Automated Breast Density Measurements From Chest Computed Tomography Scans.

To develop an automated method for quantifying percent breast density from chest computed tomography (CT) scans. A naïve Bayesian classifier based on gray-level intensities and spatial relationships was developed on CT scans from 10 patients diagnosed with Hodgkin lymphoma (HL) and imaged as part of...

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Published in:Journal of Medical Systems Vol. 43; no. 8
Main Authors: Qureshi, Touseef A., Veeraraghavan, Harini, Sung, Janice S., Kaplan, Jennifer B., Flynn, Jessica, Tonorezos, Emily S., Wolden, Suzanne L., Morris, Elizabeth A., Oeffinger, Kevin C., Pike, Malcolm C., Moskowitz, Chaya S.
Format: diagnostic images equations & formulas research tables/charts Journal Article
Published: Springer Nature Aug2019
Online Access:View this record in EBSCOhost
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      dt: Aug2019
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-019-1363-9
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        atl: Automated Breast Density Measurements From Chest Computed Tomography Scans.
      aug:
        au:
          Qureshi, Touseef A.
          Veeraraghavan, Harini
          Sung, Janice S.
          Kaplan, Jennifer B.
          Flynn, Jessica
          Tonorezos, Emily S.
          Wolden, Suzanne L.
          Morris, Elizabeth A.
          Oeffinger, Kevin C.
          Pike, Malcolm C.
          Moskowitz, Chaya S.
        affil: Cedars-Sinai Medical Center, Biomedical Imaging Research Institute, 8700 Beverly Blvd, Pact 400, 90048, Los Angeles, CA, USA
      sug:
        subj:
          Breast Tissue Density Radiography
          Radiography, Thoracic Methods
          Tomography, X-Ray Computed
          Automation
          Human
          Female
          Adult
          Probability Methods
          Algorithms
          Correlation Coefficient
          Confidence Intervals
          Descriptive Statistics
          Hodgkin's Disease
          Radiology Information Systems
          Adult: 19-44 years
          Female
      ab: To develop an automated method for quantifying percent breast density from chest computed tomography (CT) scans. A naïve Bayesian classifier based on gray-level intensities and spatial relationships was developed on CT scans from 10 patients diagnosed with Hodgkin lymphoma (HL) and imaged as part of routine clinical care. The algorithm was validated on CT scans from 75 additional HL patients. The classifier was developed and validated using a reference dataset with consensus manual segmentation of fibroglandular tissue. Accuracy was evaluated at the pixel-level to examine how well the algorithm identified pixels with fibroglandular tissue using true and false positive fractions (TPF and FPF, respectively). Quantitative estimates of the patient-level CT percent density were contrasted to each other using the concordance correlation coefficient, ρc, and to subjective ACR BI-RADS density assessments using Kendall's τb. The pixel-level TPF for identifying pixels with fibroglandular tissue was 82.7% (interquartile range of patient-specific TPFs 65.5%-89.6%). The pixel-level FPF was 9.2% (interquartile range of patient-specific FPFs 2.5%-45.3%). Patient-level agreement of the algorithm's automated density estimate with that obtained from the reference dataset was high, ρc = 0.93 (95% CI 0.90-0.96) as was agreement with a radiologist's subjective ACR-BI-RADS assessments, τb = 0.77. It is possible to obtain automated measurements of percent density from clinical CT scans.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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