Spatial fuzzy c-means thresholding for semiautomated calculation of percentage lung ventilated volume from hyperpolarized gas and 1 H MRI.

Purpose: To develop an image-processing pipeline for semiautomated (SA) and reproducible analysis of hyperpolarized gas lung ventilation and proton anatomical magnetic resonance imaging (MRI) scan pairs. To compare results from the software for total lung volume (TLV), ventilated volume (VV), and pe...

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Publicado en:Journal of Magnetic Resonance Imaging Vol. 47; no. 3; pp. 640 - 647
Autores principales: Hughes, Paul J. C., Horn, Felix C., Collier, Guilhem J., Biancardi, Alberto, Marshall, Helen, Wild, Jim M.
Formato: research Journal Article
Publicado: Wiley-Blackwell Mar2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2018
      vid: 47
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/jmri.25804
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        atl: Spatial fuzzy c-means thresholding for semiautomated calculation of percentage lung ventilated volume from hyperpolarized gas and 1 H MRI.
      aug:
        au:
          Hughes, Paul J. C.
          Horn, Felix C.
          Collier, Guilhem J.
          Biancardi, Alberto
          Marshall, Helen
          Wild, Jim M.
        affil: Academic Unit of Radiology, University of Sheffield, Sheffield, South Yorkshire, UK
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Lung Diseases
          Image Processing, Computer Assisted Methods
          Lung Diseases Physiopathology
          Protons
          Human
          Reproducibility of Results
          Algorithms
          Young Adult
          Middle Age
          Lung
          Male
          Lung Physiopathology
          Aged
          Female
          Lung Volume Measurements
          Adult
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Clinical Assessment Tools
          Scales
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adult: 19-44 years
          Male
          Female
      ab: Purpose: To develop an image-processing pipeline for semiautomated (SA) and reproducible analysis of hyperpolarized gas lung ventilation and proton anatomical magnetic resonance imaging (MRI) scan pairs. To compare results from the software for total lung volume (TLV), ventilated volume (VV), and percentage lung ventilated volume (%VV) calculation to the current manual "basic" method and a K-means segmentation method.Materials and Methods: Six patients were imaged with hyperpolarized 3 He and same-breath lung 1 H MRI at 1.5T and six other patients were scanned with hyperpolarized 129 Xe and separate-breath 1 H MRI. One expert observer and two users with experience in lung image segmentation carried out the image analysis. Spearman (R), Intraclass (ICC) correlations, Bland-Altman limits of agreement (LOA), and Dice Similarity Coefficients (DSC) between output lung volumes were calculated.Results: When comparing values of %VV, agreement between observers improved using the SA method (mean; R = 0.984, ICC = 0.980, LOA = 7.5%) when compared to the basic method (mean; R = 0.863, ICC = 0.873, LOA = 14.2%) nonsignificantly (pR  = 0.25, pICC  = 0.25, and pLOA  = 0.50 respectively). DSC of VV and TLV masks significantly improved (P < 0.01) using the SA method (mean; DSCVV  = 0.973, DSCTLV  = 0.980) when compared to the basic method (mean; DSCVV  = 0.947, DSCTLV  = 0.957). K-means systematically overestimated %VV when compared to both basic (mean overestimation = 5.0%) and SA methods (mean overestimation = 9.7%), and had poor agreement with the other methods (mean ICC; K-means vs. basic = 0.685, K-means vs. SA = 0.740).Conclusion: A semiautomated image processing software was developed that improves interobserver agreement and correlation of lung ventilation volume percentage when compared to the currently used basic method and provides more consistent segmentations than the K-means method.Level Of Evidence: 3 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018;47:640-646.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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