Abstract
The set of criteria called Response Evaluation Criteria In Solid Tumors (RECIST) is used to evaluate the remedial effects of lung cancer, whereby the size of a lesion can be measured in one dimension (diameter). Volumetric evaluation is desirable for estimating the size of a lesion accurately, but there are several constraints and limitations to calculating the volume in clinical trials. In this study, we developed a method to detect lesions automatically, with minimal intervention by the user, and calculate their volume. Our proposed method, called a spherical region-growing method (SPRG), uses segmentation that starts from a seed point set by the user. SPRG is a modification of an existing region-growing method that is based on a sphere instead of pixels. The SPRG method detects lesions while preventing leakage to neighboring tissues, because the sphere is grown, i.e., neighboring voxels are added, only when all the voxels meet the required conditions. In this study, two radiologists segmented lung tumors using a manual method and the proposed method, and the results of both methods were compared. The proposed method showed a high sensitivity of 81.68–84.81% and a high dice similarity coefficient (DSC) of 0.86–0.88 compared with the manual method. In addition, the SPRG intraclass correlation coefficient (ICC) was 0.998 (CI 0.997–0.999, p < 0.01), showing that the SPRG method is highly reliable. If our proposed method is used for segmentation and volumetric measurement of lesions, then objective and accurate results and shorter data analysis time are possible.
Similar content being viewed by others
References
Siegel R, Ma J, Zou Z, Jemal A: Cancer statistics, 2014. CA Cancer J Clin 64:9–29, 2014
Osterlind K: Chemotherapy in small cell lung cancer. Eur Respir J 18:1026–1043, 2001
Thatcher N, Ranson M, Lee SM, Niven R, Anderson H: Chemotherapy for non-small cell lung cancer. Ann Oncol 6:S83–S95, 2000
Eisenhauer EA, Therasse P, Bogaerts J, Schwartz LH, Sargent D, Ford R, Dancey J, Arbuck S, Gwyther S, Mooney M, Rubinstein L, Shankar L, Dodd L, Kaplan R, Lacombe D, Verweij J: New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer 45:228–247, 2009
Zhao B, Schwartz L, Moskowitz C: Lung cancer: computerized quantification of tumor response—Initial results 1. Radiology 241:892–898, 2006
Doi K: Computer-aided diagnosis in medical imaging: historical review, current status and future potential. Comput Med Imaging Graph 31:198–211, 2007
van Ginneken B, Schaefer-Prokop CM, Prokop M: Computer-aided diagnosis: how to move from the laboratory to the clinic. Radiology 261:719–732, 2011
Marten K, Auer F, Schmidt S, Kohl G, Rummeny E, Engelke C: Inadequacy of manual measurements compared to automated CT volumetry in assessment of treatment response of pulmonary metastases using RECIST criteria. Eur Radiol 16:781–790, 2006
Gu Y, Kumar V, Hall LO, Goldgof DB, Li C-Y, Korn R, Bendtsen C, Velazquez ER, Dekker A, Aerts H, Lambin P, Li X, Tian J, Gatenby RA, Gillies RJ: Automated delineation of lung tumors from CT images using a single click ensemble segmentation approach. Pattern Recognit 46:692–702, 2013
Guo Y, Feng Y, Sun J, Zhang N, Lin W, Sa Y, Wang P: Automatic lung tumor segmentation on PET/CT images using fuzzy Markov random field model. Comput Math Methods Med 401201:2014, 2014
Cui H, Wang X, Zhou J, Fulham M, Eberl S, Feng D: Topology constraint graph-based model for non-small-cell lung tumor segmentation from PET volumes. In: International Symposium on Biomedical Imaging (ISBI), 2014 I.E. 11th. pp. 1243–1246, 2014
Elad M: On the origin of the bilateral filter and ways to improve it. IEEE Trans Image Process 11:1141–1151, 2002
Das S, Mohan A: Medical image enhancement techniques by bottom hat and median filtering. Int J Electron Commun Comput Eng 5:347–351, 2014
Adams R, Bischof L: Seeded region growing. IEEE Trans Pattern Anal Mach Intell 16:641–647, 1994
R. Pohle and K. D. Toennies: Segmentation of medical images using adaptive region growing. In: SPIE 4322, Medical Imaging 2001. 1337–1346, 2001
Revol-Muller C, Peyrin F, Carrillon Y, Odet C: Automated 3D region growing algorithm based on an assessment function. Pattern Recognit Lett 23:137–150, 2002
Funding
This work was supported by a grant from the National Cancer Center (1410570-2), Gachon University (GCU 2017-0211), and Ministry of Trade, Industry and Energy, Republic of Korea (10079501)
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
This retrospective study was approved by the Institutional Review Board (IRB) of National Cancer Center of Korea with waiver of the requirement for patients’ informed consent (NCC2014-0199).
Conflict of Interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Kim, Y.J., Lee, S.H., Lim, K.Y. et al. Development and Validation of Segmentation Method for Lung Cancer Volumetry on Chest CT. J Digit Imaging 31, 505–512 (2018). https://doi.org/10.1007/s10278-018-0051-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10278-018-0051-5