Investigation of Low-Dose CT Lung Cancer Screening Scan "Over-Range" Issue Using Machine Learning Methods.

Low-dose computed tomography (CT) lung cancer screening is recommended by the US Preventive Services Task Force for high lung cancer–risk populations. In this study, we investigated an important factor affecting the CT dose—the scan length, for this CT exam. A neural network model based on the "UNET...

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Publicado en:Journal of Digital Imaging Vol. 32; no. 6; pp. 931 - 939
Autores principales: Huo, Donglai, Kiehn, Mark, Scherzinger, Ann
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2019
      vid: 32
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-019-00233-z
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        atl: Investigation of Low-Dose CT Lung Cancer Screening Scan "Over-Range" Issue Using Machine Learning Methods.
      aug:
        au:
          Huo, Donglai
          Kiehn, Mark
          Scherzinger, Ann
        affil: Department of Radiology, School of Medicine, University of Colorado Anschutz Medical Campus, 80045, Aurora, CO, USA
      sug:
        subj:
          Tomography, X-Ray Computed Methods
          Lung Neoplasms Prevention and Control
          Lung Neoplasms Radiography
          Cancer Screening Methods
          Machine Learning Methods
          Human
          Radiation Dosage
          Neural Networks (Computer)
          Descriptive Statistics
          Retrospective Design
          Age Factors
      ab: Low-dose computed tomography (CT) lung cancer screening is recommended by the US Preventive Services Task Force for high lung cancer–risk populations. In this study, we investigated an important factor affecting the CT dose—the scan length, for this CT exam. A neural network model based on the "UNET" framework was established to segment the lung region in the CT scout images. It was trained initially with 247 chest X-ray images and then with 40 CT scout images. The mean Intersection over Union (IOU) and Dice coefficient were reported to be 0.954 and 0.976, respectively. Lung scan boundaries were determined from this segmentation and compared with the boundaries marked by an expert for 150 validation images, resulting an average 4.7% difference. Seven hundred seventy CT low-dose lung screening exams were retrospectively analyzed with the validated model. The average "desired" scan length was 252 mm with a standard deviation of 28 mm. The average "over-range" was 58.5 mm or 24%. The upper boundary (superior) on average had an "over-range" of 17 mm, and the lower boundary (inferior) on average had an "over-range" of 41 mm. Further analysis of this data showed that the extent of "over-range" was independent of acquisition date, acquisition time, acquisition station, and patient age, but dependent on technologist and patient weight. We concluded that this machine learning method could effectively support quality control on the scan length for CT low-dose screening scans, enabling the eliminations of unnecessary patient dose.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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