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.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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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 -