Effects of Iterative Reconstruction Algorithms on Computer-assisted Detection (CAD) Software for Lung Nodules in Ultra-low-dose CT for Lung Cancer Screening.

Rationale and Objectives: This study aimed to evaluate the effects of iterative reconstruction (IR) algorithms on computer-assisted detection (CAD) software for lung nodules in ultra-low-dose computed tomography (ULD-CT) for lung cancer screening.Materials and Methods: We selected 85 subjects who un...

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Published in:Academic Radiology Vol. 24; no. 2; pp. 124 - 131
Main Authors: Nomura, Yukihiro, Higaki, Toru, Fujita, Masayo, Miki, Soichiro, Awaya, Yoshikazu, Nakanishi, Toshio, Yoshikawa, Takeharu, Hayashi, Naoto, Awai, Kazuo
Format: research Journal Article
Published: Elsevier B.V. Feb2017
Online Access:View this record in EBSCOhost
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      dt: Feb2017
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.acra.2016.09.023
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        atl: Effects of Iterative Reconstruction Algorithms on Computer-assisted Detection (CAD) Software for Lung Nodules in Ultra-low-dose CT for Lung Cancer Screening.
      aug:
        au:
          Nomura, Yukihiro
          Higaki, Toru
          Fujita, Masayo
          Miki, Soichiro
          Awaya, Yoshikazu
          Nakanishi, Toshio
          Yoshikawa, Takeharu
          Hayashi, Naoto
          Awai, Kazuo
        affil: Department of Computational Diagnostic Radiology and Preventive Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
      sug:
        subj:
          Algorithms
          Lung Neoplasms
          Software
          Early Detection of Cancer Methods
          Tomography, X-Ray Computed Methods
          Female
          Human
          Radionuclide Imaging
          Radiographic Image Interpretation, Computer-Assisted Methods
          Tomography, X-Ray Computed
          Aged
          Radiation Dosage
          Middle Age
          Male
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Rationale and Objectives: This study aimed to evaluate the effects of iterative reconstruction (IR) algorithms on computer-assisted detection (CAD) software for lung nodules in ultra-low-dose computed tomography (ULD-CT) for lung cancer screening.Materials and Methods: We selected 85 subjects who underwent both a low-dose CT (LD-CT) scan and an additional ULD-CT scan in our lung cancer screening program for high-risk populations. The LD-CT scans were reconstructed with filtered back projection (FBP; LD-FBP). The ULD-CT scans were reconstructed with FBP (ULD-FBP), adaptive iterative dose reduction 3D (AIDR 3D; ULD-AIDR 3D), and forward projected model-based IR solution (FIRST; ULD-FIRST). CAD software for lung nodules was applied to each image dataset, and the performance of the CAD software was compared among the different IR algorithms.Results: The mean volume CT dose indexes were 3.02 mGy (LD-CT) and 0.30 mGy (ULD-CT). For overall nodules, the sensitivities of CAD software at 3.0 false positives per case were 78.7% (LD-FBP), 9.3% (ULD-FBP), 69.4% (ULD-AIDR 3D), and 77.8% (ULD-FIRST). Statistical analysis showed that the sensitivities of ULD-AIDR 3D and ULD-FIRST were significantly higher than that of ULD-FBP (P < .001).Conclusions: The performance of CAD software in ULD-CT was improved by using IR algorithms. In particular, the performance of CAD in ULD-FIRST was almost equivalent to that in LD-FBP.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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