Quantitative CT: technique dependence of volume estimation on pulmonary nodules.
Summary of "Quantitative CT: technique dependence of volume estimation on pulmonary nodules."
Current estimation of lung nodule size typically relies on uni- or bi-dimensional techniques. While new three-dimensional volume estimation techniques using MDCT have improved size estimation of nodules with irregular shapes, the effect of acquisition and reconstruction parameters on accuracy (bias) and precision (variance) of the new techniques has not been fully investigated. To characterize the volume estimation performance dependence on these parameters, an anthropomorphic chest phantom containing synthetic nodules was scanned and reconstructed with protocols across various acquisition and reconstruction parameters. Nodule volumes were estimated by a clinical lung analysis software package, LungVCAR. Precision and accuracy of the volume assessment were calculated across the nodules and compared between protocols via a generalized estimating equation analysis. Results showed that the precision and accuracy of nodule volume quantifications were dependent on slice thickness, with different dependences for different nodule characteristics. Other parameters including kVp, pitch, and reconstruction kernel had lower impact. Determining these technique dependences enables better volume quantification via protocol optimization and highlights the importance of consistent imaging parameters in sequential examinations.
Affiliation
Medical Physics Graduate Program, Duke University, Durham, NC 27705, USA. Carl E Ravin Advanced Imaging Laboratories, Duke University, Durham, NC 27705, USA.
Journal Details
This article was published in the following journal.
Name: Physics in medicine and biology
ISSN: 1361-6560
Pages: 1335-48
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22349265
- DOI: http://dx.doi.org/10.1088/0031-9155/57/5/1335
Medical and Biotech [MESH] Definitions
Risk Assessment
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Erythrocyte Volume
Volume of circulating ERYTHROCYTES . It is usually measured by RADIOISOTOPE DILUTION TECHNIQUE.
Multiple Pulmonary Nodules
A number of small lung lesions characterized by small round masses of 2- to 3-mm in diameter. They are usually detected by chest CT scans (COMPUTED TOMOGRAPHY, X-RAY). Such nodules can be associated with metastases of malignancies inside or outside the lung, benign granulomas, or other lesions.
Metalloporphyrins
Porphyrins which are combined with a metal ion. The metal is bound equally to all four nitrogen atoms of the pyrrole rings. They possess characteristic absorption spectra which can be utilized for identification or quantitative estimation of porphyrins and porphyrin-bound compounds.
Quantitative Trait Loci
Locations, on the GENOME, of GENES or other genetic elements that encode or control the expression of a quantitative trait (QUANTITATIVE TRAIT, HERITABLE).
PubMed Articles
Effects of Different Reconstruction Parameters on CT Volumetric Measurement of Pulmonary Nodules.
It has been proven that volumetric measurements could detect subtle changes in small pulmonary nodules in serial CT scans, and thus may play an important role in the follow-up of indeterminate pulmona...
Clinical Application of CT-guided Preoperative Pulmonary Nodule Localization Technique.
BACKGROUND: It's difficult to localize the accurate position for some pulmonary nodules in video-assisted thoracoscopic surgery (VATS) wedge resection. The aim of this study is to retrospectively anal...
AIM: To determine the impact of an additional inspiration CT scan on the conventional (18)F-FDG PET-CT protocol in the detection of small pulmonary nodules. METHOD: One hundred consecutive patients wh...
Pulmonary necrotizing sarcoid granulomatosis in a patient with primary biliary cirrhosis.
HISTORY AND ADMISSION FINDINGS: A 53-year-old woman presented with recurrent episodes of cough and non-specific pulmonary symptoms. For many years she had been known to have primary biliary cirrhosis....
OBJECTIVES: To compare the efficacy of ethanol ablation (EA) of cystic and predominantly cystic thyroid nodules, and to evaluate factors affecting efficacy. METHODS: From October 2008 to December 2010...
Clinical Trials
3-D Reconstruction of CT Scan Images in the Evaluation of Non-Specific Pulmonary Nodules
In recent years, more and more people are having lung CT scans performed to screen for various cancers. Many of them have small abnormalities detected, called "nodules", which - for a vari...
RFA (Radiofrequency Ablation) Versus EA (Ethanol Ablation) for Predominantly Cystic Thyroid Nodules
Ultrasound-guided ethanol ablation is an effective treatment modality for patients with cystic thyroid nodules (cystic portion > 90%); however it is less effective in predominantly cystic...
Evaluation of Left Ventricular Volumes by Real-Time 3-Dimensional Echocardiography
Quantitative measurements of left ventricular volume and ejection fraction are useful in the management of patients with heart disease. Several imaging methods exist, but are limited by c...
Estimation of Standard Liver Volume in the Indian Population
Estimation of liver volume is important for live donor liver transplant as well as extended liver resections. Computed tomography (CT) volumetry which is currently a gold standard for live...
Comparative Evaluation of MRI and MDCT for the Detection of Metastic Pulmonary Nodules
The purpose of this study is to apply the techniques of dynamic MRI imaging enhancement to research participants with one or more pulmonary nodule to determine if meaningful information ab...