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- Title
Computer-aided detection in CT colonography: initial clinical experience using a prototype system.
- Authors
Graser, A.; Kolligs, F.; Mang, T.; Schaefer, C.; Geisbüsch, S.; Reiser, M.; Becker, C.; Kolligs, F T; Geisbüsch, S; Reiser, M F; Becker, C R
- Abstract
Computer-aided detection (CAD) algorithms help to detect colonic polyps at CT colonography (CTC). The purpose of this study was to evaluate the accuracy of CAD versus an expert reader in CTC. One hundred forty individuals (67 men, 73 women; mean age, 59 years) underwent screening 64-MDCT colonography after full cathartic bowel cleansing without fecal tagging. One expert reader interpreted supine and prone scans using a 3D workstation with integrated CAD used as "second reader." The system's sensitivity for the detection of polyps, the number of false-positive findings, and its running time were evaluated. Polyps were classified as small (< or =5 mm), medium (6-9 mm), and large (> or =10 mm). A total of 118 polyps (small, 85; medium, 19; large, 14) were found in 56 patients. CAD detected 72 polyps (61%) with an average of 2.2 false-positives. Sensitivity was 51% (43/85) for small, 90% (17/19) for medium, and 86% (12/14) for large polyps. For all polyps, per-patient sensitivity was 89% (50/56) for the radiologist and 73% (41/56) for CAD. For large and medium polyps, per-patient sensitivity was 100% for the radiologist, and 96% for CAD. In conclusion, CAD shows high sensitivity in the detection of clinically significant polyps with acceptable false-positive rates.
- Subjects
TOMOGRAPHY; COMPUTER software development; ALGORITHMS; PHYSICIANS; OCCUPATIONS; PATIENTS; CLINICAL competence; RESEARCH evaluation; VIRTUAL colonoscopy; COLON polyps; COMPUTER-aided diagnosis
- Publication
European Radiology, 2007, Vol 17, Issue 10, p2608
- ISSN
0938-7994
- Publication type
journal article
- DOI
10.1007/s00330-007-0579-0