On measuring the change in size of pulmonary nodules

The pulmonary nodule is the most common manifestation of lung cancer, the most deadly of all cancers. Most small pulmonary nodules are benign, however, and currently the growth rate of the nodule provides for one of the most accurate noninvasive methods of determining malignancy. In this paper, we p...

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Veröffentlicht in:IEEE transactions on medical imaging 2006-04, Vol.25 (4), p.435-450
Hauptverfasser: Reeves, A.P., Chan, A.B., Yankelevitz, D.F., Henschke, C.I., Kressler, B., Kostis, W.J.
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container_issue 4
container_start_page 435
container_title IEEE transactions on medical imaging
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creator Reeves, A.P.
Chan, A.B.
Yankelevitz, D.F.
Henschke, C.I.
Kressler, B.
Kostis, W.J.
description The pulmonary nodule is the most common manifestation of lung cancer, the most deadly of all cancers. Most small pulmonary nodules are benign, however, and currently the growth rate of the nodule provides for one of the most accurate noninvasive methods of determining malignancy. In this paper, we present methods for measuring the change in nodule size from two computed tomography image scans recorded at different times; from this size change the growth rate may be established. The impact of partial voxels for small nodules is evaluated and isotropic resampling is shown to improve measurement accuracy. Methods for nodule location and sizing, pleural segmentation, adaptive thresholding, image registration, and knowledge-based shape matching are presented. The latter three techniques provide for a significant improvement in volume change measurement accuracy by considering both image scans simultaneously. Improvements in segmentation are evaluated by measuring volume changes in benign or slow growing nodules. In the analysis of 50 nodules, the variance in percent volume change was reduced from 11.54% to 9.35% (p=0.03) through the use of registration, adaptive thresholding, and knowledge-based shape matching.
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subjects Algorithms
Artificial Intelligence
Biopsy
Cancer
Computed tomography
Growth rate
growth rate estimation
Humans
Image registration
Image segmentation
Imaging, Three-Dimensional - methods
Information Storage and Retrieval - methods
Lungs
Pattern Recognition, Automated - methods
Phantoms, Imaging
pulmonary nodules
Radiographic Image Enhancement - methods
Radiographic Image Interpretation, Computer-Assisted - methods
Radiography
Radiography, Thoracic - instrumentation
Radiography, Thoracic - methods
Reproducibility of Results
rule-based segmentation
Sensitivity and Specificity
Severity of Illness Index
Shape
Size measurement
Solitary Pulmonary Nodule - diagnostic imaging
Studies
Subtraction Technique
Tomography, X-Ray Computed - instrumentation
Tomography, X-Ray Computed - methods
Volume measurement
title On measuring the change in size of pulmonary nodules
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