Evidence map›Paper›PMID 32601950›Full record

ArticleEuropean radiology2020

Emphysema quantification using low-dose computed tomography with deep learning-based kernel conversion comparison.

So Hyeon Bak, Jong Hyo Kim, Hyeongmin Jin, Sung Ok Kwon, Bom Kim, Yoon Ki Cha, Woo Jin Kim

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In one paragraph

Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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  12. Inter-vendor harmonization of CT reconstruction kernels using unpaired image translation.Proceedings of SPIE--the International Society for Optical Engineering · 2024
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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

7 authors at 5 institutions in 3 countries.

So Hyeon BakDepartment of Radiology, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Republic of Korea.
Jong Hyo KimDepartment of Transdisciplinary Studies, Program in Biomedical Radiation Sciences, Graduate School of Convergence Science and Technology, Seoul, Republic of Korea. kimjhyo@snu.ac.kr.
Hyeongmin JinDepartment of Transdisciplinary Studies, Program in Biomedical Radiation Sciences, Graduate School of Convergence Science and Technology, Seoul, Republic of Korea.
Sung Ok KwonBiomedical Research Institute, Kangwon National University Hospital, Chuncheon, Republic of Korea.
Bom KimEnvironmental Health Center, Kangwon National University Hospital, Chuncheon, Republic of Korea.
Yoon Ki ChaDepartment of Radiology, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.
Woo Jin KimDepartment of Internal Medicine and Environmental Health Center, School of Medicine, Kangwon National University, 1 Kangwondaehak-gil, Chuncheon, Gangwon-do, 24341, Republic of Korea. pulmo2@kangwon.ac.kr.ORCID http://orcid.org/0000-0003-2927-370X
Kangwon National University Hospital · KRDongguk University Ilsan Hospital · KRKangwon National University · KRNew Generation University College · ETSeoul National University Hospital · KR

Funding

Ministry of Education NRF 2018R1D1A1B07049670
6 · The paper itself

Abstract

objectiveThis study determined the effect of dose reduction and kernel selection on quantifying emphysema using low-dose computed tomography (LDCT) and evaluated the efficiency of a deep learning-based kernel conversion technique in normalizing kernels for emphysema quantification.

methodsA sample of 131 participants underwent LDCT and standard-dose computed tomography (SDCT) at 1- to 2-year intervals. LDCT images were reconstructed with B31f and B50f kernels, and SDCT images were reconstructed with B30f kernels. A deep learning model was used to convert the LDCT image from a B50f kernel to a B31f kernel. Emphysema indices (EIs), lung attenuation at 15th percentile (perc15), and mean lung density (MLD) were calculated. Comparisons among the different kernel types for both LDCT and SDCT were performed using Friedman's test and Bland-Altman plots.

resultsAll values of LDCT B50f were significantly different compared with the values of LDCT B31f and SDCT B30f (p < 0.05). Although there was a statistical difference, the variation of the values of LDCT B50f significantly decreased after kernel normalization. The 95% limits of agreement between the SDCT and LDCT kernels (B31f and converted B50f) ranged from - 2.9 to 4.3% and from - 3.2 to 4.4%, respectively. However, there were no significant differences in EIs and perc15 between SDCT and LDCT converted B50f in the non-chronic obstructive pulmonary disease (COPD) participants (p > 0.05).

conclusionThe deep learning-based CT kernel conversion of sharp kernel in LDCT significantly reduced variation in emphysema quantification, and could be used for emphysema quantification. KEY POINTS: • Low-dose computed tomography with smooth kernel showed adequate performance in quantifying emphysema compared with standard-dose CT. • Emphysema quantification is affected by kernel selection and the application of a sharp kernel resulted in a significant overestimation of emphysema. • Deep learning-based kernel normalization of sharp kernel significantly reduced variation in emphysema quantification.

Indexed as

Deep LearningTomography, X-Ray ComputedAgedBiometryCross-Sectional StudiesDiagnosis, Computer-AssistedFemaleHumansLungLung DiseasesMaleMiddle AgedPulmonary EmphysemaRadiation DosageRetrospective StudiesTreatment OutcomeDeep learningDensitometryEmphysemaTomography

Identifiers

PMID32601950
OpenAlexW3038774226

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.