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Group name EquipeCTCS
Item Type Journal Article
Title A patient-specific approach for quantitative and automatic analysis of computed tomography images in lung disease: Application to COVID-19 patients
Creator Berta et al.
Author L. Berta
Author C. De Mattia
Author F. Rizzetto
Author S. Carrazza
Author P. E. Colombo
Author R. Fumagalli
Author T. Langer
Author D. Lizio
Author A. Vanzulli
Author A. Torresin
Abstract PURPOSE: Quantitative metrics in lung computed tomography (CT) images have been widely used, often without a clear connection with physiology. This work proposes a patient-independent model for the estimation of well-aerated volume of lungs in CT images (WAVE). METHODS: A Gaussian fit, with mean (Mu.f) and width (Sigma.f) values, was applied to the lower CT histogram data points of the lung to provide the estimation of the well-aerated lung volume (WAVE.f). Independence from CT reconstruction parameters and respiratory cycle was analysed using healthy lung CT images and 4DCT acquisitions. The Gaussian metrics and first order radiomic features calculated for a third cohort of COVID-19 patients were compared with those relative to healthy lungs. Each lung was further segmented in 24 subregions and a new biomarker derived from Gaussian fit parameter Mu.f was proposed to represent the local density changes. RESULTS: WAVE.f resulted independent from the respiratory motion in 80% of the cases. Differences of 1%, 2% and up to 14% resulted comparing a moderate iterative strength and FBP algorithm, 1 and 3 mm of slice thickness and different reconstruction kernel. Healthy subjects were significantly different from COVID-19 patients for all the metrics calculated. Graphical representation of the local biomarker provides spatial and quantitative information in a single 2D picture. CONCLUSIONS: Unlike other metrics based on fixed histogram thresholds, this model is able to consider the inter- and intra-subject variability. In addition, it defines a local biomarker to quantify the severity of the disease, independently of the observer.
Publication Physica medica: PM: an international journal devoted to the applications of physics to medicine and biology: official journal of the Italian Association of Biomedical Physics (AIFB)
Volume 82
Pages 28-39
Date 2021-02
Journal Abbr Phys Med
Language eng
DOI 10.1016/j.ejmp.2021.01.004
ISSN 1724-191X
Short Title A patient-specific approach for quantitative and automatic analysis of computed tomography images in lung disease
Library Catalog PubMed
Extra PMID: 33567361 PMCID: PMC7843021
Tags Adolescent, Adult, Aged, Aged, 80 and over, Algorithms, Computed tomography, COVID-19, Female, Humans, Image analysis, Image Processing, Computer-Assisted, Lung, Lung Diseases, Male, marque, Middle Aged, original, QCT, Radiomic, Tomography, X-Ray Computed, Young Adult
Date Added 2022/07/29 - 15:54:46
Date Modified 2022/08/01 - 11:56:42
Notes and Attachments PubMed entry (Attachment)
Version soumise (Attachment)


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