Influence of rib structure on detection of subtle lung nodules.

Abstract:

PURPOSE:To access the influence of anatomic noise on the detectability of subtle lung nodules depicted on chest radiographs. MATERIAL AND METHODS:From normal chest radiography images, 132 square regions were extracted, of which the centers were on the upper margin of a rib, the inside of a rib, the lower margin of a rib, and the central region between two adjoining ribs. Simulated nodules were digitally superimposed at the centers of these extracted square images. Twelve radiologists viewed 50 soft-copy images consisting of these 792 processed images, including the noise-added images. The observer's confidence level for the square images containing single nodules was used as an index of observer performance. RESULTS:Results indicated statistically reliable effects of the relationship between rib structures and nodule positions on the detection performance (P < 0.001). The nodule detectability on the images with a center located between two adjoining ribs was significantly the best, whereas it was significantly the worst on the noise-added images with a center located between two adjoining ribs. CONCLUSION:The rib structures overlying a subtle lung nodule on chest X-ray images have a detrimental effect on nodule detection performance as anatomic noise, regardless of the nodule location on ribs.

journal_name

Eur J Radiol

authors

Ikeda M,Ishigaki T,Itoh S

doi

10.1016/j.ejrad.2006.01.011

keywords:

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

49-55

issue

1

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(06)00041-6

journal_volume

59

pub_type

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