Skip to main content

Automated Lung Nodule Detection Using Positron Emission Tomography/Computed Tomography

  • Chapter
  • First Online:
Artificial Intelligence in Decision Support Systems for Diagnosis in Medical Imaging

Part of the book series: Intelligent Systems Reference Library ((ISRL,volume 140))

Abstract

Lung cancer is a leading cause of death in human globally. Owing to the low survival rates among lung cancer patients, it is essential to detect and treat cancer at an early stage. In some countries, positron emission tomography (PET)/X-ray computed tomography (CT) examination is also used for the cancer screening in addition to diagnosis and follow-up of treatment. PET/CT images provide both anatomical and functional information of the lung cancer. However, radiologists must examine a large number of these images and therefore, support tools for the localization of lung nodule are desired. This chapter highlights our recent contributions to a hybrid detection scheme of lung nodules in PET/CT images. In the CT image, a massive region is first detected using a cylindrical nodule enhancement filter (CNEF), which is a cylindrical kernel shaped by contrast enhancement filter. Subsequently, high-uptake regions detected by the PET images are merged with the region detected by the CT image. False positives (FPs) among the leading candidates are eliminated by a rule-based classifier and three support vector machines based on the characteristic features obtained from CT and PET images. Experimentally, the detection capability was evaluated using 100 cases of PET/CT images. As a result, the sensitivity in detecting candidates was 83%, with 5 FPs/case. These results indicate that the proposed hybrid method may be useful for the computer-aided detection of lung cancer in clinical practice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Centers for disease control and prevention (2012) 1999–2012 Cancer Incidence and Mortality Data. https://www.nccd.cdc.gov/uscs/

  2. Ferlay J, Shin HR, Bray F, Forman D, Mathers C and Parkin DM
(2008) GLOBOCAN 2008 v2.0, cancer incidence and mortality worldwide: IARC CancerBase No. 10. https://www.globocan.iarc.fr

  3. Bartjan, H., Cornelia, S., Hester, A.G., Pim, A.J., Bram, G., et al.: Screening for lung cancer with digital chest radiography: Sensitivity and number of secondary work-up CT examinations. Radiology 255(2), 629–637 (2010)

    Article  Google Scholar 

  4. Sone, S., Takashima, S., Li, F., Yang, Z., Honda, T., et al.: Mass screening for lung cancer with mobile spiral computed tomography scanner. Lancet 351, 1242–1245 (1998)

    Article  Google Scholar 

  5. The National lung screening trial research team: Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med 365, 395–409 (2011)

    Article  Google Scholar 

  6. Ide, M., Suzuki, Y.: Is whole-body FDG-PET valuable for health screening? Eur J Nucl Med Mol Imaging 32(3), 339–341 (2005)

    Article  Google Scholar 

  7. Lee, J.W., Kang, K.W., Paeng, J.C., Lee, S.M., Jang, S.J., et al.: Cancer screening using 18F-FDG PET/CT in Korean asymptomatic volunteers: a preliminary report. Ann Nucl Med 23(7), 685–691 (2009)

    Article  Google Scholar 

  8. Wever, W., Meylaerts, L., Ceuninck, L., Stroobants, S., Verschakelen, J.A.: Additional value of integrated PET-CT in the detection and characterization of lung metastases: correlation with CT alone and PET alone. Eur Radiol 17, 467–473 (2007)

    Article  Google Scholar 

  9. Lee, Y., Hara, T., Fujita, H., Itoh, S., Ishigaki, T.: Automated detection of pulmonary nodules in helical CT images based on an improved template-matching technique. IEEE Trans Med Imaging 20(7), 595–604 (2001)

    Article  Google Scholar 

  10. Suzuki K, Armato SG III, Li F, Sone S, Doi K (2003) Massive training artificial neural network (MTANN) for reduction of false positives in computerized detection of lung nodules in low-dose CT. Med Phys 30(7):1602–1617

    Google Scholar 

  11. McNitt-Gray, M.F.: Lung nodules and beyond: approaches, challenges and opportunities in thoracic CAD. Int Congr Ser 1268, 896–901 (2004)

    Article  Google Scholar 

  12. Way, T.W., Hadjiiski, L.M., Sahiner, B., Chan, H.P., Cascade, P.N., et al.: Computer-aided diagnosis of pulmonary nodules on CT scans: segmentation and classification using 3D active contours. Med Phys 33(7), 2323–2337 (2006)

    Article  Google Scholar 

  13. Li Q, Li F, Doi K (2008) Computerized detection of lung nodules in thin-section CT images by use of selective enhancement filters and an automated rule-based classifier. Acad Radiol 15(2):165–175

    Google Scholar 

  14. Messay, T., Hardie, R., Rogers, S.: A new computationally efficient CAD system for pulmonary nodule detection in CT imagery. Med Image Anal 14(3), 390–406 (2010)

