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Published in: European Radiology 4/2018

01-04-2018 | Computer Applications

Detection of lung carcinoma with predominant ground-glass opacity on CT using temporal subtraction method

Authors: Takashi Terasawa, Takatoshi Aoki, Seiichi Murakami, Hyoungseop Kim, Masami Fujii, Michiko Kobayashi, Chihiro Chihara, Yoshiko Hayashida, Yukunori Korogi

Published in: European Radiology | Issue 4/2018

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Abstract

Purpose

To evaluate the usefulness of the CT temporal subtraction (TS) method for the detection of the lung cancer with predominant ground-glass opacity (LC-pGGO).

Materials and methods

Twenty-five pairs of CT and their TS images in patients with LC-pGGO (31 lesions) and 25 pairs of those in patients without nodules were used for an observer performance study. Eight radiologists participated and the statistical significance of differences with and without the CT-TS was assessed by JAFROC analysis.

Results

The average figure-of-merit (FOM) values for all radiologists increased to a statistically significant degree, from 0.861 without CT-TS to 0.912 with CT-TS (p < .001). The average sensitivity for detecting the actionable lesions improved from 73.4 % to 85.9 % using CT-TS. The reading time with CT-TS was not significantly different from that without.

Conclusion

The use of CT-TS improves the observer performance for the detection of LC-pGGO.

