Comparison of 3D computer-aided with manual cerebral aneurysm measurements in different imaging modalities

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Comparison of 3D computer-aided with manual cerebral aneurysm measurements in different imaging modalities. / Groth, M; Forkert, N D; Buhk, J H; Schoenfeld, M; Goebell, E; Fiehler, J.

in: NEURORADIOLOGY, Jahrgang 55, Nr. 2, 01.02.2013, S. 171-8.

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@article{df85a6d0c08c41718b6f511698a9be2b,
title = "Comparison of 3D computer-aided with manual cerebral aneurysm measurements in different imaging modalities",
abstract = "INTRODUCTION: To compare intra- and inter-observer reliability of aneurysm measurements obtained by a 3D computer-aided technique with standard manual aneurysm measurements in different imaging modalities.METHODS: A total of 21 patients with 29 cerebral aneurysms were studied. All patients underwent digital subtraction angiography (DSA), contrast-enhanced (CE-MRA) and time-of-flight magnetic resonance angiography (TOF-MRA). Aneurysm neck and depth diameters were manually measured by two observers in each modality. Additionally, semi-automatic computer-aided diameter measurements were performed using 3D vessel surface models derived from CE- (CE-com) and TOF-MRA (TOF-com) datasets. Bland-Altman analysis (BA) and intra-class correlation coefficient (ICC) were used to evaluate intra- and inter-observer agreement.RESULTS: BA revealed the narrowest relative limits of intra- and inter-observer agreement for aneurysm neck and depth diameters obtained by TOF-com (ranging between ±5.3 % and ±28.3 %) and CE-com (ranging between ±23.3 % and ±38.1 %). Direct measurements in DSA, TOF-MRA and CE-MRA showed considerably wider limits of agreement. The highest ICCs were observed for TOF-com and CE-com (ICC values, 0.92 or higher for intra- as well as inter-observer reliability).CONCLUSION: Computer-aided aneurysm measurement in 3D offers improved intra- and inter-observer reliability and a reproducible parameter extraction, which may be used in clinical routine and as objective surrogate end-points in clinical trials.",
keywords = "Algorithms, Artificial Intelligence, Cerebral Angiography, Female, Humans, Image Enhancement, Image Interpretation, Computer-Assisted, Imaging, Three-Dimensional, Intracranial Aneurysm, Male, Middle Aged, Observer Variation, Reproducibility of Results, Sensitivity and Specificity",
author = "M Groth and Forkert, {N D} and Buhk, {J H} and M Schoenfeld and E Goebell and J Fiehler",
year = "2013",
month = feb,
day = "1",
doi = "10.1007/s00234-012-1095-8",
language = "English",
volume = "55",
pages = "171--8",
journal = "NEURORADIOLOGY",
issn = "0028-3940",
publisher = "Springer",
number = "2",

}

RIS

TY - JOUR

T1 - Comparison of 3D computer-aided with manual cerebral aneurysm measurements in different imaging modalities

AU - Groth, M

AU - Forkert, N D

AU - Buhk, J H

AU - Schoenfeld, M

AU - Goebell, E

AU - Fiehler, J

PY - 2013/2/1

Y1 - 2013/2/1

N2 - INTRODUCTION: To compare intra- and inter-observer reliability of aneurysm measurements obtained by a 3D computer-aided technique with standard manual aneurysm measurements in different imaging modalities.METHODS: A total of 21 patients with 29 cerebral aneurysms were studied. All patients underwent digital subtraction angiography (DSA), contrast-enhanced (CE-MRA) and time-of-flight magnetic resonance angiography (TOF-MRA). Aneurysm neck and depth diameters were manually measured by two observers in each modality. Additionally, semi-automatic computer-aided diameter measurements were performed using 3D vessel surface models derived from CE- (CE-com) and TOF-MRA (TOF-com) datasets. Bland-Altman analysis (BA) and intra-class correlation coefficient (ICC) were used to evaluate intra- and inter-observer agreement.RESULTS: BA revealed the narrowest relative limits of intra- and inter-observer agreement for aneurysm neck and depth diameters obtained by TOF-com (ranging between ±5.3 % and ±28.3 %) and CE-com (ranging between ±23.3 % and ±38.1 %). Direct measurements in DSA, TOF-MRA and CE-MRA showed considerably wider limits of agreement. The highest ICCs were observed for TOF-com and CE-com (ICC values, 0.92 or higher for intra- as well as inter-observer reliability).CONCLUSION: Computer-aided aneurysm measurement in 3D offers improved intra- and inter-observer reliability and a reproducible parameter extraction, which may be used in clinical routine and as objective surrogate end-points in clinical trials.

AB - INTRODUCTION: To compare intra- and inter-observer reliability of aneurysm measurements obtained by a 3D computer-aided technique with standard manual aneurysm measurements in different imaging modalities.METHODS: A total of 21 patients with 29 cerebral aneurysms were studied. All patients underwent digital subtraction angiography (DSA), contrast-enhanced (CE-MRA) and time-of-flight magnetic resonance angiography (TOF-MRA). Aneurysm neck and depth diameters were manually measured by two observers in each modality. Additionally, semi-automatic computer-aided diameter measurements were performed using 3D vessel surface models derived from CE- (CE-com) and TOF-MRA (TOF-com) datasets. Bland-Altman analysis (BA) and intra-class correlation coefficient (ICC) were used to evaluate intra- and inter-observer agreement.RESULTS: BA revealed the narrowest relative limits of intra- and inter-observer agreement for aneurysm neck and depth diameters obtained by TOF-com (ranging between ±5.3 % and ±28.3 %) and CE-com (ranging between ±23.3 % and ±38.1 %). Direct measurements in DSA, TOF-MRA and CE-MRA showed considerably wider limits of agreement. The highest ICCs were observed for TOF-com and CE-com (ICC values, 0.92 or higher for intra- as well as inter-observer reliability).CONCLUSION: Computer-aided aneurysm measurement in 3D offers improved intra- and inter-observer reliability and a reproducible parameter extraction, which may be used in clinical routine and as objective surrogate end-points in clinical trials.

KW - Algorithms

KW - Artificial Intelligence

KW - Cerebral Angiography

KW - Female

KW - Humans

KW - Image Enhancement

KW - Image Interpretation, Computer-Assisted

KW - Imaging, Three-Dimensional

KW - Intracranial Aneurysm

KW - Male

KW - Middle Aged

KW - Observer Variation

KW - Reproducibility of Results

KW - Sensitivity and Specificity

U2 - 10.1007/s00234-012-1095-8

DO - 10.1007/s00234-012-1095-8

M3 - SCORING: Journal article

C2 - 23007858

VL - 55

SP - 171

EP - 178

JO - NEURORADIOLOGY

JF - NEURORADIOLOGY

SN - 0028-3940

IS - 2

ER -