On replacing the manual measurement of ACR phantom images performed by MRI technologists with an automated measurement approach

Purpose To assess whether measurements on American College of Radiology (ACR) phantom images performed by magnetic resonance imaging (MRI) technologists as part of a weekly quality control (QC) program could be performed exclusively using an automated system without compromising the integrity of the...

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Veröffentlicht in:Journal of magnetic resonance imaging 2016-04, Vol.43 (4), p.843-852
Hauptverfasser: Panych, Lawrence P., Chiou, Jr-Yuan George, Qin, Lei, Kimbrell, Vera L., Bussolari, Lisa, Mulkern, Robert V.
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container_end_page 852
container_issue 4
container_start_page 843
container_title Journal of magnetic resonance imaging
container_volume 43
creator Panych, Lawrence P.
Chiou, Jr-Yuan George
Qin, Lei
Kimbrell, Vera L.
Bussolari, Lisa
Mulkern, Robert V.
description Purpose To assess whether measurements on American College of Radiology (ACR) phantom images performed by magnetic resonance imaging (MRI) technologists as part of a weekly quality control (QC) program could be performed exclusively using an automated system without compromising the integrity of the QC program. Materials and Methods ACR phantom images are acquired on 15 MRI scanners at a number of ACR‐accredited sites to fulfill requirements of a weekly QC program. MRI technologists routinely perform several measurements on these images. Software routines are also used to perform the measurements. A set of geometry measurements made by technologists over a five week period and those made using software routines were compared to reference‐standard measurements made by two MRI physicists. Results The geometry measurements performed by software routines had a very high positive correlation (0.92) with the reference‐standard measurements. Technologist measurements also had a high positive correlation (0.63), although the correlation was less than for the automated measurements. Bland–Altman analysis revealed overall good agreement between the automated and reference‐standard measurements, with the 95% limits of agreement being within ±0.62 mm. Agreement between the technologist and the reference‐standard measurements was demonstratively poorer, with 95% limits of agreement being ±1.46 mm. Some of the technologist measurements differed from the reference standard by as much as 2 mm. Conclusion The technologists' geometry measurements may be able to be replaced by automated measurement without compromising the weekly QC program required by the ACR. J. Magn. Reson. Imaging 2016;43:843–852
doi_str_mv 10.1002/jmri.25052
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Materials and Methods ACR phantom images are acquired on 15 MRI scanners at a number of ACR‐accredited sites to fulfill requirements of a weekly QC program. MRI technologists routinely perform several measurements on these images. Software routines are also used to perform the measurements. A set of geometry measurements made by technologists over a five week period and those made using software routines were compared to reference‐standard measurements made by two MRI physicists. Results The geometry measurements performed by software routines had a very high positive correlation (0.92) with the reference‐standard measurements. Technologist measurements also had a high positive correlation (0.63), although the correlation was less than for the automated measurements. Bland–Altman analysis revealed overall good agreement between the automated and reference‐standard measurements, with the 95% limits of agreement being within ±0.62 mm. Agreement between the technologist and the reference‐standard measurements was demonstratively poorer, with 95% limits of agreement being ±1.46 mm. Some of the technologist measurements differed from the reference standard by as much as 2 mm. Conclusion The technologists' geometry measurements may be able to be replaced by automated measurement without compromising the weekly QC program required by the ACR. J. Magn. Reson. Imaging 2016;43:843–852</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.25052</identifier><identifier>PMID: 26395366</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>accreditation ; ACR phantom