Key Points

CT temporal subtraction can improve the detection accuracy of lung cancer.
Reading time with temporal subtraction is not different from that without.
CT temporal subtraction improves observer performance for ground-glass/subsolid nodule detection.
Literature
1.
go back to reference Hansell DM, Bankier AA, MacMahon H, McLoud TC, Müller NL, Remy J (2008) Fleischner Society: glossary of terms for thoracic imaging. Radiology 246:697–722CrossRefPubMed Hansell DM, Bankier AA, MacMahon H, McLoud TC, Müller NL, Remy J (2008) Fleischner Society: glossary of terms for thoracic imaging. Radiology 246:697–722CrossRefPubMed
3.
4.
go back to reference Zwirewich CV, Vedal S, Miller RR, Müller NL (1991) Solitary pulmonary nodules: high-resolution CT and radiologic-pathologic correlation. Radiology 179:469–476CrossRefPubMed Zwirewich CV, Vedal S, Miller RR, Müller NL (1991) Solitary pulmonary nodules: high-resolution CT and radiologic-pathologic correlation. Radiology 179:469–476CrossRefPubMed
5.
go back to reference Travis WD, Brambilla E, Noguchi M et al (2011) International association for the study of lung cancer/american thoracic society/european respiratory society international multidisciplinary classification of lung adenocarcinoma. J Thorac Oncol 6:244–285CrossRefPubMedPubMedCentral Travis WD, Brambilla E, Noguchi M et al (2011) International association for the study of lung cancer/american thoracic society/european respiratory society international multidisciplinary classification of lung adenocarcinoma. J Thorac Oncol 6:244–285CrossRefPubMedPubMedCentral
6.
go back to reference Travis WD, Brambilla E, Nicholson AG et al (2015) The 2015 world health organization classification of lung tumors: impact of genetic, clinical and radiologic advances since the 2004 classification. J Thorac Oncol 10:1243–1260CrossRefPubMed Travis WD, Brambilla E, Nicholson AG et al (2015) The 2015 world health organization classification of lung tumors: impact of genetic, clinical and radiologic advances since the 2004 classification. J Thorac Oncol 10:1243–1260CrossRefPubMed
7.
go back to reference Godoy MC, Sabloff B, Naidich DP (2012) Subsolid pulmonary nodules: imaging evaluation and strategic management. Curr Opin Pulm Med 18:304–312CrossRefPubMed Godoy MC, Sabloff B, Naidich DP (2012) Subsolid pulmonary nodules: imaging evaluation and strategic management. Curr Opin Pulm Med 18:304–312CrossRefPubMed
8.
go back to reference Aoki T, Tomoda Y, Watanabe H et al (2001) Peripheral lung adenocarcinoma: correlation of thin-section CT findings with histologic prognostic factors and survival. Radiology 220:803–809CrossRefPubMed Aoki T, Tomoda Y, Watanabe H et al (2001) Peripheral lung adenocarcinoma: correlation of thin-section CT findings with histologic prognostic factors and survival. Radiology 220:803–809CrossRefPubMed
9.
go back to reference Kim EA, Johkoh T, Lee KS et al (2001) Quantification of ground-glass opacity on high-resolution CT of small peripheral adenocarcinoma of the lung: pathologic and prognostic implications. Am J Roentgenol 177:1417–1422CrossRef Kim EA, Johkoh T, Lee KS et al (2001) Quantification of ground-glass opacity on high-resolution CT of small peripheral adenocarcinoma of the lung: pathologic and prognostic implications. Am J Roentgenol 177:1417–1422CrossRef
10.
go back to reference Aoki T, Nakata H, Watanabe H et al (2000) Evolution of peripheral lung adenocarcinomas: CT findings correlated with histology and tumor doubling time. Am J Roentgenol 174:763–768CrossRef Aoki T, Nakata H, Watanabe H et al (2000) Evolution of peripheral lung adenocarcinomas: CT findings correlated with histology and tumor doubling time. Am J Roentgenol 174:763–768CrossRef
11.
go back to reference Hasegawa M, Sone S, Takashima S et al (2000) Growth rate of small lung cancers detected on mass CT screening. Br J Radiol 73:1252–1259CrossRefPubMed Hasegawa M, Sone S, Takashima S et al (2000) Growth rate of small lung cancers detected on mass CT screening. Br J Radiol 73:1252–1259CrossRefPubMed
12.
go back to reference Kobayashi Y, Fukui T, Ito S et al (2013) How long should small lung lesions of ground-glass opacity be followed? J Thorac Oncol 8:309–314CrossRefPubMed Kobayashi Y, Fukui T, Ito S et al (2013) How long should small lung lesions of ground-glass opacity be followed? J Thorac Oncol 8:309–314CrossRefPubMed
13.
go back to reference Kano A, Doi K, MacMahon H, Hassell DD, Giger ML (1994) Digital image subtraction of temporally sequential chest images for detection of interval change. Med Phys 21:453–461CrossRefPubMed Kano A, Doi K, MacMahon H, Hassell DD, Giger ML (1994) Digital image subtraction of temporally sequential chest images for detection of interval change. Med Phys 21:453–461CrossRefPubMed
14.
go back to reference Aoki T, Murakami S, Kim H et al (2014) Temporal subtraction method for lung nodule detection on successive thoracic CT soft-copy images. Radiology 271:255–261CrossRefPubMed Aoki T, Murakami S, Kim H et al (2014) Temporal subtraction method for lung nodule detection on successive thoracic CT soft-copy images. Radiology 271:255–261CrossRefPubMed
15.
go back to reference Itai Y, Kim H, Ishikawa S, Katsuragawa S, Doi K (2010) Development of a voxel-matching technique for substantial reduction of subtraction artifacts in temporal subtraction images obtained from thoracic MDCT. J Digit Imaging 23:31–38CrossRefPubMed Itai Y, Kim H, Ishikawa S, Katsuragawa S, Doi K (2010) Development of a voxel-matching technique for substantial reduction of subtraction artifacts in temporal subtraction images obtained from thoracic MDCT. J Digit Imaging 23:31–38CrossRefPubMed
16.
go back to reference Chakraborty DP, Berbaum KS (2004) Observer studies involving detection and localization: modeling, analysis, and validation. Med Phys 31:2313–2330CrossRefPubMed Chakraborty DP, Berbaum KS (2004) Observer studies involving detection and localization: modeling, analysis, and validation. Med Phys 31:2313–2330CrossRefPubMed
17.
go back to reference Dorfman DD, Berbaum KS, Metz CE (1992) Receiver operating characteristic rating analysis. Generalization to the population of readers and patients with the jackknife method. Invest Radiol 27:723–731CrossRefPubMed Dorfman DD, Berbaum KS, Metz CE (1992) Receiver operating characteristic rating analysis. Generalization to the population of readers and patients with the jackknife method. Invest Radiol 27:723–731CrossRefPubMed
18.
go back to reference Naidich DP, Bankier AA, MacMahon H et al (2013) Recommendations for the management of subsolid pulmonary nodules detected at CT: a statement from the Fleischner Society. Radiology 266:304–317CrossRefPubMed Naidich DP, Bankier AA, MacMahon H et al (2013) Recommendations for the management of subsolid pulmonary nodules detected at CT: a statement from the Fleischner Society. Radiology 266:304–317CrossRefPubMed
19.
go back to reference Sawada S, Komori E, Nogami N, Segawa Y, Shinkai T, Yamashita M (2009) Evaluation of lesions corresponding to ground-glass opacities that were resected after computed tomography follow-up examination. Lung Cancer 65:176–179CrossRefPubMed Sawada S, Komori E, Nogami N, Segawa Y, Shinkai T, Yamashita M (2009) Evaluation of lesions corresponding to ground-glass opacities that were resected after computed tomography follow-up examination. Lung Cancer 65:176–179CrossRefPubMed
20.
go back to reference Henschke CI, Yankelevitz DF, Mirtcheva R et al (2000) CT screening for lung cancer: frequency and significance of part-solid and nonsolid nodules. Am J Roentgenol 178:1053–1057CrossRef Henschke CI, Yankelevitz DF, Mirtcheva R et al (2000) CT screening for lung cancer: frequency and significance of part-solid and nonsolid nodules. Am J Roentgenol 178:1053–1057CrossRef
21.
go back to reference Scholten ET, de Jong PA, de Hoop B et al (2015) Towards a close computed tomography monitoring approach for screen detected subsolid pulmonary nodules? Eur Respir J 45:765–773CrossRefPubMed Scholten ET, de Jong PA, de Hoop B et al (2015) Towards a close computed tomography monitoring approach for screen detected subsolid pulmonary nodules? Eur Respir J 45:765–773CrossRefPubMed
Metadata
Title
Detection of lung carcinoma with predominant ground-glass opacity on CT using temporal subtraction method
Authors
Takashi Terasawa
Takatoshi Aoki
Seiichi Murakami
Hyoungseop Kim
Masami Fujii
Michiko Kobayashi
Chihiro Chihara
Yoshiko Hayashida
Yukunori Korogi
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 4/2018
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-5085-4

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