6533b86efe1ef96bd12cc0a1

RESEARCH PRODUCT

A CAD system for nodule detection in low-dose lung CTs based on region growing and a new active contour model

G. GarganoDonato CascioSandro SquarciaI. De MitriAlessandra ReticoDaniele GrossoE. TommasiF. De CarloSabina TangaroBruno GolosioP. CerelloRoberto BellottiPasquale DeloguSc CheranC. FulcheriEzio Catanzariti

subject

medicine.medical_specialtyLung NeoplasmsRadiation DosageModels BiologicalEdge detectionImage processingMedical imagingmedicineHumansDiagnosis Computer-AssistedComputed radiographycomputer-aided diagnosis (CAD)Lungimage segmentationComputed tomographyActive contour modelImage segmentationbusiness.industrycomputed tomographyGeneral MedicineImage segmentationComputer-aided diagnosis (CAD)image processingROC CurveRegion growingComputer-aided diagnosisRadiologyTomographyNeural Networks Computercomputer-aided diagnosis (CAD)image processingcomputed tomographyimage segmentationNuclear medicinebusinessTomography X-Ray ComputedAlgorithms

description

A computer-aided detection (CAD) system for the selection of lung nodules in computer tomography (CT) images is presented. The system is based on region growing (RG) algorithms and a new active contour model (ACM), implementing a local convex hull, able to draw the correct contour of the lung parenchyma and to include the pleural nodules. The CAD consists of three steps: (1) the lung parenchymal volume is segmented by means of a RG algorithm; the pleural nodules are included through the new ACM technique; (2) a RG algorithm is iteratively applied to the previously segmented volume in order to detect the candidate nodules; (3) a double-threshold cut and a neural network are applied to reduce the false positives (FPs). After having set the parameters on a clinical CT, the system works on whole scans, without the need for any manual selection. The CT database was recorded at the Pisa center of the ITALUNG-CT trial, the first Italian randomized controlled trial for the screening of the lung cancer. The detection rate of the system is 88.5% with 6.6 FPs/CT on 15 CT scans (about 4700 sectional images) with 26 nodules: 15 internal and 11 pleural. A reduction to 2.47 FPs/CT is achieved at 80% efficiency. © 2007 American Association of Physicists in Medicine.

10.1118/1.2804720http://hdl.handle.net/10447/21586