Quantitative CT texture-based method to predict diagnosis and prognosis
of fibrosing interstitial lung disease patterns
- URL: http://arxiv.org/abs/2206.09766v1
- Date: Mon, 20 Jun 2022 13:27:38 GMT
- Title: Quantitative CT texture-based method to predict diagnosis and prognosis
of fibrosing interstitial lung disease patterns
- Authors: Babak Haghighi, Warren B. Gefter, Lauren Pantalone, Despina Kontos,
Eduardo Mortani Barbosa Jr
- Abstract summary: High-resolution quantitative CT (QCT) imaging features for prediction of diagnosis and prognosis in fibrosing interstitial lung diseases (ILD)
40 ILD patients (20 usual interstitial pneumonia (UIP), 20 non-UIP pattern ILD) were classified by expert consensus of 2 radiologists and followed for 7 years.
- Score: 0.0
- License: http://creativecommons.org/licenses/by-nc-nd/4.0/
- Abstract: Purpose: To utilize high-resolution quantitative CT (QCT) imaging features
for prediction of diagnosis and prognosis in fibrosing interstitial lung
diseases (ILD). Approach: 40 ILD patients (20 usual interstitial pneumonia
(UIP), 20 non-UIP pattern ILD) were classified by expert consensus of 2
radiologists and followed for 7 years. Clinical variables were recorded.
Following segmentation of the lung field, a total of 26 texture features were
extracted using a lattice-based approach (TM model). The TM model was compared
with previously histogram-based model (HM) for their abilities to classify UIP
vs non-UIP. For prognostic assessment, survival analysis was performed
comparing the expert diagnostic labels versus TM metrics. Results: In the
classification analysis, the TM model outperformed the HM method with AUC of
0.70. While survival curves of UIP vs non-UIP expert labels in Cox regression
analysis were not statistically different, TM QCT features allowed
statistically significant partition of the cohort. Conclusions: TM model
outperformed HM model in distinguishing UIP from non-UIP patterns. Most
importantly, TM allows for partitioning of the cohort into distinct survival
groups, whereas expert UIP vs non-UIP labeling does not. QCT TM models may
improve diagnosis of ILD and offer more accurate prognostication, better
guiding patient management.
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