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Research ArticleClinical Investigations

Effects of Image Characteristics on Performance of Tumor Delineation Methods: A Test–Retest Assessment

Patsuree Cheebsumon, Floris H.P. van Velden, Maqsood Yaqub, Virginie Frings, Adrianus J. de Langen, Otto S. Hoekstra, Adriaan A. Lammertsma and Ronald Boellaard
Journal of Nuclear Medicine October 2011, 52 (10) 1550-1558; DOI: https://doi.org/10.2967/jnumed.111.088914
Patsuree Cheebsumon
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Floris H.P. van Velden
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Maqsood Yaqub
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Virginie Frings
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Adrianus J. de Langen
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Otto S. Hoekstra
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Adriaan A. Lammertsma
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Ronald Boellaard
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  • FIGURE 1.
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    FIGURE 1.

    Mean ratio of tumor volume obtained with various tumor delineation methods against defined reference standard (sum of last 3 frames and 6.5 mm FWHM) as function of image resolution for 18F-FDG (A) and 18F-FLT (B). All bars cut off at 4 (indicated by absence of SD bars) were higher than 20. Error bars represent SD.

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    FIGURE 2.

    Mean ratio of tumor volume obtained with various tumor delineation methods against defined reference standard (sum of last 3 frames and 6.5 mm FWHM) as function of image contrasts for 18F-FDG (A) and 18F-FLT (B). All bars cut off at 4 (indicated by absence of SD bars) were higher than 20. Error bars represent SD.

  • FIGURE 3.
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    FIGURE 3.

    Box-and-whisker plots of percentage test–retest (TRT)variability in tumor volume obtained using various tumor delineation methods at high image contrast and varying image resolutions for 18F-FDG (A) and 18F-FLT (B). Median is horizontal line between lower (first) and upper (third) quartiles. Upper whisker represents upper quartile to maximum value, corrected for outliers (not exceeding 1.5 times interquartile range).

  • FIGURE 4.
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    FIGURE 4.

    Box-and-whisker plots of percentage test–retest (TRT) variability of tumor volume obtained by various tumor delineation methods when using different image contrasts for 18F-FDG (A) and 18F-FLT (B). Median is horizontal line between lower (first) and upper (third) quartiles. Upper whisker represents upper quartile to maximum value, corrected for outliers (not exceeding 1.5 times interquartile range).

  • FIGURE 5.
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    FIGURE 5.

    Box plots of percentage test–retest (TRT) variability of SUV obtained by various tumor delineation methods at high image contrast when image resolutions were varied for 18F-FDG (A) and 18F-FLT (B). Median is horizontal line between lower (first) and upper (third) quartiles. Upper whisker represents upper quartile to maximum value, corrected for outliers (not exceeding 1.5 times interquartile range). Note that scale differs from Figure 3.

  • FIGURE 6.
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    FIGURE 6.

    Box plots of percentage test–retest (TRT) variability of SUV obtained by various tumor delineation methods when different image contrasts were used for 18F-FDG (A) and 18F-FLT (B). Median is horizontal line between lower (first) and upper (third) quartiles. Upper whisker represents upper quartile to maximum value, corrected for outliers (not exceeding 1.5 times interquartile range). Note that scale differs from Figure 4.

Tables

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    TABLE 1

    Number of Outliers When Determining Tumor Volume for All Scans (Test and Retest) for Different Image Characteristics and Radiotracers

    18F-FDG18F-FLT
    Sum of last 6 framesSum of last 3 framesSum of last 6 framesSum of last 3 frames
    Tumor delineation method6.5*8.3*10.2*6.58.310.26.58.310.26.58.310.2
    VOI5012141581314745754
    VOI70023002000100
    VOIA41610126611333454
    VOIA50233002100200
    VOIA70000000100100
    VOISchaefer-A41636634213423
    VOISchaefer-A50554434211422
    VOIRTL032001000100
    GradWT002002001011
    SUV2.5121111536301210
    Total detectable lesions606060606060353332363431
    • * Image resolution (mm).

    • View popup
    TABLE 2

    Slope (with Intercept Fixed to 0) and Coefficient of Determination Between Tumor Volume Size Measured for Test and Retest Studies

    18F-FDG18F-FLT
    Tumor delineation methodR2SlopeR2Slope
    VOI500.790.710.930.83
    VOI700.890.990.521.52
    VOI70 (reduced dataset)——0.81*1.21*
    VOIA410.910.900.910.82
    VOIA500.940.930.911.06
    VOIA700.881.110.720.91
    VOISchaefer-A411.001.010.960.79
    VOISchaefer-A500.920.830.950.76
    VOIRTL0.950.930.901.04
    GradWT0.581.340.411.02
    GradWT (reduced dataset)0.86†0.94†0.70‡1.10‡
    SUV2.50.971.110.990.86
    • * After removing 2 outliers.

    • † After removing 5 outliers.

    • ‡ After removing 3 outliers.

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Journal of Nuclear Medicine: 52 (10)
Journal of Nuclear Medicine
Vol. 52, Issue 10
October 1, 2011
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Effects of Image Characteristics on Performance of Tumor Delineation Methods: A Test–Retest Assessment
Patsuree Cheebsumon, Floris H.P. van Velden, Maqsood Yaqub, Virginie Frings, Adrianus J. de Langen, Otto S. Hoekstra, Adriaan A. Lammertsma, Ronald Boellaard
Journal of Nuclear Medicine Oct 2011, 52 (10) 1550-1558; DOI: 10.2967/jnumed.111.088914

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Effects of Image Characteristics on Performance of Tumor Delineation Methods: A Test–Retest Assessment
Patsuree Cheebsumon, Floris H.P. van Velden, Maqsood Yaqub, Virginie Frings, Adrianus J. de Langen, Otto S. Hoekstra, Adriaan A. Lammertsma, Ronald Boellaard
Journal of Nuclear Medicine Oct 2011, 52 (10) 1550-1558; DOI: 10.2967/jnumed.111.088914
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