Computer-aided detection of solid lung nodules on follow-up MDCT screening: evaluation of detection, tracking, and reading time.

Details

Serval ID
serval:BIB_43D91B87D62E
Type
Article: article from journal or magazin.
Collection
Publications
Title
Computer-aided detection of solid lung nodules on follow-up MDCT screening: evaluation of detection, tracking, and reading time.
Journal
Ajr. American Journal of Roentgenology
Author(s)
Beigelman-Aubry C., Raffy P., Yang W., Castellino R.A., Grenier P.A.
ISSN
1546-3141 (Electronic)
ISSN-L
0361-803X
Publication state
Published
Issued date
2007
Volume
189
Number
4
Pages
948-955
Language
english
Abstract
OBJECTIVE: The purpose of this article is to assess detection, tracking, and reading time of solid lung nodules > or = 4 mm on pairs of MDCT chest screening examinations using a computer-aided detection (CAD) system. MATERIALS AND METHODS: Of 54 pairs of low-dose MDCT chest examinations (1.25-mm collimation), two chest radiologists in consensus established that 25 examinations contained 52 nodules > or = 4 mm. All paired examinations were interpreted on the CAD workstation--first without and then with CAD input--for the detection and tracking of lung nodules. A subset of 33 examination pairs was later read on the clinical workstation used in daily practice, and the results were compared for reading time with those on the CAD workstation. RESULTS: After CAD input, the sensitivity for nodule detection increased statistically significantly for both readers (9.6% and 23%; p < or = 0.025). One cancer initially missed by one radiologist was correctly identified with CAD input. The overall reading time on the CAD workstation and clinical workstation was comparable for both radiologists. On average, readers spent 4-5 minutes per case to read the paired examinations on the CAD workstation and 6-8 seconds per CAD mark. The CAD system successfully matched 91.3% of nodules detected in both examinations. The overall rate of available CAD growth assessment was 54.9% of all nodule pairs. CONCLUSION: In the context of temporal comparison of MDCT screening examinations, the sensitivity of radiologists for detecting lung nodules > or = 4 mm increased significantly (p < or = 0.025) with CAD input without compromising reading time.
Keywords
Aged, Aged, 80 and over, Artificial Intelligence, Female, Follow-Up Studies, Humans, Lung Neoplasms/radiography, Male, Middle Aged, Radiographic Image Enhancement/methods, Radiographic Image Interpretation, Computer-Assisted/methods, Reproducibility of Results, Sensitivity and Specificity, Solitary Pulmonary Nodule/radiography, Task Performance and Analysis, Tomography, X-Ray Computed/instrumentation, Tomography, X-Ray Computed/methods
Pubmed
Web of science
Create date
31/08/2011 12:46
Last modification date
20/08/2019 13:47
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