Evidence map›Paper›PMID 31069809›Full record

ArticleMedical physics2019

Harmonization of chest CT scans for different doses and reconstruction methods.

Gonzalo Vegas-Sánchez-Ferrero, Maria Jesus Ledesma-Carbayo, George R Washko, Raúl San José Estépar

Open access · bronzeAbstract read
In one paragraph

Article in Medical physics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. A Physics-Informed Deep Neural Network for Harmonization of CT Images.IEEE transactions on bio-medical engineering · 2024
    Article
  6. Article
  7. Article
  8. Harmonizing CT Images via Physics-based Deep Neural Networks.Proceedings of SPIE--the International Society for Optical Engineering · 2023
    Article
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Gonzalo Vegas-Sánchez-FerreroApplied Chest Imaging Laboratory (ACIL), Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Maria Jesus Ledesma-CarbayoBiomedical Image Technologies Laboratory (BIT) ETSI Telecomunicacion, UPM, and CIBER-BBN, Universidad Politécnica de Madrid, Madrid, Spain.
George R WashkoDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Raúl San José EstéparApplied Chest Imaging Laboratory (ACIL), Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Brigham and Women's Hospital · USUniversidad Politécnica de Madrid · ES

Funding

Genetic Epidemiology of COPDU01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2007 to 2021
$56.9M
Genetic Epidemiology of COPDU01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2007 to 2021
$20.7M
The clinical impact of pulmonary vascular remodeling in smokersR01HL116473 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SAN JOSE ESTEPAR, RAUL, WASHKO, GEORGE R · 2013 to 2021
$5.0M
Airway Inspector: a chest imaging biomarker software platform for COPDR01HL116931 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SAN JOSE ESTEPAR, RAUL · 2013 to 2017
$2.2M
Statistical Standardization of CT for the Analysis of Parenchymal Injury Progression in SmokersK25HL143278 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI VEGAS SANCHEZ-FERRERO, GONZALO · 2019 to 2023
$935k
Robust Detection of Early Small Airway DiseaseR21HL156229 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI VEGAS SANCHEZ-FERRERO, GONZALO · 2021 to 2022
$269k
CT-based Predictors of ILA Progression in COPDGeneR21HL140422 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SAN JOSE ESTEPAR, RAUL · 2017 to 2018
$264k
NHLBI NIH HHS K25 HL143278NHLBI NIH HHS R01 HL116473NHLBI NIH HHS R01 HL116931NHLBI NIH HHS R21 HL140422NHLBI NIH HHS R21 HL156229NHLBI NIH HHS U01 HL089856NHLBI NIH HHS U01 HL089897
6 · The paper itself

Abstract

purposeTo develop and validate a computed tomography (CT) harmonization technique by combining noise-stabilization and autocalibration methodologies to provide reliable densitometry measurements in heterogeneous acquisition protocols.

methodsWe propose to reduce the effects of spatially variant noise such as nonuniform patterns of noise and biases. The method combines the statistical characterization of the signal-to-noise relationship in the CT image intensities, which allows us to estimate both the signal and spatially variant variance of noise, with an autocalibration technique that reduces the nonuniform biases caused by noise and reconstruction techniques. The method is firstly validated with anthropomorphic synthetic images that simulate CT acquisitions with variable scanning parameters: different dosage, nonhomogeneous variance of noise, and various reconstruction methods. We finally evaluate these effects and the ability of our method to provide consistent densitometric measurements in a cohort of clinical chest CT scans from two vendors (Siemens, n = 54 subjects; and GE, n = 50 subjects) acquired with several reconstruction algorithms (filtered back-projection and iterative reconstructions) with high-dose and low-dose protocols.

resultsThe harmonization reduces the effect of nonhomogeneous noise without compromising the resolution of the images (25% RMSE reduction in both clinical datasets). An analysis through hierarchical linear models showed that the average biases induced by differences in dosage and reconstruction methods are also reduced up to 74.20%, enabling comparable results between high-dose and low-dose reconstructions. We also assessed the statistical similarity between acquisitions obtaining increases of up to 30% points and showing that the low-dose vs high-dose comparisons of harmonized data obtain similar and even higher similarity than the observed for high-dose vs high-dose comparisons of nonharmonized data.

conclusionThe proposed harmonization technique allows to compare measures of low-dose with high-dose acquisitions without using a specific reconstruction as a reference. Since the harmonization does not require a precalibration with a phantom, it can be applied to retrospective studies. This approach might be suitable for multicenter trials for which a reference reconstruction is not feasible or hard to define due to differences in vendors, models, and reconstruction techniques.

Indexed as

Radiation DosageComputer SimulationHumansImage Processing, Computer-AssistedReference StandardsSignal-To-Noise RatioThoraxTomography, X-Ray ComputedcalibrationCOPDCT scannerHounsfield Unit correctionlung densityquantitative imaging

Identifiers

PMID31069809
PMCPMC7251983
OpenAlexW2943990661

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.