imaging ; Humans ; Image Processing, Computer-Assisted - methods ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Observer Variation ; Pattern Recognition, Automated ; Phantoms, Imaging ; quality assurance ; Quality Control ; Radiology - methods ; Radiology - standards ; Reference Values ; Signal-To-Noise Ratio ; Software</subject><ispartof>Journal of magnetic resonance imaging, 2016-04, Vol.43 (4), p.843-852</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><rights>2016 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3962-735896ad9dfa24db160ca1bb2b9cbe4ef77c78cbcc8cb7a52c776ec2e8f4b07a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.25052$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.25052$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26395366$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Panych, Lawrence P.</creatorcontrib><creatorcontrib>Chiou, Jr-Yuan George</creatorcontrib><creatorcontrib>Qin, Lei</creatorcontrib><creatorcontrib>Kimbrell, Vera L.</creatorcontrib><creatorcontrib>Bussolari, Lisa</creatorcontrib><creatorcontrib>Mulkern, Robert V.</creatorcontrib><title>On replacing the manual measurement of ACR phantom images performed by MRI technologists with an automated measurement approach</title><title>Journal of magnetic resonance imaging</title><addtitle>J. Magn. Reson. Imaging</addtitle><description>Purpose To assess whether measurements on American College of Radiology (ACR) phantom images performed by magnetic resonance imaging (MRI) technologists as part of a weekly quality control (QC) program could be performed exclusively using an automated system without compromising the integrity of the QC program. Materials and Methods ACR phantom images are acquired on 15 MRI scanners at a number of ACR‐accredited sites to fulfill requirements of a weekly QC program. MRI technologists routinely perform several measurements on these images. Software routines are also used to perform the measurements. A set of geometry measurements made by technologists over a five week period and those made using software routines were compared to reference‐standard measurements made by two MRI physicists. Results The geometry measurements performed by software routines had a very high positive correlation (0.92) with the reference‐standard measurements. Technologist measurements also had a high positive correlation (0.63), although the correlation was less than for the automated measurements. Bland–Altman analysis revealed overall good agreement between the automated and reference‐standard measurements, with the 95% limits of agreement being within ±0.62 mm. Agreement between the technologist and the reference‐standard measurements was demonstratively poorer, with 95% limits of agreement being ±1.46 mm. Some of the technologist measurements differed from the reference standard by as much as 2 mm. Conclusion The technologists' geometry measurements may be able to be replaced by automated measurement without compromising the weekly QC program required by the ACR. J. Magn. Reson. Imaging 2016;43:843–852</description><subject>accreditation</subject><subject>ACR phantom imaging</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Observer Variation</subject><subject>Pattern Recognition, Automated</subject><subject>Phantoms, Imaging</subject><subject>quality assurance</subject><subject>Quality Control</subject><subject>Radiology - methods</subject><subject>Radiology - standards</subject><subject>Reference Values</subject><subject>Signal-To-Noise Ratio</subject><subject>Software</subject><issn>1053-1807</issn><issn>1522-2586</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhi0EoqVw4QcgS1y4pPVHbCfHdkW_VNqqAnG0Jt7JJkviBDtR2RN_vd5uqVAvMyP5eWes9yXkI2eHnDFxtO5DeygUU-IV2edKiEyoQr9OM1My4wUze-RdjGvGWFnm6i3ZE1qWSmq9T_7eeBpw7MC1fkWnBmkPfoaO9ghxDtijn-hQ0-PFHR0b8NPQ07aHFUY6YqiH0OOSVhv67e6CTugaP3TDqo1TpPft1FDwFOakgSlh_6-EcQwDuOY9eVNDF_HDUz8gP06_fl-cZ1c3ZxeL46vMyVKLzEhVlBqW5bIGkS8rrpkDXlWiKl2FOdbGOFO4yrlUDCjhjNHoBBZ1XjED8oB82e1NZ3_PGCfbt9Fh14HHYY6WG6NkwXTJEvr5Bboe5uDT77ZUrrXUUiXq0xM1V8kDO4ZkS9jYf9YmgO-A-7bDzfM7Z3Ybmt2GZh9Ds5fJvMcpabKdJjmIf541EH5ZbaRR9uf1mRW3J8qIk1N7Kx8ACtKbIA</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Panych, Lawrence P.</creator><creator>Chiou, Jr-Yuan George</creator><creator>Qin, Lei</creator><creator>Kimbrell, Vera L.</creator><creator>Bussolari, Lisa</creator><creator>Mulkern, Robert V.