Reproducibility of volume and densitometric measures of emphysema on repeat computed tomography with an interval of 1 week.
OBJECTIVE
The reproducibilities of CT lung volume and densitometric measures of emphysema were assessed over 1 week. The influence of breathhold on reproducibility was assessed.


METHODS
HRCT was performed on 44 subjects at inspiration on two visits with a 7-day interval. CT lung volume, relative area below -950HU (RA950-raw), and 15th percentile density (PD15-raw) were computed. Volume correction was used to obtain RA950-adj and PD15-adj. Reproducibilities between visits were assessed using concordance correlation coefficient (CCC) and repeatability coefficient (RC). Reproducibilities were compared between raw and adjusted measures. Differences between visits were computed for volume and density measures. Correlations were computed for density differences versus volume difference. Subgroup analysis was performed using a 0.25 L volume difference threshold.


RESULTS
High CCC were observed for all measures in full group (CCC > 0.97). Reproducibilities of volume (RC = 0.67 L), RA950-raw (RC = 2.3%), and PD15-raw (RC = 10.6HU) were observed. Volume correction significantly improved PD15 (RC = 3.6HU) but not RA950 (RC = 1.7%). RA950-raw and PD15-raw had significantly better RC in <0.25 L subgroup than ≥0.25 L. Significant correlations with volume were observed for RA950-raw and PD15-raw (R (2) > 0.71), but not RA950-adj or PD15-adj (R (2) < 0.11).


CONCLUSIONS
Good breathhold and RA950 reproducibilities were achieved. PD15 was less reproducible but improved with volume correction or superior breathhold reproduction.


CONCLUSIONS
• Good breath-hold reproducibility is achievable between multiple CT examinations. • Reproducibility of densitometric measures may be improved by statistical volume correction. • Volume correction may result in decreased signal. • Densitometric reproducibility may also be improved by achieving good breath-hold reproduction. • Careful consideration of signal and noise is necessary in reproducibility assessment.
Center for Computer Vision and Imaging Biomarkers, David Geffen School of Medicine, UCLA, 924 Westwood Blvd., Ste. 615, Los Angeles, CA, USA. dchong@mednet.ucla.edu
Daniel
D
Chong
Matthew S
MS
Brown
Hyun J
HJ
Kim
Eva M
EM
van Rikxoort
Laura
L
Guzman
Michael F
MF
McNitt-Gray
Maryam
M
Khatonabadi
Maya
M
Galperin-Aizenberg
Heidi
H
Coy
Katherine
K
Yang
Yongha
Y
Jung
Jonathan G
JG
Goldin
D000368:Aged; D003720:Densitometry / Q000379:methods*; D018450:Disease Progression; D004646:Emphysema / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D009068:Movement; D015588:Observer Variation; D011871:Radiology / Q000379:methods*; D015203:Reproducibility of Results; D012119:Respiration; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods*