Morphological segmentation and partial volume analysis for volumetry of solid pulmonary lesions in thoracic CT scans

Autor: A. Bakai, L. Bornemann, Volker Dicken, H. O. Peitgen, Stefan Krass, Jan-Martin Kuhnigk, Dag Wormanns
Přispěvatelé: Publica
Rok vydání: 2006
Předmět:
medicine.medical_specialty
analysis
Partial volume
Information Storage and Retrieval
Iterative reconstruction
Sensitivity and Specificity
Imaging phantom
lung
Pattern Recognition
Automated

Imaging
Three-Dimensional

Artificial Intelligence
medicine
cancer
Humans
Segmentation
Electrical and Electronic Engineering
volumetry
therapy
Solitary pulmonary nodule
Reproducibility
algorithm
Radiological and Ultrasound Technology
Phantoms
Imaging

business.industry
screening
segmentation
Reproducibility of Results
Solitary Pulmonary Nodule
Image segmentation
medicine.disease
Computer Science Applications
Radiographic Image Enhancement
lung cancer
monitoring
method
Radiographic Image Interpretation
Computer-Assisted

Radiography
Thoracic

Radiology
Tomography
X-Ray Computed

business
performance
Algorithms
Software
Lung cancer screening
CT
Zdroj: IEEE Transactions on Medical Imaging. 25:417-434
ISSN: 0278-0062
DOI: 10.1109/tmi.2006.871547
Popis: Volumetric growth assessment of pulmonary lesions is crucial to both lung cancer screening and oncological therapy monitoring. While several methods for small pulmonary nodules have previously been presented, the segmentation of larger tumors that appear frequently in oncological patients and are more likely to be complexly interconnected with lung morphology has not yet received much attention. We present a fast, automated segmentation method that is based on morphological processing and is suitable for both small and large lesions. In addition, the proposed approach addresses clinical challenges to volume assessment such as variations in imaging protocol or inspiration state by introducing a method of segmentation-based partial volume analysis (SPVA) that follows on the segmentation procedure. Accuracy and reproducibility studies were performed to evaluate the new algorithms. In vivo interobserver and interscan studies on low-dose data from eight clinical metastasis patients revealed that clinically significant volume change can be detected reliably and with negligible computation time by the presented methods. In addition, phantom studies were conducted. Based on the segmentation performed with the proposed method, the performance of the SPVA volumetry method was compared with the conventional technique on a phantom that was scanned with different dosages and reconstructed with varying parameters. Both systematic and absolute errors were shown to be reduced substantially by the SPVA method. The method was especially successful in accounting for slice thickness and reconstruction kernel variations, where the median error was more than halved in comparison to the conventional approach.
Databáze: OpenAIRE