Impact of contrast injection and stent-graft implantation on reproducibility of volume measurements in semiautomated segmentation of abdominal aortic aneurysm on computed tomography.

Purpose: To assess the impact of contrast injection and stent-graft implantation on feasibility, accuracy, and reproducibility of abdominal aortic aneurysm (AAA) volume and maximal diameter (D-max) measurements using segmentation software.Materials and Methods: CT images of 80 subjects presenting AA...

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Publicado en:European Radiology Vol. 24; no. 7; pp. 1594 - 1602
Autores principales: Morin-Roy, Florence, Kauffmann, Claude, Tang, An, Hadjadj, Sofiane, Thomas, Olivier, Piché, Nicolas, Elkouri, Stéphane, Yang, Dan Yang, Therasse, Eric, Soulez, Gilles, Therasse, Éric
Formato: research Journal Article
Publicado: Springer Nature Jul2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2014
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      pub: Springer Nature
      place: New York, New York
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        atl: Impact of contrast injection and stent-graft implantation on reproducibility of volume measurements in semiautomated segmentation of abdominal aortic aneurysm on computed tomography.
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          Morin-Roy, Florence
          Kauffmann, Claude
          Tang, An
          Hadjadj, Sofiane
          Thomas, Olivier
          Piché, Nicolas
          Elkouri, Stéphane
          Yang, Dan Yang
          Therasse, Eric
          Soulez, Gilles
          Therasse, Éric
        affil: Department of Radiology, Centre Hospitalier Universitaire de Montréal (CHUM), Hôpital Notre-Dame, 1560 Sherbrooke Est, Montréal, Québec, Canada, H2L 4M1, florencemorinroy@gmail.com.
      sug:
        subj:
          Aortic Aneurysm, Abdominal Radiography
          Angiography Methods
          Blood Vessel Prosthesis
          Contrast Media Administration and Dosage
          Multidetector Computed Tomography Methods
          Stents
          Aged
          Aged, 80 and Over
          Aortic Aneurysm, Abdominal Surgery
          Contrast Media Diagnostic Use
          Cross Sectional Studies
          Pilot Studies
          Female
          Prospective Studies
          Human
          Image Processing, Computer Assisted
          Male
          Middle Age
          ROC Curve
          Reproducibility of Results
          Retrospective Design
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: To assess the impact of contrast injection and stent-graft implantation on feasibility, accuracy, and reproducibility of abdominal aortic aneurysm (AAA) volume and maximal diameter (D-max) measurements using segmentation software.Materials and Methods: CT images of 80 subjects presenting AAA were divided into four equal groups: with or without contrast enhancement, and with or without stent-graft implantation. Semiautomated software was used to segment the aortic wall, once by an expert and twice by three readers. Volume and D-max reproducibility was estimated by intraclass correlation coefficients (ICC), and accuracy was estimated between the expert and the readers by mean relative errors.Results: All segmentations were technically successful. The mean AAA volume was 167.0 ± 82.8 mL and the mean D-max 55.0 ± 10.6 mm. Inter- and intraobserver ICCs for volume and D-max measurements were greater than 0.99. Mean relative errors between readers varied between -1.8 ± 4.6 and 0.0 ± 3.6 mL. Mean relative errors in volume and D-max measurements between readers showed no significant difference between the four groups (P ≥ 0.2).Conclusion: The feasibility, accuracy, and reproducibility of AAA volume and D-max measurements using segmentation software were not affected by the absence of contrast injection or the presence of stent-graft.Key Points: • AAA volumetry by semiautomated segmentation is accurate on CT following endovascular repair. • AAA volumetry by semiautomated segmentation is accurate on unenhanced CT. • Standardization of the segmentation technique maximizes the reproducibility of volume measurements.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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