Effect of reconstruction methods and x-ray tube current–time product on nodule detection in an anthropomorphic thorax phantom: A crossed-modality JAFROC observer study

Purpose: To evaluate nodule detection in an anthropomorphic chest phantom in computed tomography (CT) images reconstructed with adaptive iterative dose reduction 3D (AIDR3D) and filtered back projection (FBP) over a range of tube current–time product (mAs). Methods: Two phantoms were used in this st...

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Veröffentlicht in:Medical physics (Lancaster) 2016-03, Vol.43 (3), p.1265-1274
Hauptverfasser: Thompson, J. D., Chakraborty, D. P., Szczepura, K., Tootell, A. K., Vamvakas, I., Manning, D. J., Hogg, P.
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container_end_page 1274
container_issue 3
container_start_page 1265
container_title Medical physics (Lancaster)
container_volume 43
creator Thompson, J. D.
Chakraborty, D. P.
Szczepura, K.
Tootell, A. K.
Vamvakas, I.
Manning, D. J.
Hogg, P.
description Purpose: To evaluate nodule detection in an anthropomorphic chest phantom in computed tomography (CT) images reconstructed with adaptive iterative dose reduction 3D (AIDR3D) and filtered back projection (FBP) over a range of tube current–time product (mAs). Methods: Two phantoms were used in this study: (i) an anthropomorphic chest phantom was loaded with spherical simulated nodules of 5, 8, 10, and 12 mm in diameter and +100, −630, and −800 Hounsfield units electron density; this would generate CT images for the observer study; (ii) a whole-body dosimetry verification phantom was used to ultimately estimate effective dose and risk according to the model of the BEIR VII committee. Both phantoms were scanned over a mAs range (10, 20, 30, and 40), while all other acquisition parameters remained constant. Images were reconstructed with both AIDR3D and FBP. For the observer study, 34 normal cases (no nodules) and 34 abnormal cases (containing 1–3 nodules, mean 1.35 ± 0.54) were chosen. Eleven observers evaluated images from all mAs and reconstruction methods under the free-response paradigm. A crossed-modality jackknife alternative free-response operating characteristic (JAFROC) analysis method was developed for data analysis, averaging data over the two factors influencing nodule detection in this study: mAs and image reconstruction (AIDR3D or FBP). A Bonferroni correction was applied and the threshold for declaring significance was set at 0.025 to maintain the overall probability of Type I error at α = 0.05. Contrast-to-noise (CNR) was also measured for all nodules and evaluated by a linear least squares analysis. Results: For random-reader fixed-case crossed-modality JAFROC analysis, there was no significant difference in nodule detection between AIDR3D and FBP when data were averaged over mAs [F(1, 10) = 0.08, p = 0.789]. However, when data were averaged over reconstruction methods, a significant difference was seen between multiple pairs of mAs settings [F(3, 30) = 15.96, p < 0.001]. Measurements of effective dose and effective risk showed the expected linear dependence on mAs. Nodule CNR was statistically higher for simulated nodules on images reconstructed with AIDR3D (p < 0.001). Conclusions: No significant difference in nodule detection performance was demonstrated between images reconstructed with FBP and AIDR3D. mAs was found to influence nodule detection, though further work is required for dose optimization.
doi_str_mv 10.1118/1.4941017
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D. ; Chakraborty, D. P. ; Szczepura, K. ; Tootell, A. K. ; Vamvakas, I. ; Manning, D. J. ; Hogg, P.</creator><creatorcontrib>Thompson, J. D. ; Chakraborty, D. P. ; Szczepura, K. ; Tootell, A. K. ; Vamvakas, I. ; Manning, D. J. ; Hogg, P.</creatorcontrib><description>Purpose: To evaluate nodule detection in an anthropomorphic chest phantom in computed tomography (CT) images reconstructed with adaptive iterative dose reduction 3D (AIDR3D) and filtered back projection (FBP) over a range of tube current–time product (mAs). Methods: Two phantoms were used in this study: (i) an anthropomorphic chest phantom was loaded with spherical simulated nodules of 5, 8, 10, and 12 mm in diameter and +100, −630, and −800 Hounsfield units electron density; this would generate CT images for the observer study; (ii) a whole-body dosimetry verification phantom was used to ultimately estimate effective dose and risk according to the model of the BEIR VII committee. Both phantoms were scanned over a mAs range (10, 20, 30, and 40), while all other acquisition parameters remained constant. Images were reconstructed with both AIDR3D and FBP. For the observer study, 34 normal cases (no