Das Marco, Ley-Zaporozhan Julia, Gietema H A, Czech Andre, Mühlenbruch Georg, Mahnken Andreas H, Katoh Markus, Bakai Annemarie, Salganicoff Marcos, Diederich Stefan, Prokop Mathias, Kauczor Hans-Ulrich, Günther Rolf W, Wildberger Joachim E
Department of Diagnostic Radiology, RWTH Aachen University, Pauwelsstrasse 30, 52072 Aachen, Germany.
Eur Radiol. 2007 Aug;17(8):1979-84. doi: 10.1007/s00330-006-0562-1. Epub 2007 Jan 6.
The purpose of this study was to compare the accuracy of an automated volumetry software for phantom pulmonary nodules across various 16-slice multislice spiral CT (MSCT) scanners from different vendors. A lung phantom containing five different nodule categories (intraparenchymal, around a vessel, vessel attached, pleural, and attached to the pleura), with each category comprised of 7-9 nodules (total, n = 40) of varying sizes (diameter 3-10 mm; volume 6.62 mm(3)-525 mm(3)), was scanned with four different 16-slice MSCT scanners (Siemens, GE, Philips, Toshiba). Routine and low-dose chest protocols with thin and thick collimations were applied. The data from all scanners were used for further analysis using a dedicated prototype volumetry software. Absolute percentage volume errors (APE) were calculated and compared. The mean APE for all nodules was 8.4% (+/-7.7%) for data acquired with the 16-slice Siemens scanner, 14.3% (+/-11.1%) for the GE scanner, 9.7% (+/-9.6%) for the Philips scanner and 7.5% (+/-7.2%) for the Toshiba scanner, respectively. The lowest APEs were found within the diameter size range of 5-10 mm and volumes >66 mm(3). Nodule volumetry is accurate with a reasonable volume error in data from different scanner vendors. This may have an important impact for intraindividual follow-up studies.
本研究的目的是比较一款用于模拟肺结节的自动容积测量软件在不同厂商的各种16层多层螺旋CT(MSCT)扫描仪上的准确性。使用含五种不同类型结节(实质内、血管周围、附着于血管、胸膜下、附着于胸膜)的肺模体进行扫描,每种类型由7 - 9个大小各异(直径3 - 10 mm;体积6.62 mm³ - 525 mm³)的结节组成(共计n = 40个),扫描设备为四台不同的16层MSCT扫描仪(西门子、通用电气、飞利浦、东芝)。应用了具有薄层和厚层准直的常规及低剂量胸部扫描方案。所有扫描仪的数据均使用一款专用的容积测量软件原型进行进一步分析。计算并比较绝对体积百分比误差(APE)。16层西门子扫描仪采集的数据中,所有结节的平均APE为8.4%(±7.7%);通用电气扫描仪为14.3%(±11.1%);飞利浦扫描仪为9.7%(±9.6%);东芝扫描仪为7.5%(±7.2%)。最低的APE出现在直径5 - 10 mm且体积>66 mm³的范围内。不同扫描仪厂商的数据中,结节容积测量具有合理的体积误差,较为准确。这可能对个体内随访研究产生重要影响。