Evaluation of automated airway morphological quantification for
assessing fibrosing lung disease
- URL: http://arxiv.org/abs/2111.10443v1
- Date: Fri, 19 Nov 2021 21:30:42 GMT
- Title: Evaluation of automated airway morphological quantification for
assessing fibrosing lung disease
- Authors: Ashkan Pakzad, Wing Keung Cheung, Kin Quan, Nesrin Mogulkoc, Coline
H.M. Van Moorsel, Brian J. Bartholmai, Hendrik W. Van Es, Alper Ezircan,
Frouke Van Beek, Marcel Veltkamp, Ronald Karwoski, Tobias Peikert, Ryan D.
Clay, Finbar Foley, Cassandra Braun, Recep Savas, Carole Sudre, Tom Doel,
Daniel C. Alexander, Peter Wijeratne, David Hawkes, Yipeng Hu, John R Hurst,
Joseph Jacob
- Abstract summary: Abnormal airway dilatation, termed traction bronchiectasis, is a typical feature of idiopathic pulmonary fibrosis (IPF)
We propose AirQuant, an automated pipeline that parcellates the airway tree into its lobes and generational branches from a deep learning based airway segmentation.
- Score: 7.027000487683603
- License: http://creativecommons.org/licenses/by/4.0/
- Abstract: Abnormal airway dilatation, termed traction bronchiectasis, is a typical
feature of idiopathic pulmonary fibrosis (IPF). Volumetric computed tomography
(CT) imaging captures the loss of normal airway tapering in IPF. We postulated
that automated quantification of airway abnormalities could provide estimates
of IPF disease extent and severity. We propose AirQuant, an automated
computational pipeline that systematically parcellates the airway tree into its
lobes and generational branches from a deep learning based airway segmentation,
deriving airway structural measures from chest CT. Importantly, AirQuant
prevents the occurrence of spurious airway branches by thick wave propagation
and removes loops in the airway-tree by graph search, overcoming limitations of
existing airway skeletonisation algorithms. Tapering between airway segments
(intertapering) and airway tortuosity computed by AirQuant were compared
between 14 healthy participants and 14 IPF patients. Airway intertapering was
significantly reduced in IPF patients, and airway tortuosity was significantly
increased when compared to healthy controls. Differences were most marked in
the lower lobes, conforming to the typical distribution of IPF-related damage.
AirQuant is an open-source pipeline that avoids limitations of existing airway
quantification algorithms and has clinical interpretability. Automated airway
measurements may have potential as novel imaging biomarkers of IPF severity and
disease extent.
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