nodules) and 34 abnormal cases (containing 1–3 nodules, mean 1.35 ± 0.54) were chosen. Eleven observers evaluated images from all mAs and reconstruction methods under the free-response paradigm. A crossed-modality jackknife alternative free-response operating characteristic (JAFROC) analysis method was developed for data analysis, averaging data over the two factors influencing nodule detection in this study: mAs and image reconstruction (AIDR3D or FBP). A Bonferroni correction was applied and the threshold for declaring significance was set at 0.025 to maintain the overall probability of Type I error at α = 0.05. Contrast-to-noise (CNR) was also measured for all nodules and evaluated by a linear least squares analysis. Results: For random-reader fixed-case crossed-modality JAFROC analysis, there was no significant difference in nodule detection between AIDR3D and FBP when data were averaged over mAs [F(1, 10) = 0.08, p = 0.789]. However, when data were averaged over reconstruction methods, a significant difference was seen between multiple pairs of mAs settings [F(3, 30) = 15.96, p &lt; 0.001]. Measurements of effective dose and effective risk showed the expected linear dependence on mAs. Nodule CNR was statistically higher for simulated nodules on images reconstructed with AIDR3D (p &lt; 0.001). Conclusions: No significant difference in nodule detection performance was demonstrated between images reconstructed with FBP and AIDR3D. mAs was found to influence nodule detection, though further work is required for dose optimization.</description><identifier>ISSN: 0094-2405</identifier><identifier>ISSN: 2473-4209</identifier><identifier>EISSN: 2473-4209</identifier><identifier>DOI: 10.1118/1.4941017</identifier><identifier>PMID: 26936711</identifier><identifier>CODEN: MPHYA6</identifier><language>eng</language><publisher>United States: American Association of Physicists in Medicine</publisher><subject>60 APPLIED LIFE SCIENCES ; Biological material, e.g. blood, urine; Haemocytometers ; CHEST ; CNR ; Computed tomography ; Computerised tomographs ; computerised tomography ; COMPUTERIZED TOMOGRAPHY ; CORRECTIONS ; DATA ANALYSIS ; Digital computing or data processing equipment or methods, specially adapted for specific applications ; Dose‐volume analysis ; DOSIMETRY ; effective risk ; ELECTRON DENSITY ; Humans ; Image data processing or generation, in general ; IMAGE PROCESSING ; Image Processing, Computer-Assisted - methods ; image reconstruction ; ITERATIVE METHODS ; Iterative reconstruction ; JAFROC ; LEAST SQUARE FIT ; Medical image noise ; medical image processing ; Medical image reconstruction ; Medicin och hälsovetenskap ; Observation ; PHANTOMS ; Phantoms, Imaging ; QUANTITATIVE IMAGING AND IMAGE PROCESSING ; RADIATION DOSES ; RADIATION PROTECTION AND DOSIMETRY ; Radiography, Thoracic - methods ; Reconstruction ; Scintigraphy ; Three dimensional image processing ; Three dimensional sensing ; Time Factors ; Tomography, X-Ray Computed - methods ; X-RAY TUBES</subject><ispartof>Medical physics (Lancaster), 2016-03, Vol.43 (3), p.1265-1274</ispartof><rights>American Association of Physicists in Medicine</rights><rights>2016 The Authors. 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D.</creatorcontrib><creatorcontrib>Chakraborty, D. P.</creatorcontrib><creatorcontrib>Szczepura, K.</creatorcontrib><creatorcontrib>Tootell, A. K.</creatorcontrib><creatorcontrib>Vamvakas, I.</creatorcontrib><creatorcontrib>Manning, D. J.</creatorcontrib><creatorcontrib>Hogg, P.</creatorcontrib><title>Effect of reconstruction methods and x-ray tube current–time product on nodule detection in an anthropomorphic thorax phantom: A crossed-modality JAFROC observer study</title><title>Medical physics (Lancaster)</title><addtitle>Med Phys</addtitle><description>Purpose: To evaluate nodule detection in an anthropomorphic chest phantom in computed tomography (CT) images reconstructed with adaptive iterative dose reduction 3D (AIDR3D) and filtered back projection (FBP) over a range of tube current–time product (mAs). Methods: Two phantoms were used in this study: (i) an anthropomorphic chest phantom was loaded with spherical simulated nodules of 5, 8, 10, and 12 mm in diameter and +100, −630, and −800 Hounsfield units electron density; this would generate CT images for the observer study; (ii) a whole-body dosimetry verification phantom was used to ultimately estimate effective dose and risk according to the model of the BEIR VII committee. Both phantoms were scanned over a mAs range (10, 20, 30, and 40), while all other acquisition parameters remained constant. Images were reconstructed with both AIDR3D and FBP. For the observer study, 34 normal cases (no nodules) and 34 abnormal cases (containing 1–3 