Computer-aided volumetry of pulmonary nodules exhibiting ground-glass opacity at MDCT.
ABSTRACT The purpose of this study was to investigate the accuracy and reproducibility of results acquired with computer-aided volumetry software during MDCT of pulmonary nodules exhibiting ground-glass opacity.
To evaluate the accuracy of computer-aided volumetry software, we performed thin-section helical CT of a chest phantom that included simulated 3-, 5-, 8-, 10-, and 12-mm-diameter ground-glass opacity nodules with attenuation of -800, -630, and -450 HU. Three radiologists measured the volume of the nodules and calculated the relative volume measurement error, which was defined as follows: (measured nodule volume minus assumed nodule volume / assumed nodule volume) x 100. Two radiologists performed two independent measurements of 59 nodules in humans. Intraobserver and interobserver agreement was evaluated with Bland-Altman methods.
The relative volume measurement error for simulated ground-glass opacity nodules measuring 3 mm ranged from 51.1% to 85.2% and for nodules measuring 5 mm or more in diameter ranged from -4.1% to 7.1%. In the clinical study, for intraobserver agreement, the 95% limits of agreement were -14.9% and -13.7% and -16.6% to 15.7% for observers A and B. For interobserver agreement, these values were -16.3% to 23.7% for nodules 8 mm in diameter or larger.
With computer-aided volumetry of ground-glass opacity nodules, the relative volume measurement error was small for nodules 5 mm in diameter or larger. Intraobserver and interobserver agreement was relatively high for nodules 8 mm in diameter or larger.
- SourceAvailable from: Radosław Kiedrowicz[Show abstract] [Hide abstract]
ABSTRACT: Despite the progress in contemporary medicine comprising diagnostic and therapeutic methods, lung cancer is still one of the biggest health concerns in many countries of the world. The main purpose of the study was to evaluate the detection rate of pulmonary nodules and lung cancer in the initial, helical low-dose CT of the chest as well as the analysis of the relationship between the size and the histopathological character of the detected nodules.Polish journal of radiology / Polish Medical Society of Radiology. 01/2014; 79:210-8.
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ABSTRACT: Advances in our understanding of the pathology, radiology and clinical behaviour of peripheral lung adenocarcinomas facilitated a more robust terminology and classification of these lesions. The International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society (IASLC/ATS/ERS) classification introduced new terminology to better reflect this heterogeneous group of adenocarcinomas formerly known as bronchoalveolar cell carcinoma (BAC). There is now a clear distinction between pre-invasive, minimally invasive and frankly invasive lesions. The radiographic appearance of these ranges from pure ground glass nodules to solid mass lesions. Radiologists must be aware of the new classification in order to work alongside multidisciplinary colleagues to allow accurate staging and treatment. This article reviews the new classification of lung adenocarcinomas. Management options of these lesions with particular focus on radiological implications of the new classification will be reviewed.Journal of thoracic disease. 10/2014; 6(Suppl 5):S537-46.
Conference Paper: Volume estimation of multi-density nodules with thoracic CT[Show abstract] [Hide abstract]
ABSTRACT: The purpose of this work was to quantify the effect of surrounding density on the volumetric assessment of lung nodules in a phantom CT study. Eight synthetic multidensity nodules were manufactured by enclosing spherical cores in larger spheres of double the diameter and with a different uniform density. Different combinations of outer/inner diameters (20/10mm, 10/5mm) and densities (100HU/-630HU, 10HU/- 630HU, -630HU/100HU, -630HU/-10HU) were created. The nodules were placed within an anthropomorphic phantom and scanned with a 16-detector row CT scanner. Ten repeat scans were acquired using exposures of 20, 100, and 200mAs, slice collimations of 16x0.75mm and 16x1.5mm, and pitch of 1.2, and were reconstructed with varying slice thicknesses (three for each collimation) using two reconstruction filters (medium and standard). The volumes of the inner nodule cores were estimated from the reconstructed CT data using a matched-filter approach with templates modeling the characteristics of the multi-density objects. Volume estimation of the inner nodule was assessed using percent bias (PB) and the standard deviation of percent error (SPE). The true volumes of the inner nodules were measured using micro CT imaging. Results show PB values ranging from -12.4 to 2.3% and SPE values ranging from 1.8 to 12.8%. This study indicates that the volume of multi-density nodules can be measured with relatively small percent bias (on the order of ±12% or less) when accounting for the properties of surrounding densities. These findings can provide valuable information for understanding bias and variability in clinical measurements of nodules that also include local biological changes such as inflammation and necrosis.SPIE Medical Imaging; 03/2014