Lung nodule volumetry: segmentation algorithms within the same software package cannot be used interchangeably.

Objective: We examined the reproducibility of lung nodule volumetry software that offers three different volumetry algorithms.Methods: In a lung cancer screening trial, 188 baseline nodules >5 mm were identified. Including follow-ups, these nodules formed a study-set of 545 nodules. Nodules were ind...

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Publicado en:European Radiology Vol. 20; no. 8; pp. 1878 - 1886
Autores principales: Ashraf H, de Hoop B, Shaker SB, Dirksen A, Bach KS, Hansen H, Prokop M, Pedersen JH, Ashraf, H, de Hoop, B, Shaker, S B, Dirksen, A, Bach, K S, Hansen, H, Prokop, M, Pedersen, J H
Formato: research Journal Article
Publicado: Springer Nature Aug2010
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Lung nodule volumetry: segmentation algorithms within the same software package cannot be used interchangeably.
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          Ashraf H
          de Hoop B
          Shaker SB
          Dirksen A
          Bach KS
          Hansen H
          Prokop M
          Pedersen JH
          Ashraf, H
          de Hoop, B
          Shaker, S B
          Dirksen, A
          Bach, K S
          Hansen, H
          Prokop, M
          Pedersen, J H
        affil: Department of Radiology, Gentofte Hospital, Copenhagen University, Hellerup, Denmark
      sug:
        subj:
          Algorithms
          Image Interpretation, Computer Assisted Methods
          Lung Neoplasms Radiography
          Software
          Tomography, X-Ray Computed Methods
          Aged
          Female
          Human
          Male
          Middle Age
          Reproducibility of Results
          Sensitivity and Specificity
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: We examined the reproducibility of lung nodule volumetry software that offers three different volumetry algorithms.Methods: In a lung cancer screening trial, 188 baseline nodules >5 mm were identified. Including follow-ups, these nodules formed a study-set of 545 nodules. Nodules were independently double read by two readers using commercially available volumetry software. The software offers readers three different analysing algorithms. We compared the inter-observer variability of nodule volumetry when the readers used the same and different algorithms.Results: Both readers were able to correctly segment and measure 72% of nodules. In 80% of these cases, the readers chose the same algorithm. When readers used the same algorithm, exactly the same volume was measured in 50% of readings and a difference of >25% was observed in 4%. When the readers used different algorithms, 83% of measurements showed a difference of >25%.Conclusion: Modern volumetric software failed to correctly segment a high number of screen detected nodules. While choosing a different algorithm can yield better segmentation of a lung nodule, reproducibility of volumetric measurements deteriorates substantially when different algorithms were used. It is crucial even in the same software package to choose identical parameters for follow-up.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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