Evidence map›Paper›PMID 40343649›Full record

ArticleJapanese journal of radiology2025

Application of a pulmonary nodule detection program using AI technology to ultra-low-dose CT: differences in detection ability among various image reconstruction methods.

Nanae Tsuchiya, Shifumi Kobayashi, Ryo Nakachi, Yukari Tomori, Akira Yogi, Gyo Iida, Junji Ito, Akihiro Nishie

Abstract read
In one paragraph

Article in Japanese journal of radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

8 authors.

Nanae TsuchiyaDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 1076 Kiyuna, Ginowan-shi, Okinawa, 901-2720, Japan. ntsuchi@med-ryukyu.ac.jp.ORCID http://orcid.org/0000-0003-2556-8287
Shifumi KobayashiDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 1076 Kiyuna, Ginowan-shi, Okinawa, 901-2720, Japan.
Ryo NakachiDivision of Radiology, Department of Medical Technology, University of the Ryukyus Hospital, Okinawa, Japan.
Yukari TomoriDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 1076 Kiyuna, Ginowan-shi, Okinawa, 901-2720, Japan.
Akira YogiDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 1076 Kiyuna, Ginowan-shi, Okinawa, 901-2720, Japan.
Gyo IidaDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 1076 Kiyuna, Ginowan-shi, Okinawa, 901-2720, Japan.
Junji ItoDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 1076 Kiyuna, Ginowan-shi, Okinawa, 901-2720, Japan.
Akihiro NishieDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 1076 Kiyuna, Ginowan-shi, Okinawa, 901-2720, Japan.

Funding

Bayer Academic Support BASJ20230425026
6 · The paper itself

Abstract

purposeThis study aimed to investigate the performance of an artificial intelligence (AI)-based lung nodule detection program in ultra-low-dose CT (ULDCT) imaging, with a focus on the influence of various image reconstruction methods on detection accuracy.

methodsA chest phantom embedded with artificial lung nodules (solid and ground-glass nodules [GGNs]; diameters: 12 mm, 8 mm, 5 mm, and 3 mm) was scanned using six combinations of tube currents (160 mA, 80 mA, and 10 mA) and voltages (120 kV and 80 kV) on a Canon Aquilion One CT scanner. Images were reconstructed using filtered back projection (FBP), hybrid iterative reconstruction (HIR), model-based iterative reconstruction (MBIR), and deep learning reconstruction (DLR). Nodule detection was performed using an AI-based lung nodule detection program, and performance metrics were analyzed across different reconstruction methods and radiation dose protocols.

resultsAt the lowest dose protocol (80 kV, 10 mA), FBP showed a 0% detection rate for all nodule sizes. HIR and DLR consistently achieved 100% detection rates for solid nodules ≥ 5 mm and GGNs ≥ 8 mm. No method detected 3 mm GGNs under any protocol. DLR demonstrated the highest detection rates, even under ultra-low-dose settings, while maintaining high image quality.

conclusionAI-based lung nodule detection in ULDCT is strongly dependent on the choice of image reconstruction method.

Indexed as

Artificial IntelligenceImage Processing, Computer-AssistedLung NeoplasmsRadiographic Image Interpretation, Computer-AssistedSolitary Pulmonary NoduleTomography, X-Ray ComputedHumansLungPhantoms, ImagingRadiation DosageArtificial intelligenceComputed tomographyComputer-aided detectionDeep learning reconstructionLung noduleUltra-low-dose

Identifiers

PMID40343649
PMCPMC12287175

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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.