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Visual vs Computer-based CT analysis for the identification of functional patterns in interstitial lung diseases

Jacob, J; (2019) Visual vs Computer-based CT analysis for the identification of functional patterns in interstitial lung diseases. Current Opinion in Pulmonary Medicine , 25 (5) pp. 426-433. 10.1097/MCP.0000000000000589. Green open access

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Abstract

Purpose of Review: Computer algorithms possess an intrinsic speed, objectivity, reproducibility and scalability unmatched by visual quantitation methods performed by trained readers. The question of how well quantitative CT (QCT) analysis methods compare to visual CT analysis to predict functional status in fibrosing lung diseases (FLDs) is of increasing relevance to understand the future role QCT may have in prognostication of FLD. Recent Findings: The latest computer algorithms demonstrate improved performance over visual CT analysis in predicting baseline disease severity as measured by correlations with functional indices of lung damage. QCT analysis may therefore have a role in aiding clinical decision making as well as in the enrichment of drug trial populations. Quantitative analysis on longitudinal CTs has also shown better correlations with changes in functional indices when compared to visual scores of change suggesting the potential of QCT analysis as an imaging biomarker of disease progression in FLD. Importantly, computer algorithms are now able to identify prognostic imaging biomarkers that cannot be quantified visually (e.g. vessel-related structures). Summary: QCT holds great promise for the evaluation of damage in FLD. Challenges for QCT include accommodating measurement noise from variation in CT acquisition techniques and developing patient-friendly visualisations of quantitative outputs.

Type: Article
Title: Visual vs Computer-based CT analysis for the identification of functional patterns in interstitial lung diseases
Open access status: An open access version is available from UCL Discovery
DOI: 10.1097/MCP.0000000000000589
Publisher version: https://doi.org/10.1097/MCP.0000000000000589
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Quantitative CT analysis, Pulmonary function tests, Fibrosing lung disease
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Respiratory Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10072026
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