The effects of computed tomography with iterative reconstruction on solid pulmonary nodule volume quantification.

<h4>Background</h4>The objectives of this study were to evaluate the influence of iterative reconstruction (IR) on pulmonary nodule volumetry with chest computed tomography (CT).<h4>Methods</h4>Twenty patients (12 women and 8 men, mean age 61.9, range 32-87) underwent evaluat...

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Autores principales: Martin J Willemink, Jaap Borstlap, Richard A P Takx, Arnold M R Schilham, Tim Leiner, Ricardo P J Budde, Pim A de Jong
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:0b1526671a9b4e379143ab519369b24d2021-11-18T07:55:42ZThe effects of computed tomography with iterative reconstruction on solid pulmonary nodule volume quantification.1932-620310.1371/journal.pone.0058053https://doaj.org/article/0b1526671a9b4e379143ab519369b24d2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23460924/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The objectives of this study were to evaluate the influence of iterative reconstruction (IR) on pulmonary nodule volumetry with chest computed tomography (CT).<h4>Methods</h4>Twenty patients (12 women and 8 men, mean age 61.9, range 32-87) underwent evaluation of pulmonary nodules with a 64-slice CT-scanner. Data were reconstructed using filtered back projection (FBP) and IR (Philips Healthcare, iDose(4)-levels 2, 4 and 6) at similar radiation dose. Volumetric nodule measurements were performed with semi-automatic software on thin slice reconstructions. Only solid pulmonary nodules were measured, no additional selection criteria were used for the nature of nodules. For intra-observer and inter-observer variability, measurements were performed once by one observer and twice by another observer. Algorithms were compared using the concordance correlation-coefficient (pc) and Friedman-test, and post-hoc analysis with the Wilcoxon-signed ranks-test with Bonferroni-correction (significance-level p<0.017).<h4>Results</h4>Seventy-eight nodules were present including 56 small nodules (volume<200 mm(3), diameter<8 mm) and 22 large nodules (volume≥200 mm(3), diameter≥8 mm). No significant differences in measured pulmonary nodule volumes between FBP, iDose(4)-levels 2, 4 and 6 were found in both small nodules and large nodules. FBP and iDose(4)-levels 2, 4 and 6 were correlated with pc-values of 0.98 or higher for both small and large nodules. Pc-values of intra-observer and inter-observer variability were 0.98 or higher.<h4>Conclusions</h4>Measurements of solid pulmonary nodule volume measured with standard-FBP were comparable with IR, regardless of the IR-level and no significant differences between measured volumes of both small and large solid nodules were found.Martin J WilleminkJaap BorstlapRichard A P TakxArnold M R SchilhamTim LeinerRicardo P J BuddePim A de JongPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 2, p e58053 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Martin J Willemink
Jaap Borstlap
Richard A P Takx
Arnold M R Schilham
Tim Leiner
Ricardo P J Budde
Pim A de Jong
The effects of computed tomography with iterative reconstruction on solid pulmonary nodule volume quantification.
description <h4>Background</h4>The objectives of this study were to evaluate the influence of iterative reconstruction (IR) on pulmonary nodule volumetry with chest computed tomography (CT).<h4>Methods</h4>Twenty patients (12 women and 8 men, mean age 61.9, range 32-87) underwent evaluation of pulmonary nodules with a 64-slice CT-scanner. Data were reconstructed using filtered back projection (FBP) and IR (Philips Healthcare, iDose(4)-levels 2, 4 and 6) at similar radiation dose. Volumetric nodule measurements were performed with semi-automatic software on thin slice reconstructions. Only solid pulmonary nodules were measured, no additional selection criteria were used for the nature of nodules. For intra-observer and inter-observer variability, measurements were performed once by one observer and twice by another observer. Algorithms were compared using the concordance correlation-coefficient (pc) and Friedman-test, and post-hoc analysis with the Wilcoxon-signed ranks-test with Bonferroni-correction (significance-level p<0.017).<h4>Results</h4>Seventy-eight nodules were present including 56 small nodules (volume<200 mm(3), diameter<8 mm) and 22 large nodules (volume≥200 mm(3), diameter≥8 mm). No significant differences in measured pulmonary nodule volumes between FBP, iDose(4)-levels 2, 4 and 6 were found in both small nodules and large nodules. FBP and iDose(4)-levels 2, 4 and 6 were correlated with pc-values of 0.98 or higher for both small and large nodules. Pc-values of intra-observer and inter-observer variability were 0.98 or higher.<h4>Conclusions</h4>Measurements of solid pulmonary nodule volume measured with standard-FBP were comparable with IR, regardless of the IR-level and no significant differences between measured volumes of both small and large solid nodules were found.
format article
author Martin J Willemink
Jaap Borstlap
Richard A P Takx
Arnold M R Schilham
Tim Leiner
Ricardo P J Budde
Pim A de Jong
author_facet Martin J Willemink
Jaap Borstlap
Richard A P Takx
Arnold M R Schilham
Tim Leiner
Ricardo P J Budde
Pim A de Jong
author_sort Martin J Willemink
title The effects of computed tomography with iterative reconstruction on solid pulmonary nodule volume quantification.
title_short The effects of computed tomography with iterative reconstruction on solid pulmonary nodule volume quantification.
title_full The effects of computed tomography with iterative reconstruction on solid pulmonary nodule volume quantification.
title_fullStr The effects of computed tomography with iterative reconstruction on solid pulmonary nodule volume quantification.
title_full_unstemmed The effects of computed tomography with iterative reconstruction on solid pulmonary nodule volume quantification.
title_sort effects of computed tomography with iterative reconstruction on solid pulmonary nodule volume quantification.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/0b1526671a9b4e379143ab519369b24d
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