Skip to main content
Log in

Evaluation of usefulness of color digital summation radiography for solitary pulmonary nodules on chest radiographs

  • ORIGINAL ARTICLE
  • Published:
Radiation Medicine Aims and scope Submit manuscript

Abstract

Purpose

The aim of this study was to evaluate the usefulness of novel color digital summation radiography (CDSR) for detecting solitary pulmonary nodules on chest radiographs by observers with different levels of experience.

Materials and methods

A total of 30 healthy controls and 30 patients with newly detected solitary pulmonary nodules were evaluated. Six radiologists and five residents evaluated three image sets: set A, current and prior radiographs only; set B, set A with temporal subtraction images; and set C, set A with CDSR. The observers were asked to rate each image set using a continuous rating scale. In addition, the reading time required for each set was recorded.

Results

The radiologists showed no significant differences in the mean Az value between set A, set B, and set C. However, the residents showed significant differences between set A and set B and between set A and set C. In addition, for set B and set C, the mean reading time per case of all readers was significantly shorter than that for set A.

Conclusion

The detection capability of observers with little experience is comparable to that of experienced observers when reading radiographs with temporal subtraction images or with CDSR. The usefulness of CDSR is comparable to that of temporal subtraction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. JH Austin BM Romney LS Goldsmith (1992) ArticleTitleMissed bronchogenic carcinoma: radiographic findings in 27 patients with a potentially resectable lesion evident in retrospect Radiology 182 115–22 Occurrence Handle1727272 Occurrence Handle1:STN:280:DyaK38%2FotVKrtw%3D%3D

    PubMed  CAS  Google Scholar 

  2. JR Muhm WE Miller RS Fontana DR Sanderson MA Uhulenhopp (1983) ArticleTitleLung cancer detected during a screening program using four-month chest radiographs Radiology 148 609–15 Occurrence Handle6308709 Occurrence Handle1:STN:280:DyaL3s3nsVGqsw%3D%3D

    PubMed  CAS  Google Scholar 

  3. K Nakagawa A Oosawa H Tanaka K Ohtomo (2002) ArticleTitleClinical effectiveness of improved temporal subtraction for digital chest radiographs Proc SPIE Med Imaging 4686 319–30

    Google Scholar 

  4. T Johkoh T Kozuka N Tomiyama S Hamada O Honda N Mihara et al. (2002) ArticleTitleTemporal subtraction for detection of solitary pulmonary nodules on chest radiographs: evaluation of a commercially available computer-aided diagnosis system Radiology 223 806–11 Occurrence Handle12034953

    PubMed  Google Scholar 

  5. T Matsuda Y Yasuhara A Kano T Mochizuki J Ikezoe (2003) ArticleTitleEffect of temporal subtraction technique on the diagnosis of primary lung cancer with chest radiography Radiat Med 21 112–9 Occurrence Handle12868859

    PubMed  Google Scholar 

  6. A Kano K Doi H MacMahon DD Hassell ML Giger (1994) ArticleTitleDigital image subtraction of temporally sequential chest images for detection of interval change Med Phys 21 453–61 Occurrence Handle8208221 Occurrence Handle1:STN:280:DyaK2c3mvVCisg%3D%3D Occurrence Handle10.1118/1.597308

    Article  PubMed  CAS  Google Scholar 

  7. MC Difazio H MacMahon XW Xu P Tsai J Shiraishi SG Armato Suffix3rd et al. (1997) ArticleTitleDigital chest radiography: effect of temporal subtraction images on detection accuracy Radiology 202 447–52 Occurrence Handle9015072 Occurrence Handle1:STN:280:DyaK2s7mslersQ%3D%3D

    PubMed  CAS  Google Scholar 

  8. S Katsuragawa H Tagashira Q Li H MacMahon K Doi (1999) ArticleTitleComparison of the quality of temporal subtraction images obtained with manual and automated methods of digital chest radiography J Digit Imaging 12 166–72 Occurrence Handle10587911 Occurrence Handle1:STN:280:DC%2BD3c%2FlsFahsQ%3D%3D

    PubMed  CAS  Google Scholar 

  9. T Ishida K Ashizawa R Engelmann S Katsuragawa H MacMahon K Doi (1999) ArticleTitleApplication of temporal subtraction for detection of interval changes on chest radiographs: improvement of subtraction images using automated initial image matching J Digit Imaging 12 77–86 Occurrence Handle10342250 Occurrence Handle1:STN:280:DyaK1M3ntlOqtA%3D%3D

    PubMed  CAS  Google Scholar 

  10. Y Ogata H Naito H Azuma H Toyota T Johkoh S Tamura (2002) ArticleTitleColor digital summation radiography: a sophisticated technique for image display in temporally sequential digital image Radiology 25 IssueIDSuppl 181–2

    Google Scholar 

  11. Y Ogata H Naito H Azuma H Toyota T Ueguchi M Matsumoto et al. (2006) ArticleTitleNovel display technique for reference images for visibility of temporal change on radiographs: color digital summation radiography Radiat Med 24 28–34 Occurrence Handle16715659 Occurrence Handle10.1007/s11604-005-1487-3

    Article  PubMed  Google Scholar 

  12. T Ishida S Katsuragawa K Nakamura H MacMahon K Doi (1999) ArticleTitleIterative image warping technique for temporal subtraction of sequential chest radiographs to detect interval change Med Phys 26 1320–9 Occurrence Handle10435534 Occurrence Handle1:STN:280:DyaK1MzmtFyrtQ%3D%3D Occurrence Handle10.1118/1.598627

    Article  PubMed  CAS  Google Scholar 

  13. HE Rockette D Gur CE Metz (1992) ArticleTitleThe use of continuous and discrete confidence judgments in receiver operating characteristic studies of diagnostic imaging techniques Invest Radiol 27 169–72 Occurrence Handle1601610 Occurrence Handle1:STN:280:DyaK383ptVOmsw%3D%3D

    PubMed  CAS  Google Scholar 

  14. CE Metz (1989) ArticleTitleSome practical issues of experimental design and data analysis in radiological ROC studies Invest Radiol 24 234–45 Occurrence Handle2753640 Occurrence Handle1:STN:280:DyaL1Mzis1OlsQ%3D%3D

    PubMed  CAS  Google Scholar 

  15. K Doi ML Giger RM Nishikawa KR Hoffmann H MacMahon RA Schmidt et al. (1993) ArticleTitleDigital radiography: a useful clinical tool for computer-aided diagnosis by quantitative analysis of radiographic Images Acta Radiol 34 426–39 Occurrence Handle8369177 Occurrence Handle1:STN:280:DyaK3sznvVOqtA%3D%3D Occurrence Handle10.3109/02841859309175379

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yuji Ogata.

About this article

Cite this article

Ogata, Y., Naito, H., Tomiyama, N. et al. Evaluation of usefulness of color digital summation radiography for solitary pulmonary nodules on chest radiographs. Radiat Med 24, 351–357 (2006). https://doi.org/10.1007/s11604-006-0041-2

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-006-0041-2

Key words

Navigation