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Related Experiment Video

Updated: Jun 14, 2026

Three-Dimensional Reconstruction for the Whole Lung with Early Multiple Pulmonary Nodules
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Published on: October 13, 2023

Lung nodule volumetry: segmentation algorithms within the same software package cannot be used interchangeably.

H Ashraf1, B de Hoop, S B Shaker

  • 1Department of Radiology, Gentofte Hospital, Copenhagen University, Hellerup, Denmark. Haseem@dadlnet.dk

European Radiology
|March 23, 2010
PubMed
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This summary is machine-generated.

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Lung nodule volumetry software showed poor reproducibility when different algorithms were used. Consistent algorithm selection is crucial for accurate lung nodule measurement in cancer screening.

Area of Science:

  • Medical Imaging
  • Radiology
  • Computational Pathology

Background:

  • Lung nodule volumetry is essential for lung cancer screening.
  • Accurate measurement of lung nodules aids in diagnosis and treatment planning.
  • Software-based volumetry aims to standardize and improve nodule measurement.

Purpose of the Study:

  • To assess the reproducibility of lung nodule volumetry software with multiple algorithms.
  • To compare inter-observer variability in nodule measurement using identical versus different algorithms.

Main Methods:

  • 188 baseline lung nodules (>5 mm) from a lung cancer screening trial were analyzed.
  • 545 nodules (including follow-ups) were segmented and measured by two independent readers.
  • Commercial volumetry software with three distinct algorithms was utilized.

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Last Updated: Jun 14, 2026

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  • Inter-observer variability was compared based on algorithm selection.
  • Main Results:

    • Readers successfully segmented and measured 72% of nodules.
    • When using the same algorithm, 50% of measurements yielded identical volumes.
    • Using different algorithms resulted in >25% volume difference in 83% of cases.
    • Consistent algorithm use led to a >25% difference in only 4% of readings.

    Conclusions:

    • Current lung nodule volumetry software struggles with accurate segmentation of screen-detected nodules.
    • Using different algorithms significantly decreases the reproducibility of volumetric measurements.
    • Standardizing algorithm selection within the same software is critical for reliable follow-up measurements.