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MDCT-based 3-D texture classification of emphysema and early smoking related lung pathologies
Journal article   Peer reviewed

MDCT-based 3-D texture classification of emphysema and early smoking related lung pathologies

Ye Xu, Milan Sonka, Geoffrey McLennan, Junfeng Guo and Eric A Hoffman
IEEE transactions on medical imaging, Vol.25(4), pp.464-475
04/2006
DOI: 10.1109/TMI.2006.870889
PMID: 16608061

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Abstract

Our goal is to enhance the ability to differentiate normal lung from subtle pathologies via multidetector row CT (MDCT) by extending a two-dimensional (2-D) texturebased tissue classification [adaptive multiple feature method (AMFM)] to use three-dimensional (3-D) texture features. We performed MDCT on 34 humans and classified volumes of interest (VOIs) in the MDCT images into five categories: EC, emphysema in severe chronic obstructive pulmonary disease (COPD); MC, mild emphysema in mild COPD; NC, normal appearing lung in mild COPD; NN, normal appearing lung in normal nonsmokers; and NS, normal appearing lung in normal smokers. COPD severity was based upon pulmonary function tests (PFTs). Airways and vessels were excluded from VOIs; 24 3-D texture features were calculated; and a Bayesian classifier was used for discrimination. A leave-one-out method was employed for validation. Sensitivity of the four-class classification in the form of 3-D/2-D was: EC: 85%/71%, MC: 90%/82%; NC: 88%/50%; NN: 100%/60%. Sensitivity and specificity for NN using a two-class classification of NN and NS in the form of 3-D/2-D were: 99%/72% and 100%/75%, respectively. We conclude that 3-D AMFM analysis of lung parenchyma improves discrimination compared to 2-D AMFM of the same VOIs. Furthermore, our results suggest that the 3-D AMFM may provide a means of discriminating subtle differences between smokers and nonsmokers both with normal PFTs.
Algorithms Smoking - adverse effects Information Storage and Retrieval - methods Pulmonary Emphysema - etiology Humans Middle Aged Imaging, Three-Dimensional - methods Tomography, X-Ray Computed - methods Male Pulmonary Emphysema - classification Radiographic Image Enhancement - instrumentation Radiographic Image Interpretation, Computer-Assisted - methods Stochastic Processes Sensitivity and Specificity Female Tomography, X-Ray Computed - instrumentation Severity of Illness Index Reproducibility of Results Transducers Artificial Intelligence Radiographic Image Enhancement - methods Pulmonary Emphysema - diagnostic imaging Radiation Dosage Artifacts Pattern Recognition, Automated - methods

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