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201604</creationdate><title>On replacing the manual measurement of ACR phantom images performed by MRI technologists with an automated measurement approach</title><author>Panych, Lawrence P. ; Chiou, Jr-Yuan George ; Qin, Lei ; Kimbrell, Vera L. ; Bussolari, Lisa ; Mulkern, Robert V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3962-735896ad9dfa24db160ca1bb2b9cbe4ef77c78cbcc8cb7a52c776ec2e8f4b07a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>accreditation</topic><topic>ACR phantom imaging</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted - methods</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Observer Variation</topic><topic>Pattern Recognition, Automated</topic><topic>Phantoms, Imaging</topic><topic>quality assurance</topic><topic>Quality Control</topic><topic>Radiology - methods</topic><topic>Radiology - standards</topic><topic>Reference Values</topic><topic>Signal-To-Noise Ratio</topic><topic>Software</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Panych, Lawrence P.</creatorcontrib><creatorcontrib>Chiou, Jr-Yuan George</creatorcontrib><creatorcontrib>Qin, Lei</creatorcontrib><creatorcontrib>Kimbrell, Vera L.</creatorcontrib><creatorcontrib>Bussolari, Lisa</creatorcontrib><creatorcontrib>Mulkern, Robert V.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Panych, Lawrence P.</au><au>Chiou, Jr-Yuan George</au><au>Qin, Lei</au><au>Kimbrell, Vera L.</au><au>Bussolari, Lisa</au><au>Mulkern, Robert V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>On replacing the manual measurement of ACR phantom images performed by MRI technologists with an automated measurement approach</atitle><jtitle>Journal of magnetic resonance imaging</jtitle><addtitle>J. Magn. Reson. Imaging</addtitle><date>2016-04</date><risdate>2016</risdate><volume>43</volume><issue>4</issue><spage>843</spage><epage>852</epage><pages>843-852</pages><issn>1053-1807</issn><eissn>1522-2586</eissn><abstract>Purpose To assess whether measurements on American College of Radiology (ACR) phantom images performed by magnetic resonance imaging (MRI) technologists as part of a weekly quality control (QC) program could be performed exclusively using an automated system without compromising the integrity of the QC program. Materials and Methods ACR phantom images are acquired on 15 MRI scanners at a number of ACR‐accredited sites to fulfill requirements of a weekly QC program. MRI technologists routinely perform several measurements on these images. Software routines are also used to perform the measurements. A set of geometry measurements made by technologists over a five week period and those made using software routines were compared to reference‐standard measurements made by two MRI physicists. Results The geometry measurements performed by software routines had a very high positive correlation (0.92) with the reference‐standard measurements. Technologist measurements also had a high positive correlation (0.63), although the correlation was less than for the automated measurements. Bland–Altman analysis revealed overall good agreement between the automated and reference‐standard measurements, with the 95% limits of agreement being within ±0.62 mm. Agreement between the technologist and the reference‐standard measurements was demonstratively poorer, with 95% limits of agreement being ±1.46 mm. Some of the technologist measurements differed from the reference standard by as much as 2 mm. Conclusion The technologists' geometry measurements may be able to be replaced by automated measurement without compromising the weekly QC program required by the ACR. J. Magn. Reson. Imaging 2016;43:843–852</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26395366</pmid><doi>10.1002/jmri.25052</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects accreditation
ACR phantom imaging
Humans
Image Processing, Computer-Assisted - methods
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Observer Variation
Pattern Recognition, Automated
Phantoms, Imaging
quality assurance
Quality Control
Radiology - methods
Radiology - standards
Reference Values
Signal-To-Noise Ratio
Software
title On replacing the manual measurement of ACR phantom images performed by MRI technologists with an automated measurement approach
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