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Published in: European Radiology 5/2009

01-05-2009 | Oncology

Automated measurement of lymph nodes: a phantom study

Authors: Sebastian Keil, Cedric Plumhans, Florian F. Behrendt, Sven Stanzel, Michael Suehling, Georg Mühlenbruch, Andreas H. Mahnken, Rolf W. Günther, Marco Das

Published in: European Radiology | Issue 5/2009

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Abstract

The purpose of this study was to assess the accuracy of automated nodal quantification in a phantom. MDCT of a phantom with 17 synthetic lymph nodes of different sizes (diameter 6.0–30.0 mm) was performed at varying tube currents, reconstruction kernels and slice thicknesses. RECIST diameter and volume were measured using an automated software tool. Results were compared with the reference diameter and volume by calculating the absolute percentage error (APE). Degree of agreement between software and reference measurements was evaluated by computing corresponding concordance correlation coefficients (CCC). Under varying tube currents the mean APE (CCC) varied between 5.18% and 10.12% (0.95–0.99) for RECIST diameter and between 7.22% and 16.21% (0.94–1.00) for the volume. At different reconstruction kernels the mean APE values ranged between 7.20% and 7.55% (0.99) (RECIST) and between 8.96% and 14.42% (1.00) (volume). With different slice thicknesses the mean APE values differed from 5.81% to 9.20% (0.97–0.99) (RECIST) and from 8.16% to 22.66% (0.99–1.00) (volume). Regarding RECIST criteria and volume, automated evaluation of lymph nodes in a phantom demonstrated a high accuracy under varying MDCT parameters.
Literature
1.
go back to reference Golder WA (2004) Lymph node diagnosis in oncologic imaging: a dilemma still waiting to be solved. Onkologie 27:194–199PubMedCrossRef Golder WA (2004) Lymph node diagnosis in oncologic imaging: a dilemma still waiting to be solved. Onkologie 27:194–199PubMedCrossRef
2.
go back to reference Barrett T, Choyke PL, Kobayashi H (2006) Imaging of the lymphatic system: new horizons. Contrast Media Mol Imaging 1:230–245PubMedCrossRef Barrett T, Choyke PL, Kobayashi H (2006) Imaging of the lymphatic system: new horizons. Contrast Media Mol Imaging 1:230–245PubMedCrossRef
3.
go back to reference Kwee TC, Kwee RM, Nievelstein RA (2008) Imaging in staging of malignant lymphoma: a systematic review. Blood 111:504–516PubMedCrossRef Kwee TC, Kwee RM, Nievelstein RA (2008) Imaging in staging of malignant lymphoma: a systematic review. Blood 111:504–516PubMedCrossRef
4.
go back to reference Miller AB, Hoogstraten B, Staquet M et al (1981) Reporting results of cancer treatment. Cancer 47:207–214PubMedCrossRef Miller AB, Hoogstraten B, Staquet M et al (1981) Reporting results of cancer treatment. Cancer 47:207–214PubMedCrossRef
5.
go back to reference James K, Eisenhauer E, Christian M et al (1999) Measuring response in solid tumors: unidimensional versus bidimensional measurement. J Natl Cancer Inst 91:523–528PubMedCrossRef James K, Eisenhauer E, Christian M et al (1999) Measuring response in solid tumors: unidimensional versus bidimensional measurement. J Natl Cancer Inst 91:523–528PubMedCrossRef
6.
go back to reference Therasse P, Arbuck SG, Eisenhauer EA et al (2000) New guidelines to evaluate the response to treatment in solid tumors. European Organization for Research and Treatment of Cancer, National Cancer Institute of the United States, National Cancer Institute of Canada. J Natl Cancer Inst 92:205–216PubMedCrossRef Therasse P, Arbuck SG, Eisenhauer EA et al (2000) New guidelines to evaluate the response to treatment in solid tumors. European Organization for Research and Treatment of Cancer, National Cancer Institute of the United States, National Cancer Institute of Canada. J Natl Cancer Inst 92:205–216PubMedCrossRef
7.
go back to reference Prasad SR, Jhaveri KS, Saini S et al (2002) CT tumor measurement for therapeutic response assessment: comparison of unidimensional, bidimensional, and volumetric techniques initial observations. Radiology 225:416–419PubMedCrossRef Prasad SR, Jhaveri KS, Saini S et al (2002) CT tumor measurement for therapeutic response assessment: comparison of unidimensional, bidimensional, and volumetric techniques initial observations. Radiology 225:416–419PubMedCrossRef
8.
go back to reference Heussel CP, Meier S, Wittelsberger S et al (2007) Follow-up CT measurement of liver malignoma according to RECIST and WHO vs. volumetry. Fortschr Röntgenstr 179:958–964CrossRef Heussel CP, Meier S, Wittelsberger S et al (2007) Follow-up CT measurement of liver malignoma according to RECIST and WHO vs. volumetry. Fortschr Röntgenstr 179:958–964CrossRef
