Pancreas adenocarcinoma CT texture analysis: comparison of 3D and 2D tumor segmentation techniques.

Purpose: To determine equivalency of multi-slice 3D CTTA and single slice 2D CTTA of pancreas adenocarcinoma. Methods: This retrospective study was research ethics board approved. Untreated pancreas adenocarcinomas were segmented on CT in 128 consecutive patients. Tumor segmentation was compared usi...

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Published in:Abdominal Radiology Vol. 46; no. 3; pp. 1027 - 1034
Main Authors: Kulkarni, Ameya, Carrion-Martinez, Ivan, Dhindsa, Kiret, Alaref, Amer A., Rozenberg, Radu, van der Pol, Christian B.
Format: Journal Article
Published: Springer Nature Mar2021
Online Access:View this record in EBSCOhost
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      dt: Mar2021
      vid: 46
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00261-020-02759-1
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        atl: Pancreas adenocarcinoma CT texture analysis: comparison of 3D and 2D tumor segmentation techniques.
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          Kulkarni, Ameya
          Carrion-Martinez, Ivan
          Dhindsa, Kiret
          Alaref, Amer A.
          Rozenberg, Radu
          van der Pol, Christian B.
        affil: Department of Diagnostic Imaging, Juravinski Hospital and Cancer Centre, Hamilton Health Sciences, McMaster University, 711 Concession Street, L8V 1C3, Hamilton, ON, Canada
      sug:
      ab: Purpose: To determine equivalency of multi-slice 3D CTTA and single slice 2D CTTA of pancreas adenocarcinoma. Methods: This retrospective study was research ethics board approved. Untreated pancreas adenocarcinomas were segmented on CT in 128 consecutive patients. Tumor segmentation was compared using two techniques: 3D segmentation by contouring all visible tumor in a 3D volume, and 2D segmentation using only a single axial image. First-order CTTA features including mean, minimum, maximum Hounsfield units (HU), standard deviation, skewness, kurtosis, entropy, and second-order gray-level co-occurrence matrix (GLCM) features homogeneity, contrast, correlation, entropy and dissimilarity were extracted. Median values were compared using the Mann–Whitney U test with Holm–Bonferroni correction. Kendall's Rank Correlation Tau assessed for correlation, and agreement was calculated using intraclass correlation coefficients (ICC) using a two-way model with single rating and absolute agreement. Statistical significance defined as P < 0.05. Results: The median values of CTTA features differed significantly between 3 and 2D segmentations for all of the evaluated features except for mean attenuation, standard deviation and skewness (P = 0.2979 each). 3D and 2D segmentations had moderate correlation for mean attenuation (R = 0.69, P < 0.01), while all other features demonstrated poor to fair correlation. Agreement between 3 and 2D segmentations was good for mean attenuation (ICC: 0.87, P < 0.01), moderate for minimum (ICC: 0.65, P < 0.01) and standard deviation (ICC: 0.56, P < 0.01), and poor for all other features. Conclusion: While pancreas adenocarcinoma CTTA features obtained using 3D and 2D segmentation have multiple associations with clinically relevant outcomes, these segmentation techniques are likely not interchangeable other than for mean HU.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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