"Will I change nodule management recommendations if I change my CAD system?"-impact of volumetric deviation between different CAD systems on lesion management.


Journal

European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 12 07 2022
accepted: 05 02 2023
revised: 17 11 2022
medline: 10 7 2023
pubmed: 10 3 2023
entrez: 9 3 2023
Statut: ppublish

Résumé

To evaluate and compare the measurement accuracy of two different computer-aided diagnosis (CAD) systems regarding artificial pulmonary nodules and assess the clinical impact of volumetric inaccuracies in a phantom study. In this phantom study, 59 different phantom arrangements with 326 artificial nodules (178 solid, 148 ground-glass) were scanned at 80 kV, 100 kV, and 120 kV. Four different nodule diameters were used: 5 mm, 8 mm, 10 mm, and 12 mm. Scans were analyzed by a deep-learning (DL)-based CAD and a standard CAD system. Relative volumetric errors (RVE) of each system vs. ground truth and the relative volume difference (RVD) DL-based vs. standard CAD were calculated. The Bland-Altman method was used to define the limits of agreement (LOA). The hypothetical impact on LungRADS classification was assessed for both systems. There was no difference between the three voltage groups regarding nodule volumetry. Regarding the solid nodules, the RVE of the 5-mm-, 8-mm-, 10-mm-, and 12-mm-size groups for the DL CAD/standard CAD were 12.2/2.8%, 1.3/ - 2.8%, - 3.6/1.5%, and - 12.2/ - 0.3%, respectively. The corresponding values for the ground-glass nodules (GGN) were 25.6%/81.0%, 9.0%/28.0%, 7.6/20.6%, and 6.8/21.2%. The mean RVD for solid nodules/GGN was 1.3/ - 15.2%. Regarding the LungRADS classification, 88.5% and 79.8% of all solid nodules were correctly assigned by the DL CAD and the standard CAD, respectively. 14.9% of the nodules were assigned differently between the systems. Patient management may be affected by the volumetric inaccuracy of the CAD systems and hence demands supervision and/or manual correction by a radiologist. • The DL-based CAD system was more accurate in the volumetry of GGN and less accurate regarding solid nodules than the standard CAD system. • Nodule size and attenuation have an effect on the measurement accuracy of both systems; tube voltage has no effect on measurement accuracy. • Measurement inaccuracies of CAD systems can have an impact on patient management, which demands supervision by radiologists.

Identifiants

pubmed: 36894752
doi: 10.1007/s00330-023-09525-z
pii: 10.1007/s00330-023-09525-z
pmc: PMC10326095
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

5568-5577

Informations de copyright

© 2023. The Author(s).

Références

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Auteurs

Alan A Peters (AA)

Department of Diagnostic and Interventional Radiology, University Hospital of Heidelberg, Im Neuenheimer Feld 672, Heidelberg, Germany. alan.peters@insel.ch.
Translational Lung Research Center Heidelberg (TLRC), German Lung Research Center (DZL), Marsilius-Arkaden 130, 69120, Heidelberg, Germany. alan.peters@insel.ch.
Department of Diagnostic and Interventional Radiology With Nuclear Medicine, University Hospital of Heidelberg, Thoraxklinik Heidelberg, Roentgenstrasse 1, 69126, Heidelberg, Germany. alan.peters@insel.ch.
Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, 3010, Freiburgstrasse, Switzerland. alan.peters@insel.ch.

Andreas Christe (A)

Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, 3010, Freiburgstrasse, Switzerland.

Oyunbileg von Stackelberg (O)

Department of Diagnostic and Interventional Radiology, University Hospital of Heidelberg, Im Neuenheimer Feld 672, Heidelberg, Germany.
Translational Lung Research Center Heidelberg (TLRC), German Lung Research Center (DZL), Marsilius-Arkaden 130, 69120, Heidelberg, Germany.
Department of Diagnostic and Interventional Radiology With Nuclear Medicine, University Hospital of Heidelberg, Thoraxklinik Heidelberg, Roentgenstrasse 1, 69126, Heidelberg, Germany.

Moritz Pohl (M)

Institute of Medical Biometry, University of Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.

Hans-Ulrich Kauczor (HU)

Department of Diagnostic and Interventional Radiology, University Hospital of Heidelberg, Im Neuenheimer Feld 672, Heidelberg, Germany.
Translational Lung Research Center Heidelberg (TLRC), German Lung Research Center (DZL), Marsilius-Arkaden 130, 69120, Heidelberg, Germany.
Department of Diagnostic and Interventional Radiology With Nuclear Medicine, University Hospital of Heidelberg, Thoraxklinik Heidelberg, Roentgenstrasse 1, 69126, Heidelberg, Germany.

Claus Peter Heußel (CP)

Department of Diagnostic and Interventional Radiology, University Hospital of Heidelberg, Im Neuenheimer Feld 672, Heidelberg, Germany.
Translational Lung Research Center Heidelberg (TLRC), German Lung Research Center (DZL), Marsilius-Arkaden 130, 69120, Heidelberg, Germany.
Department of Diagnostic and Interventional Radiology With Nuclear Medicine, University Hospital of Heidelberg, Thoraxklinik Heidelberg, Roentgenstrasse 1, 69126, Heidelberg, Germany.

Mark O Wielpütz (MO)

Department of Diagnostic and Interventional Radiology, University Hospital of Heidelberg, Im Neuenheimer Feld 672, Heidelberg, Germany.
Translational Lung Research Center Heidelberg (TLRC), German Lung Research Center (DZL), Marsilius-Arkaden 130, 69120, Heidelberg, Germany.
Department of Diagnostic and Interventional Radiology With Nuclear Medicine, University Hospital of Heidelberg, Thoraxklinik Heidelberg, Roentgenstrasse 1, 69126, Heidelberg, Germany.

Lukas Ebner (L)

Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, 3010, Freiburgstrasse, Switzerland.

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