Skip to main content
Top
Published in: BMC Medical Imaging 1/2020

Open Access 01-12-2020 | Computed Tomography | Research article

Repeatability of small lung nodule measurement in low-dose lung screening: a phantom study

Authors: Yu Du, Gao-Feng Shi, Ya-Ning Wang, Qi Wang, Hui Feng

Published in: BMC Medical Imaging | Issue 1/2020

Login to get access

Abstract

Background

Lung cancer screening revealed that people with small pulmonary nodules are mostly asymptomatic and that some of these people are at risk of developing lung cancer, so we intended to explore the repeatability of small lung nodule measurement in low-dose lung screening.

Methods

We scanned eight ground-glass nodules (GGNs) and solid nodules, with diameters of 3, 5, 8, and 10 mm. They were divided according to the different combination schemes of tube voltage (KV) and tube current (mA) as 70, 80, 100, and 120 KV, and currents of nine tubes were divided as 20, 30, 40, 50, 60, 70, 80, 90, and 100 mAs.

Results

Compared with the conventional dose group (120 kVp, 100 mAs), the nodule diameter and solid nodule volume measured by all scanning combinations were more consistent (P > 0.05), the volumes of 10 mm GGNs combinations were consistent (P > 0.05), the volumes of 8 mm GGNs were consistent (P > 0.05), the volumes of 5 mm GGNs combinations were consistent (P > 0.05), and the volumes of 3 mm were consistent (P > 0.05).

