Document Detail


Coregistered FDG PET/CT-based textural characterization of head and neck cancer for radiation treatment planning.
MedLine Citation:
PMID:  19244009     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coregistered fluoro-deoxy-glucose (FDG) positron emission tomography/computed tomography (PET/CT) has shown potential to improve the accuracy of radiation targeting of head and neck cancer (HNC) when compared to the use of CT simulation alone. The objective of this study was to identify textural features useful in distinguishing tumor from normal tissue in head and neck via quantitative texture analysis of coregistered 18F-FDG PET and CT images. Abnormal and typical normal tissues were manually segmented from PET/CT images of 20 patients with HNC and 20 patients with lung cancer. Texture features including some derived from spatial grey-level dependence matrices (SGLDM) and neighborhood gray-tone-difference matrices (NGTDM) were selected for characterization of these segmented regions of interest (ROIs). Both K nearest neighbors (KNNs) and decision tree (DT)-based KNN classifiers were employed to discriminate images of abnormal and normal tissues. The area under the curve (AZ) of receiver operating characteristics (ROC) was used to evaluate the discrimination performance of features in comparison to an expert observer. The leave-one-out and bootstrap techniques were used to validate the results. The AZ of DT-based KNN classifier was 0.95. Sensitivity and specificity for normal and abnormal tissue classification were 89% and 99%, respectively. In summary, NGTDM features such as PET Coarseness, PET Contrast, and CT Coarseness extracted from FDG PET/CT images provided good discrimination performance. The clinical use of such features may lead to improvement in the accuracy of radiation targeting of HNC.
Authors:
Huan Yu; Curtis Caldwell; Katherine Mah; Daniel Mozeg
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  IEEE transactions on medical imaging     Volume:  28     ISSN:  1558-254X     ISO Abbreviation:  IEEE Trans Med Imaging     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-02-26     Completed Date:  2009-06-25     Revised Date:  2012-04-24    
Medline Journal Info:
Nlm Unique ID:  8310780     Medline TA:  IEEE Trans Med Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  374-83     Citation Subset:  IM    
Affiliation:
Department of Medical Biophysics, University of Toronto, Toronto, ON, M4N 3M5 Canada. hyu@swri.ca
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Area Under Curve
Fluorodeoxyglucose F18 / diagnostic use*
Head and Neck Neoplasms / radiography,  radionuclide imaging*,  radiotherapy
Humans
Image Processing, Computer-Assisted / methods*
Lung Neoplasms / radionuclide imaging
Pattern Recognition, Automated / methods*
Positron-Emission Tomography / methods*
ROC Curve
Radiotherapy Planning, Computer-Assisted*
Reproducibility of Results
Sensitivity and Specificity
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
63503-12-8/Fluorodeoxyglucose F18

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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