In this study we utilize our texture characterization software (3-D AMFM) to characterize interstitial lung diseases (including emphysema) based on MDCT generated volumetric data using 3-dimensional texture features. We have sought to test whether the scanner and reconstruction filter (kernel) type affect the classification of lung diseases using the 3-D AMFM. We collected MDCT images in three subject groups: emphysema (n=9), interstitial pulmonary fibrosis (IPF) (n=10), and normal non-smokers (n=9). In each group, images were scanned either on a Siemens Sensation 16 or 64-slice scanner, (B50f or B30 recon. kernel) or a Philips 4-slice scanner (B recon. kernel). A total of 1516 volumes of interest (VOIs; 21x21 pixels in plane) were marked by two chest imaging experts using the Iowa Pulmonary Analysis Software Suite (PASS). We calculated 24 volumetric features. Bayesian methods were used for classification. Images from different scanners/kernels were combined in all possible combinations to test how robust the tissue classification was relative to the differences in image characteristics. We used 10-fold cross validation for testing the result. Sensitivity, specificity and accuracy were calculated. One-way Analysis of Variances (ANOVA) was used to compare the classification result between the various combinations of scanner and reconstruction kernel types. This study yielded a sensitivity of 94%, 91%, 97%, and 93% for emphysema, ground-glass, honeycombing, and normal non-smoker patterns respectively using a mixture of all three subject groups. The specificity for these characterizations was 97%, 99%, 99%, and 98%, respectively. The F test result of ANOVA shows there is no significant difference (p <0.05) between different combinations of data with respect to scanner and convolution kernel type. Since different MDCT and reconstruction kernel types did not show significant differences in regards to the classification result, this study suggests that the 3-D AMFM can be generally introduced.
Lung parenchyma evaluation via multidetector-row CT (MDCT), has
significantly altered clinical practice in the early detection of
lung disease. Our goal is to enhance our texture-based tissue
classification ability to differentiate early pathologic processes
by extending our 2-D Adaptive Multiple Feature Method (AMFM) to
3-D AMFM. We performed MDCT on 34 human volunteers in five
categories: emphysema in severe Chronic Obstructive Pulmonary
Disease (COPD) as EC, emphysema in mild COPD (MC), normal
appearing lung in COPD (NC), non-smokers with normal lung function
(NN), smokers with normal function (NS). We volumetrically
excluded the airway and vessel regions, calculated 24 volumetric
texture features for each Volume of Interest (VOI); and used
Bayesian rules for discrimination. Leave-one-out and half-half
methods were used for testing. Sensitivity, specificity and
accuracy were calculated. The accuracy of the leave-one-out method
for the four-class classification in the form of 3-D/2-D is: EC:
84.9%/70.7%, MC: 89.8%/82.7%; NC: 87.5.0%/49.6%; NN:
100.0%/60.0%. The accuracy of the leave-one-out method for the
two-class classification in the form of 3-D/2-D is: NN:
99.3%/71.6%; NS: 99.7%/74.5%. We conclude that 3-D AMFM
analysis of the lung parenchyma improves discrimination compared
to 2-D analysis of the same images.
Randomly selected pathology sections of lung tissue are used to correlate lung pathology with Computer Tomography (CT) images. The randomly selected pathology sections provide physicians with little freedom to thoroughly investigate specific areas of interest as identified via CT images. A Large Image Microscope Array (LIMA) was designed to serially section and image entire organs for direct correlation between lung pathology and CT. The LIMA consists of a novel vibratome, capable of sectioning tissue down to a thickness of 40mm at specimen dimensions of 20cm by 30cm to a total depth of 30cm. A camera and a stereomicroscope, mounted on a XYZ gantry above the vibratome is moved through an automated raster scan to capture the entire surface area of the tissue via many high magnification images. A custom software program was developed to automate all hardware components. The alignment and stitching of the images is achieved though custom C++ code in conjunction with the Insight Segmentation and Registration Toolkit (ITK). The resulting high magnification, high-resolution pathology images are registered with corresponding CT images. Through point-to-point correlation between the two imaging techniques a pathological and CT ground truth may be established.
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