Improving the prediction of lung adenocarcinoma invasive component on CT: Value of a vessel removal algorithm during software segmentation of subsolid nodules.

Purpose: To evaluate the value of a vessel removal algorithm in segmentation of subsolid nodules by comparing the software solid component measurement on CT, before and after vessel removal, with the measurement of the invasive component on pathology in lung adenocarcinomas manifesting as subsolid n...

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Publicado en:European Journal of Radiology Vol. 100; pp. 58 - 66
Autores principales: Garzelli, Lorenzo, Goo, Jin Mo, Ahn, Su Yeon, Chae, Kum Ju, Park, Chang Min, Jung, Julip, Hong, Helen
Formato: Journal Article
Publicado: Elsevier B.V. Mar2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2018
      vid: 100
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      pub: Elsevier B.V.
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        10.1016/j.ejrad.2018.01.016
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        128203520
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        atl: Improving the prediction of lung adenocarcinoma invasive component on CT: Value of a vessel removal algorithm during software segmentation of subsolid nodules.
      aug:
        au:
          Garzelli, Lorenzo
          Goo, Jin Mo
          Ahn, Su Yeon
          Chae, Kum Ju
          Park, Chang Min
          Jung, Julip
          Hong, Helen
        affil: Department of Radiology, Seoul National University College of Medicine, and Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Republic of Korea
      sug:
        subj:
          Image Processing, Computer Assisted Methods
          Adenocarcinoma Pathology
          Lung Neoplasms
          Adenocarcinoma
          Lung Neoplasms Pathology
          Tomography, X-Ray Computed Methods
          Neoplasm Invasiveness
          Predictive Value of Tests
          Adult
          Lung Pathology
          Male
          Retrospective Design
          Lung
          Young Adult
          Reproducibility of Results
          Aged
          Algorithms
          Middle Age
          Female
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: To evaluate the value of a vessel removal algorithm in segmentation of subsolid nodules by comparing the software solid component measurement on CT, before and after vessel removal, with the measurement of the invasive component on pathology in lung adenocarcinomas manifesting as subsolid nodules.Materials and Methods: Between January 2014 and June 2015, 73 subsolid nodules with an invasive component of ≤10 mm on pathology were selected for analyses. For each nodule, semi-automated segmentation was performed by 2 radiologists and 3-dimensional (D) longest, axial longest and effective diameters of solid component were obtained from software, before and after using a vessel removal tool. These measurements were compared with the invasive component diameter on pathology using the paired t-test and Pearson's correlation test.Results: Sixty-eight successfully segmented subsolid nodules were included. The mean maximal diameter of the invasive component on pathology was 4.6 mm (range, 0-10 mm). The correlation between software and pathology measurements was significant (p < 0.01) and the correlation after vessel removal (r = 0.49-0.54) was better than before vessel removal (r = 0.27-0.41). The mean measurement difference between solid component on CT and invasive tumor on pathology was significantly larger before vessel removal than after vessel removal in all measurements. The smallest mean measurement difference was obtained with 3D longest diameter of solid component after vessel removal in both readers (-0.26 mm to 0.10 mm), with no significant difference from pathology (p = 0.53-0.83).Conclusion: By adding a vessel removal algorithm in software segmentation of subsolid nodules, the prediction of invasive component in lung adenocarcinomas can be improved.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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