nodules, mean 1.35 ± 0.54) were chosen. Eleven observers evaluated images from all mAs and reconstruction methods under the free-response paradigm. A crossed-modality jackknife alternative free-response operating characteristic (JAFROC) analysis method was developed for data analysis, averaging data over the two factors influencing nodule detection in this study: mAs and image reconstruction (AIDR3D or FBP). A Bonferroni correction was applied and the threshold for declaring significance was set at 0.025 to maintain the overall probability of Type I error at α = 0.05. Contrast-to-noise (CNR) was also measured for all nodules and evaluated by a linear least squares analysis. Results: For random-reader fixed-case crossed-modality JAFROC analysis, there was no significant difference in nodule detection between AIDR3D and FBP when data were averaged over mAs [F(1, 10) = 0.08, p = 0.789]. However, when data were averaged over reconstruction methods, a significant difference was seen between multiple pairs of mAs settings [F(3, 30) = 15.96, p &lt; 0.001]. Measurements of effective dose and effective risk showed the expected linear dependence on mAs. Nodule CNR was statistically higher for simulated nodules on images reconstructed with AIDR3D (p &lt; 0.001). Conclusions: No significant difference in nodule detection performance was demonstrated between images reconstructed with FBP and AIDR3D. mAs was found to influence nodule detection, though further work is required for dose optimization.</description><subject>60 APPLIED LIFE SCIENCES</subject><subject>Biological material, e.g. blood, urine; Haemocytometers</subject><subject>CHEST</subject><subject>CNR</subject><subject>Computed tomography</subject><subject>Computerised tomographs</subject><subject>computerised tomography</subject><subject>COMPUTERIZED TOMOGRAPHY</subject><subject>CORRECTIONS</subject><subject>DATA ANALYSIS</subject><subject>Digital computing or data processing equipment or methods, specially adapted for specific applications</subject><subject>Dose‐volume analysis</subject><subject>DOSIMETRY</subject><subject>effective risk</subject><subject>ELECTRON DENSITY</subject><subject>Humans</subject><subject>Image data processing or generation, in general</subject><subject>IMAGE PROCESSING</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>image reconstruction</subject><subject>ITERATIVE METHODS</subject><subject>Iterative reconstruction</subject><subject>JAFROC</subject><subject>LEAST SQUARE FIT</subject><subject>Medical image noise</subject><subject>medical image processing</subject><subject>Medical image reconstruction</subject><subject>Medicin och hälsovetenskap</subject><subject>Observation</subject><subject>PHANTOMS</subject><subject>Phantoms, Imaging</subject><subject>QUANTITATIVE IMAGING AND IMAGE PROCESSING</subject><subject>RADIATION DOSES</subject><subject>RADIATION PROTECTION AND DOSIMETRY</subject><subject>Radiography, Thoracic - methods</subject><subject>Reconstruction</subject><subject>Scintigraphy</subject><subject>Three dimensional image processing</subject><subject>Three dimensional sensing</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>X-RAY TUBES</subject><issn>0094-2405</issn><issn>2473-4209</issn><issn>2473-4209</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNp9kt-K1DAUxoso7rp64QtIwBsVuiZNk7Z7IQzDrn9YWRG9Dmly6kTbpibp7M6d7-BT-Fo-iamtwy6i0JCS_L6v53w9SfKQ4GNCSPmcHOdVTjApbiWHWV7QNM9wdTs5xLjK0yzH7CC55_1njDGnDN9NDjJeUV4Qcpj8OG0aUAHZBjlQtvfBjSoY26MOwsZqj2Sv0VXq5A6FsQakRuegDz-_fQ-mAzQ4q8dJ36M-vrWANASYHUwfxfEJG2cH21k3bIxC0dXJKzRs4oXtTtAKKWe9B512VsvWhB16szp7f7FGtvbgtuCQD6Pe3U_uNLL18GDZj5KPZ6cf1q_S84uXr9er81QxTopU41LzmqqMZ6ViiukMZ8CbXDVVETde50TLjLAaKkWaQld1LbHEOWWKqoJwepRUs6-_hGGsxeBMJ91OWGnE1K1Yzr-YaQkPglBKGWVlFbUvZm0EOtAqBuVke9Pixk1vNuKT3Yq8YBnLWTR4PBtYH6K3MjHLTfwtfYxUZLEnXFIcqSfLZ5z9OoIPojNeQdvKHuzoBSkKXHJe8gl9OqO_Q3bQ7IshWEzDI4hYhieyj65Xvyf_TEsE0hm4NC3s_u0k3r5bDJ8tUcZG5DQTe83Wumv8oJv_wX-X-gvayu6-</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Thompson, J. D.</creator><creator>Chakraborty, D. P.</creator><creator>Szczepura, K.</creator><creator>Tootell, A. K.</creator><creator>Vamvakas, I.</creator><creator>Manning, D. J.</creator><creator>Hogg, P.</creator><general>American Association of Physicists in Medicine</general><scope>AJDQP</scope><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>201603</creationdate><title>Effect of reconstruction methods and x-ray tube current–time product on nodule detection in an anthropomorphic thorax phantom: A crossed-modality JAFROC observer study</title><author>Thompson, J. D. ; Chakraborty, D. P. ; Szczepura, K. ; Tootell, A. K. ; Vamvakas, I. ; Manning, D. 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J.</creatorcontrib><creatorcontrib>Hogg, P.