Differentiation of urinary stone and vascular calcifications on non-contrast CT images: an initial experience using computer aided diagnosis.

The purpose of this study was to develop methods for the differentiation of urinary stones and vascular calcifications using computer-aided diagnosis (CAD) of non-contrast computed tomography (CT) images. From May 2003 to February 2004, 56 patients that underwent a pre-contrast CT examination and su...

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Published in:Journal of Digital Imaging Vol. 23; no. 3; pp. 268 - 277
Main Authors: Lee HJ, Kim KG, Hwang SI, Kim SH, Byun S, Lee S, Hong SK, Cho JY, Seong CG
Format: diagnostic images equations & formulas research tables/charts Journal Article
Published: Springer Nature Jun2010
Online Access:View this record in EBSCOhost
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      dt: Jun2010
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      pub: Springer Nature
      place: New York, New York
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        2010656976
        10.1007/s10278-009-9181-0
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        atl: Differentiation of urinary stone and vascular calcifications on non-contrast CT images: an initial experience using computer aided diagnosis.
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          Lee HJ
          Kim KG
          Hwang SI
          Kim SH
          Byun S
          Lee S
          Hong SK
          Cho JY
          Seong CG
        affil: Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea
      sug:
        subj:
          Calcinosis Diagnosis
          Diagnosis, Computer Assisted
          Urolithiasis Diagnosis
          Adult
          Diagnosis, Differential
          Female
          Funding Source
          Human
          Male
          Middle Age
          Retrospective Design
          ROC Curve
          T-Tests
          Tomography, X-Ray Computed
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: The purpose of this study was to develop methods for the differentiation of urinary stones and vascular calcifications using computer-aided diagnosis (CAD) of non-contrast computed tomography (CT) images. From May 2003 to February 2004, 56 patients that underwent a pre-contrast CT examination and subsequently diagnosed as ureter stones were included in the study. Fifty-nine ureter stones and 53 vascular calcifications on pre-contrast CT images of the patients were evaluated. The shapes of the lesions including disperseness, convex hull depth, and lobulation count were analyzed for patients with ureter stones and vascular calcifications. In addition, the internal textures including edge density, skewness, difference histogram variation (DHV), and the gray-level co-occurrence matrix moment were also evaluated for the patients. For evaluation of the diagnostic accuracy of the shape and texture features, an artificial neural network (ANN) and receiver operating characteristics curve (ROC) analyses were performed. Of the several shape factors, disperseness showed a statistical difference between ureter stones and vascular calcifications ( p < 0.05). For the internal texture features, skewness and DHV showed statistical differences between ureter stones and vascular calcifications ( p < 0.05). The performance of the ANN was evaluated by examining the area under the ROC curves (AUC, Az). The Az value was 0.85 for the shape parameters and 0.88 for the texture parameters. In this study, several parameters regarding shape and internal texture were statistically different between ureter stones and vascular calcifications. The use of CAD would make it possible to differentiate ureter stones from vascular calcifications by a comparison of these parameters.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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