TABLE 1.

Technical Evaluation: Comparison of Different Study Types, Associated Trade-Offs, and Criteria That Can Be Evaluated with the Study Type

Simulation studiesPhysical phantomsClinical studies
Known ground truthYYRarely
Scanner-basedYY
AdvantageModel patient biologyYes, but limitedY
Model population variabilityYY
AccuracyYY
Criterion that can be evaluatedRepeatability/reproducibility/noise sensitivity with multiple replicatesYY
Repeatability/reproducibility/noise sensitivity with test–retest replicatesYYes and recommended
Biologic repeatability/reproducibility/noise sensitivityY
CostsLowMediumHigh
Other factors to considerTimeLowMediumHigh
Confidence about clinical realismLowMediumHigh