Computer-assisted detection of subcutaneous melanomas: feasibility assessment.

Abstract:

RATIONALE AND OBJECTIVES:Subcutaneous melanomas may be missed on computed tomography because of their peripheral location or perceived unimportance, yet they can have clinical significance. The use of a novel computer-assisted detection scheme to locate subcutaneous melanoma lesions in body CT images was investigated. MATERIALS AND METHODS:The detection software segments subcutaneous fat from the rest of the body and searches for soft tissue density lesions that match a size and shape constraint. Sensitivity and specificity of the proposed method was analyzed by comparing automated lesion detection results in eight patients with 118 subcutaneous melanomas with ground truth data derived from manual tracings of a trained observer. RESULTS:The sensitivity of subcutaneous melanoma detection was 86%. The false-positive rate was 3.1 per slice. Analysis of the false-positives showed that the most common cause was incorrect classification of muscle as a nodule. CONCLUSION:This study showed the feasibility of a fully automatic subcutaneous melanoma lesion detection system having good sensitivity. The false-positive rate was high, but avenues for further reduction were identified.

journal_name

Acad Radiol

journal_title

Academic radiology

authors

Solomon J,Mavinkurve S,Cox D,Summers RM

doi

10.1016/j.acra.2004.01.005

keywords:

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

678-85

issue

6

eissn

1076-6332

issn

1878-4046

pii

S1076633204000510

journal_volume

11

pub_type

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