Conclusion

In lung cancer screening, CT parameters should be as follows: tube voltage is more than 80 kVp, and tube current is 80 mAs in order to meet the requirements for the accurate measurement of the diameter and volume of pulmonary nodules.
Literature
1.
go back to reference Huang P, Park S, Yan R, et al. Added value of computer-aided CT image features for early lung cancer diagnosis with small pulmonary nodules: a matched case-control study. Radiology. 2018;286:286–95.CrossRef Huang P, Park S, Yan R, et al. Added value of computer-aided CT image features for early lung cancer diagnosis with small pulmonary nodules: a matched case-control study. Radiology. 2018;286:286–95.CrossRef
2.
go back to reference MacMahon H, Austin JH, Gamsu G, Fleischner Society, et al. Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner society. Radiology. 2005;237:395–400.CrossRef MacMahon H, Austin JH, Gamsu G, Fleischner Society, et al. Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner society. Radiology. 2005;237:395–400.CrossRef
3.
go back to reference Callister ME, Baldwin DR, Akram AR, British Thoracic Society Pulmonary Nodule Guideline Development Group; British Thoracic Society Standards of Care Committee, et al. British Thoracic Society guidelines for the investigation and management of pulmonary nodules. Thorax. 2015;70(Suppl 2):ii1–ii54.CrossRef Callister ME, Baldwin DR, Akram AR, British Thoracic Society Pulmonary Nodule Guideline Development Group; British Thoracic Society Standards of Care Committee, et al. British Thoracic Society guidelines for the investigation and management of pulmonary nodules. Thorax. 2015;70(Suppl 2):ii1–ii54.CrossRef
4.
go back to reference MacMahon H, Naidich DP, Goo JM, et al. Guidelines for management of incidental pulmonary nodules detected on CT images: from the Fleischner society 2017. Radiology. 2017;284:228–43.CrossRef MacMahon H, Naidich DP, Goo JM, et al. Guidelines for management of incidental pulmonary nodules detected on CT images: from the Fleischner society 2017. Radiology. 2017;284:228–43.CrossRef
5.
go back to reference Horeweg N, van Rosmalen J, Heuvelmans MA, et al. Lung cancer probability in patients with CT-detected pulmonary nodules: a prespecified analysis of data from the NELSON trial of low-dose CT screening. Lancet Oncol. 2014;15:1332–41.CrossRef Horeweg N, van Rosmalen J, Heuvelmans MA, et al. Lung cancer probability in patients with CT-detected pulmonary nodules: a prespecified analysis of data from the NELSON trial of low-dose CT screening. Lancet Oncol. 2014;15:1332–41.CrossRef
6.
go back to reference Clark TJ, Flood TF, Maximin ST, et al. Lung CT screening reporting and data system speed and accuracy are increased with the use of a Semiautomated computer application. J Am Coll Radiol. 2015;12(12 Pt A):1301–6.CrossRef Clark TJ, Flood TF, Maximin ST, et al. Lung CT screening reporting and data system speed and accuracy are increased with the use of a Semiautomated computer application. J Am Coll Radiol. 2015;12(12 Pt A):1301–6.CrossRef
7.
go back to reference Wood DE, Kazerooni EA, Baum SL, et al. Lung cancer screening, version 3.2018, NCCN clinical practice guidelines in oncology. J Natl Compr Cancer Netw. 2018;16:412–41.CrossRef Wood DE, Kazerooni EA, Baum SL, et al. Lung cancer screening, version 3.2018, NCCN clinical practice guidelines in oncology. J Natl Compr Cancer Netw. 2018;16:412–41.CrossRef
8.
go back to reference Kim J, Lee KH, Kim J, et al. Improved repeatability of subsolid nodule measurement in low-dose lung screening with monoenergetic images: a phantom study. Quant Imaging Med Surg. 2019;9:171–9.CrossRef Kim J, Lee KH, Kim J, et al. Improved repeatability of subsolid nodule measurement in low-dose lung screening with monoenergetic images: a phantom study. Quant Imaging Med Surg. 2019;9:171–9.CrossRef
9.
go back to reference National Lung Screening Trial Research Team, Aberle DR, Adams AM, Berg CD, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011;365:395–409.CrossRef National Lung Screening Trial Research Team, Aberle DR, Adams AM, Berg CD, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011;365:395–409.CrossRef
10.
go back to reference National Lung Screening Trial Research Team, Church TR, Black WC, Aberle DR, et al. Results of initial low-dose computed tomographic screening for lung cancer. N Engl J Med. 2013;368:1980–91.CrossRef National Lung Screening Trial Research Team, Church TR, Black WC, Aberle DR, et al. Results of initial low-dose computed tomographic screening for lung cancer. N Engl J Med. 2013;368:1980–91.CrossRef
11.
go back to reference Christe A, Lin MC, Yen AC, et al. CT patterns of fungal pulmonary infections of the lung: comparison of standard-dose and simulated low-dose CT. Eur J Radiol. 2012;81:2860–6.CrossRef Christe A, Lin MC, Yen AC, et al. CT patterns of fungal pulmonary infections of the lung: comparison of standard-dose and simulated low-dose CT. Eur J Radiol. 2012;81:2860–6.CrossRef
12.
go back to reference Carey N, Miller F, Bunn L. Developing a radiograher reporting service for CT lung nodule surveillance. Lung Cancer. 2018;115:S24.CrossRef Carey N, Miller F, Bunn L. Developing a radiograher reporting service for CT lung nodule surveillance. Lung Cancer. 2018;115:S24.CrossRef
13.
go back to reference Christe A, Charimo-Torrente J, Roychoudhury K, et al. Accuracy of low-dose computed tomography (CT) for detecting and character-izing the most common CT-patterns of pulmonary disease. Eur J Radiol. 2013;82:e142–50.CrossRef Christe A, Charimo-Torrente J, Roychoudhury K, et al. Accuracy of low-dose computed tomography (CT) for detecting and character-izing the most common CT-patterns of pulmonary disease. Eur J Radiol. 2013;82:e142–50.CrossRef
14.
go back to reference Szucs-Farkas Z, Schibler F, Cullmann J, et al. Diagnostic accuracy of pulmonary CT angiography at low tube voltage: Intraindividual comparison of a Normal-dose protocol at 120 kVp and a low-dose protocol at 80 kVp using reduced amount of contrast medium in a simulation study. AJR Am J Roentgenol. 2011;197:W852–9.CrossRef Szucs-Farkas Z, Schibler F, Cullmann J, et al. Diagnostic accuracy of pulmonary CT angiography at low tube voltage: Intraindividual comparison of a Normal-dose protocol at 120 kVp and a low-dose protocol at 80 kVp using reduced amount of contrast medium in a simulation study. AJR Am J Roentgenol. 2011;197:W852–9.CrossRef
15.
go back to reference Schueller-Weidekamm C, Schaefer-Prokop CM, Weber M, et al. CT angiography of pulmonary arteries to detect pulmonary embolism: improvement of vascular enhancement with low kilovoltage settings. Radiology. 2006;241:899–907.CrossRef Schueller-Weidekamm C, Schaefer-Prokop CM, Weber M, et al. CT angiography of pulmonary arteries to detect pulmonary embolism: improvement of vascular enhancement with low kilovoltage settings. Radiology. 2006;241:899–907.CrossRef
16.
go back to reference Gould MK, Donington J, Lynch WR, et al. Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013;143(5 Suppl):e93S–e120S.CrossRef Gould MK, Donington J, Lynch WR, et al. Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013;143(5 Suppl):e93S–e120S.CrossRef
17.
go back to reference Ko JP, Suh J, Ibidapo O, et al. Lung adenocarcinoma: correlation of quantitative CT findings with pathologic findings. Radiology. 2016;280:931–9.CrossRef Ko JP, Suh J, Ibidapo O, et al. Lung adenocarcinoma: correlation of quantitative CT findings with pathologic findings. Radiology. 2016;280:931–9.CrossRef
18.
go back to reference Chung K, Jacobs C, Scholten ET, et al. Lung-RADS category 4X: does it improve prediction of malignancy in subsolid nodules? Radiology. 2017;284:264–71.CrossRef Chung K, Jacobs C, Scholten ET, et al. Lung-RADS category 4X: does it improve prediction of malignancy in subsolid nodules? Radiology. 2017;284:264–71.CrossRef
19.
go back to reference Ruilong Z, Daohai X, Li G, et al. Diagnostic value of 18F-FDG-PET/CT for the evaluation of solitary pulmonary nodules: a systematic review and meta-analysis. Nucl Med Commun. 2017;38:67–75.CrossRef Ruilong Z, Daohai X, Li G, et al. Diagnostic value of 18F-FDG-PET/CT for the evaluation of solitary pulmonary nodules: a systematic review and meta-analysis. Nucl Med Commun. 2017;38:67–75.CrossRef
Metadata
Title
Repeatability of small lung nodule measurement in low-dose lung screening: a phantom study
Authors
Yu Du
Gao-Feng Shi
Ya-Ning Wang
Qi Wang
Hui Feng
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Medical Imaging / Issue 1/2020
Electronic ISSN: 1471-2342
DOI
https://doi.org/10.1186/s12880-020-00510-2

Other articles of this Issue 1/2020

BMC Medical Imaging 1/2020 Go to the issue