</creatorcontrib><collection>AIP Open Access Journals</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Medical physics (Lancaster)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thompson, J. D.</au><au>Chakraborty, D. P.</au><au>Szczepura, K.</au><au>Tootell, A. K.</au><au>Vamvakas, I.</au><au>Manning, D. J.</au><au>Hogg, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of reconstruction methods and x-ray tube current–time product on nodule detection in an anthropomorphic thorax phantom: A crossed-modality JAFROC observer study</atitle><jtitle>Medical physics (Lancaster)</jtitle><addtitle>Med Phys</addtitle><date>2016-03</date><risdate>2016</risdate><volume>43</volume><issue>3</issue><spage>1265</spage><epage>1274</epage><pages>1265-1274</pages><issn>0094-2405</issn><issn>2473-4209</issn><eissn>2473-4209</eissn><coden>MPHYA6</coden><abstract>Purpose: To evaluate nodule detection in an anthropomorphic chest phantom in computed tomography (CT) images reconstructed with adaptive iterative dose reduction 3D (AIDR3D) and filtered back projection (FBP) over a range of tube current–time product (mAs). Methods: Two phantoms were used in this study: (i) an anthropomorphic chest phantom was loaded with spherical simulated nodules of 5, 8, 10, and 12 mm in diameter and +100, −630, and −800 Hounsfield units electron density; this would generate CT images for the observer study; (ii) a whole-body dosimetry verification phantom was used to ultimately estimate effective dose and risk according to the model of the BEIR VII committee. Both phantoms were scanned over a mAs range (10, 20, 30, and 40), while all other acquisition parameters remained constant. Images were reconstructed with both AIDR3D and FBP. For the observer study, 34 normal cases (no nodules) and 34 abnormal cases (containing 1–3 nodules, mean 1.35 ± 0.54) were chosen. Eleven observers evaluated images from all mAs and reconstruction methods under the free-response paradigm. A crossed-modality jackknife alternative free-response operating characteristic (JAFROC) analysis method was developed for data analysis, averaging data over the two factors influencing nodule detection in this study: mAs and image reconstruction (AIDR3D or FBP). A Bonferroni correction was applied and the threshold for declaring significance was set at 0.025 to maintain the overall probability of Type I error at α = 0.05. Contrast-to-noise (CNR) was also measured for all nodules and evaluated by a linear least squares analysis. Results: For random-reader fixed-case crossed-modality JAFROC analysis, there was no significant difference in nodule detection between AIDR3D and FBP when data were averaged over mAs [F(1, 10) = 0.08, p = 0.789]. However, when data were averaged over reconstruction methods, a significant difference was seen between multiple pairs of mAs settings [F(3, 30) = 15.96, p &lt; 0.001]. Measurements of effective dose and effective risk showed the expected linear dependence on mAs. Nodule CNR was statistically higher for simulated nodules on images reconstructed with AIDR3D (p &lt; 0.001). Conclusions: No significant difference in nodule detection performance was demonstrated between images reconstructed with FBP and AIDR3D. mAs was found to influence nodule detection, though further work is required for dose optimization.</abstract><cop>United States</cop><pub>American Association of Physicists in Medicine</pub><pmid>26936711</pmid><doi>10.1118/1.4941017</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects 60 APPLIED LIFE SCIENCES
Biological material, e.g. blood, urine
Haemocytometers
CHEST
CNR
Computed tomography
Computerised tomographs
computerised tomography
COMPUTERIZED TOMOGRAPHY
CORRECTIONS
DATA ANALYSIS
Digital computing or data processing equipment or methods, specially adapted for specific applications
Dose‐volume analysis
DOSIMETRY
effective risk
ELECTRON DENSITY
Humans
Image data processing or generation, in general
IMAGE PROCESSING
Image Processing, Computer-Assisted - methods
image reconstruction
ITERATIVE METHODS
Iterative reconstruction
JAFROC
LEAST SQUARE FIT
Medical image noise
medical image processing
Medical image reconstruction
Medicin och hälsovetenskap
Observation
PHANTOMS
Phantoms, Imaging
QUANTITATIVE IMAGING AND IMAGE PROCESSING
RADIATION DOSES
RADIATION PROTECTION AND DOSIMETRY
Radiography, Thoracic - methods
Reconstruction
Scintigraphy
Three dimensional image processing
Three dimensional sensing
Time Factors
Tomography, X-Ray Computed - methods
X-RAY TUBES
title Effect of reconstruction methods and x-ray tube current–time product on nodule detection in an anthropomorphic thorax phantom: A crossed-modality JAFROC observer study
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