9.
go back to reference Das M, Mühlenbruch G, Katoh M et al (2007) Automated volumetry of solid pulmonary nodules in a phantom: accuracy across different CT scanner technologies. Invest Radiol 42:297–302PubMedCrossRef Das M, Mühlenbruch G, Katoh M et al (2007) Automated volumetry of solid pulmonary nodules in a phantom: accuracy across different CT scanner technologies. Invest Radiol 42:297–302PubMedCrossRef
10.
go back to reference Marten K, Auer F, Schmidt S et al (2006) Inadequacy of manual measurements compared to automated CT volumetry in assessment of treatment response of pulmonary metastases using RECIST criteria. Eur Radiol 16:781–790PubMedCrossRef Marten K, Auer F, Schmidt S et al (2006) Inadequacy of manual measurements compared to automated CT volumetry in assessment of treatment response of pulmonary metastases using RECIST criteria. Eur Radiol 16:781–790PubMedCrossRef
11.
go back to reference Keil S, Behrendt FF, Stanzel S et al (2008) Semi-automated measurement of hyperdense, hypodense and heterogeneous hepatic metastasis on standard MDCT slices. Comparison of semi-automated and manual measurement of RECIST and WHO criteria. Eur Radiol 18(11):2456–2465PubMedCrossRef Keil S, Behrendt FF, Stanzel S et al (2008) Semi-automated measurement of hyperdense, hypodense and heterogeneous hepatic metastasis on standard MDCT slices. Comparison of semi-automated and manual measurement of RECIST and WHO criteria. Eur Radiol 18(11):2456–2465PubMedCrossRef
12.
go back to reference Fabel M, von Tengg-Kobligk H, Giesel FL et al (2008) Semi-automated volumetric analysis of lymph node metastases in patients with malignant melanoma stage III/IV—a feasibility study. Eur Radiol 18:1114–1122PubMedCrossRef Fabel M, von Tengg-Kobligk H, Giesel FL et al (2008) Semi-automated volumetric analysis of lymph node metastases in patients with malignant melanoma stage III/IV—a feasibility study. Eur Radiol 18:1114–1122PubMedCrossRef
13.
go back to reference Kuhnigk JM, Dicken V, Bornemann L et al (2006) Morphological segmentation and partial volume analysis for volumetry of solid pulmonary lesions in thoracic CT scans. IEEE Trans Med Imaging 25:417–434PubMedCrossRef Kuhnigk JM, Dicken V, Bornemann L et al (2006) Morphological segmentation and partial volume analysis for volumetry of solid pulmonary lesions in thoracic CT scans. IEEE Trans Med Imaging 25:417–434PubMedCrossRef
14.
go back to reference Bornemann L, Dicken V, Kuhnigk JM et al (2007) OncoTREAT: a software assistant for cancer therapy monitoring. Int J Comput Assist Radiol Surg 1:231–242CrossRef Bornemann L, Dicken V, Kuhnigk JM et al (2007) OncoTREAT: a software assistant for cancer therapy monitoring. Int J Comput Assist Radiol Surg 1:231–242CrossRef
15.
go back to reference Goo JM, Tongdee T, Tongdee R et al (2005) Volumetric measurement of synthetic lung nodules with multi-detector row CT: effect of various image reconstruction parameters and segmentation thresholds on measurement accuracy. Radiology 235:850–856PubMedCrossRef Goo JM, Tongdee T, Tongdee R et al (2005) Volumetric measurement of synthetic lung nodules with multi-detector row CT: effect of various image reconstruction parameters and segmentation thresholds on measurement accuracy. Radiology 235:850–856PubMedCrossRef
16.
go back to reference Lin LIK (1989) A concordance correlation coefficient to evaluate reproducibility. Biometrics 45:255–268PubMedCrossRef Lin LIK (1989) A concordance correlation coefficient to evaluate reproducibility. Biometrics 45:255–268PubMedCrossRef
17.
go back to reference Yankelevitz DF, Gupta R, Zhao B et al (1999) Small pulmonary nodules: evaluation with repeat CT-preliminary experience. Radiology 212:561–566PubMed Yankelevitz DF, Gupta R, Zhao B et al (1999) Small pulmonary nodules: evaluation with repeat CT-preliminary experience. Radiology 212:561–566PubMed
18.
go back to reference Ko JP, Rusinek H, Jacobs EL et al (2003) Small pulmonary nodules. Volume measurement at chest CT-phantom study. Radiology 228:864–870PubMedCrossRef Ko JP, Rusinek H, Jacobs EL et al (2003) Small pulmonary nodules. Volume measurement at chest CT-phantom study. Radiology 228:864–870PubMedCrossRef
Metadata
Title
Automated measurement of lymph nodes: a phantom study
Authors
Sebastian Keil
Cedric Plumhans
Florian F. Behrendt
Sven Stanzel
Michael Suehling
Georg Mühlenbruch
Andreas H. Mahnken
Rolf W. Günther
Marco Das
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
European Radiology / Issue 5/2009
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-008-1254-9

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