Improved detection of focal pneumonia by chest radiography with bone suppression imaging.

Objective: To evaluate radiologists' ability to detect focal pneumonia by use of standard chest radiographs alone compared with standard plus bone-suppressed chest radiographs.Methods: Standard chest radiographs in 36 patients with 46 focal airspace opacities due to pneumonia (10 patients had bilate...

Descripción completa

Detalles Bibliográficos
Publicado en:European Radiology Vol. 22; no. 12; pp. 2729 - 2736
Autores principales: Li F, Engelmann R, Pesce L, Armato SG 3rd, Macmahon H, Li, Feng, Engelmann, Roger, Pesce, Lorenzo, Armato, Samuel G 3rd, Macmahon, Heber
Formato: research Journal Article
Publicado: Springer Nature Dec2012
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104378908&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 104378908
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        09387994
        NPH
      jtl: European Radiology
      issn: 09387994
      maglogo: N
    pubinfo:
      dt: Dec2012
      vid: 22
      iid: 12
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        104378908
        83006745
        NLM22763504
        2011737152
        10.1007/s00330-012-2550-y
        NLM22763504
        104378908
      ppf: 2729
      ppct: 7
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Improved detection of focal pneumonia by chest radiography with bone suppression imaging.
      aug:
        au:
          Li F
          Engelmann R
          Pesce L
          Armato SG 3rd
          Macmahon H
          Li, Feng
          Engelmann, Roger
          Pesce, Lorenzo
          Armato, Samuel G 3rd
          Macmahon, Heber
        affil: Department of Radiology, MC-2026, The University of Chicago, 5841 S. Maryland Avenue, Chicago, IL 60637, USA
      sug:
        subj:
          Bone and Bones Radiography
          Pneumonia Radiography
          Radiographic Image Enhancement Methods
          Radiography, Thoracic Methods
          Adult
          Aged
          Female
          Human
          Male
          Middle Age
          ROC Curve
          Radiographic Image Interpretation, Computer-Assisted
          Retrospective Design
          Software
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: To evaluate radiologists' ability to detect focal pneumonia by use of standard chest radiographs alone compared with standard plus bone-suppressed chest radiographs.Methods: Standard chest radiographs in 36 patients with 46 focal airspace opacities due to pneumonia (10 patients had bilateral opacities) and 20 patients without focal opacities were included in an observer study. A bone suppression image processing system was applied to the 56 radiographs to create corresponding bone suppression images. In the observer study, eight observers, including six attending radiologists and two radiology residents, indicated their confidence level regarding the presence of a focal opacity compatible with pneumonia for each lung, first by use of standard images, then with the addition of bone suppression images. Receiver operating characteristic (ROC) analysis was used to evaluate the observers' performance.Results: The mean value of the area under the ROC curve (AUC) for eight observers was significantly improved from 0.844 with use of standard images alone to 0.880 with standard plus bone suppression images (P < 0.001) based on 46 positive lungs and 66 negative lungs.Conclusion: Use of bone suppression images improved radiologists' performance for detection of focal pneumonia on chest radiographs.Key Points: Bone suppression image processing can be applied to conventional digital radiography systems. Bone suppression imaging (BSI) produces images that appear similar to dual-energy soft tissue images. BSI improves the conspicuity of focal lung disease by minimizing bone opacity. BSI can improve the accuracy of radiologists in detecting focal pneumonia.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N