 250 mm³, Current volume (software; blank to use diameters) 400 mm³, Earlier long axis 8 mm, Current long axis 10 mm, Interval between scans 90 days, Nodule type Solid → Result: Volume doubling time 133 days(Earlier / current volume: 250 / 400 mm³ (software volumes), Volume change: +60.0%, Reading: Significant growth: VDT <400 days (NELSON positive))

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Run Nodule Volume & Volume Doubling Time (VDT) now

Two CT volumes (or three diameters) plus the interval give percent volume change and volume doubling time, read against NELSON / BTS criteria. Instant, browser-side.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.

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