Erschienen in:
01.09.2015 | Gastrointestinal
The precision of textural analysis in 18F-FDG-PET scans of oesophageal cancer
verfasst von:
Georgia Doumou, Musib Siddique, Charalampos Tsoumpas, Vicky Goh, Gary J. Cook
Erschienen in:
European Radiology
|
Ausgabe 9/2015
Einloggen, um Zugang zu erhalten
Abstract
Objectives
Measuring tumour heterogeneity by textural analysis in 18F-fluorodeoxyglucose positron emission tomography (18F-FDG PET) provides predictive and prognostic information but technical aspects of image processing can influence parameter measurements. We therefore tested effects of image smoothing, segmentation and quantisation on the precision of heterogeneity measurements.
Methods
Sixty-four 18F-FDG PET/CT images of oesophageal cancer were processed using different Gaussian smoothing levels (2.0, 2.5, 3.0, 3.5, 4.0 mm), maximum standardised uptake value (SUVmax) segmentation thresholds (45 %, 50 %, 55 %, 60 %) and quantisation (8, 16, 32, 64, 128 bin widths). Heterogeneity parameters included grey-level co-occurrence matrix (GLCM), grey-level run length matrix (GLRL), neighbourhood grey-tone difference matrix (NGTDM), grey-level size zone matrix (GLSZM) and fractal analysis methods. The concordance correlation coefficient (CCC) for the three processing variables was calculated for each heterogeneity parameter.
Results
Most parameters showed poor agreement between different bin widths (CCC median 0.08, range 0.004–0.99). Segmentation and smoothing showed smaller effects on precision (segmentation: CCC median 0.82, range 0.33–0.97; smoothing: CCC median 0.99, range 0.58–0.99).
Conclusions
Smoothing and segmentation have only a small effect on the precision of heterogeneity measurements in 18F-FDG PET data. However, quantisation often has larger effects, highlighting a need for further evaluation and standardisation of parameters for multicentre studies.
Key points
• Heterogeneity measurement precision in
18
F-FDG PET is influenced by image processing methods.
• Quantisation shows large effects on precision of heterogeneity parameters in
18
F-FDG PET/CT.
• Smoothing and segmentation show comparatively smaller effects on precision of heterogeneity parameters.