Multicenter study of quantitative computed tomography analysis using a computer-aided three-dimensional system in patients with idiopathic pulmonary fibrosis

Autor: Tae Iwasawa, Toshiyuki Gotoh, Tetsu Kanauchi, Tomohisa Baba, Takashi Ogura, Toshiko Hoshi, Mari S. Oba
Rok vydání: 2015
Předmět:
Zdroj: Japanese Journal of Radiology. 34:16-27
ISSN: 1867-108X
1867-1071
DOI: 10.1007/s11604-015-0496-0
Popis: To evaluate the feasibility of automated quantitative analysis with a three-dimensional (3D) computer-aided system (i.e., Gaussian histogram normalized correlation, GHNC) of computed tomography (CT) images from different scanners. Each institution’s review board approved the research protocol. Informed patient consent was not required. The participants in this multicenter prospective study were 80 patients (65 men, 15 women) with idiopathic pulmonary fibrosis. Their mean age was 70.6 years. Computed tomography (CT) images were obtained by four different scanners set at different exposures. We measured the extent of fibrosis using GHNC, and used Pearson’s correlation analysis, Bland–Altman plots, and kappa analysis to directly compare the GHNC results with manual scoring by radiologists. Multiple linear regression analysis was performed to determine the association between the CT data and forced vital capacity (FVC). For each scanner, the extent of fibrosis as determined by GHNC was significantly correlated with the radiologists’ score. In multivariate analysis, the extent of fibrosis as determined by GHNC was significantly correlated with FVC (p
Databáze: OpenAIRE