    Article  Google Scholar 

  15. Firmino, M., Morais, A.H., Mendoca, R.M., Dantas, M.R., Hekis, H.R.: Computer-aided detection system for lung cancer in computed tomography scans: Review and future prospects. Biomed Eng Online 13(41), 1–16 (2014)

    Google Scholar 

  16. Setio, A.A.A., Jacobs, C., Gelderblom, J., Ginneken, B.: Automatic detection of large pulmonary solid nodules in thoracic CT images. Med Phys 42(10), 5642–5653 (2015)

    Article  Google Scholar 

  17. Han, H., Li, L., Han, F., Song, B., Moore, W., Liang, Z.: Fast and adaptive detection of pulmonary nodules in thoracic CT images using a hierarchical vector quantization scheme. IEEE J Biomed Health 19(2), 648–659 (2015)

    Article  Google Scholar 

  18. Wang, Y.X., Gong, J.S., Suzuki, K., Morcos, S.K.: Evidence-based imaging strategies for solitary pulmonary nodule. J Thorac Dis 6(7), 872–887 (2015)

    Google Scholar 

  19. Teramoto, A., Fujita, H.: Fast lung nodule detection in chest CT images using cylindrical nodule-enhancement filter. Int J CARS 8(2), 182–205 (2013)

    Article  Google Scholar 

  20. Guan H, Kubota T, Huang X, Zhou XS, Turk M (2006) Automatic hot spot detection and segmentation in whole body FDG-PET images. In: Proceedings of IEEE International Conference on Image Processing, pp 85–88

    Google Scholar 

  21. Montgomery, D.W., Amira, A., Zaidi, H.: Fully automated segmentation of oncological PET volumes using a combined multiscale and statistical model. Med Phys 34(2), 722–736 (2007)

    Article  Google Scholar 

  22. Hara T, Kobayashi T, Kawai K, Zhou X, Ito S et al (2008) Automated scoring system of standard uptake value for torso FDG-PET. In: Proceedings of SPIE medical imaging 2008: computer-aided diagnosis, vol 6915, pp 691534–1– 691534-4

    Google Scholar 

  23. Cui Y, Zhao B, Akhurst TJ, Yan J, Schwartz LH et al (2008) CT-guided, automated detection of lung tumors on PET images. In: Proceedings of SPIE medical imaging 2008: computer-aided diagnosis, vol 6915, pp 69152 N-1– 69152 N-6

    Google Scholar 

  24. Ballangan C, Wang X, Eberl S, Fulham M, Feng D (2009) Automated detection and delineation of lung tumors in PET-CT volumes using a lung atlas and iterative mean-SUV threshold. In: Proceedings of SPIE medical imaging 2009: computer-aided diagnosis vol 7259, pp 72593F-1–72593F-8

    Google Scholar 

  25. Song, Y., Cai, W., Huang, H., Wang, X., Zhou, Y., Fulham, M., Feng, D.: Lesion detection and characterization with context driven approximation in thoracic FDG PET-CT images of NSCLC studies. IEEE Trans Med Imag 33(2), 408–421 (2014)

    Article  Google Scholar 

  26. Teramoto A, Fujita H, Tomita Y, Takahashi K, Yamamuro O et al (2011) Hybrid CAD scheme for lung nodule detection in PET/CT images. In: Proceedings of SPIE Medical Imaging 2011: computer-aided diagnosis, vol 7963, pp 7963351–796335-6

    Google Scholar 

  27. Teramoto A, Fujita H, Tomita Y, Takahashi K, Yamamuro O et al (2012) Pulmonary nodule detection in PET/CT images: improved approach using combined nodule detection and hybrid FP reduction. In: Proceedings of SPIE Medical Imaging 2012: computer-aided diagnosis, vol 8315, pp 83152 V-1–83152 V-6

    Google Scholar 

  28. Teramoto, A., Fujita, H., Takahashi, K., Yamamuro, O., Tamaki, T., Nishio, M., Kobayashi, T.: Hybrid method for the detection of pulmonary nodules using positron emission tomography/computed tomography: a preliminary study. Int. J CARS 9, 59–69 (2014)

    Article  Google Scholar 

  29. Armato III, S.G., McLennan, G., Bidaut, L., McNitt-Gray, M.F., Meyer, C.R., et al.: The Lung image database consortium (LIDC) and image database resource initiative (IDRI): A completed reference database of lung nodules on CT scans. Med Phys 38(2), 915–931 (2011)

    Article  Google Scholar 

  30. Kubota, K., Matsuzawa, T., Fujiwara, T., Ito, M., Hatazawa, J., et al.: Differential diagnosis of lung tumor with positron emission tomography: a prospective study. J Nucl Med 31(12), 1927–1933 (1990)

    Google Scholar 

  31. Duhaylongsod, F.G., Lowe, V.J., Patz, E.F., Vaughn, A.L., Coleman, R.E., et al.: Detection of primary and recurrent lung cancer by means of F-18 fluorodeoxyglucose positron emission tomography. J Thorac Cardiovasc Surg 110(1), 130–139 (1995)

    Article  Google Scholar 

  32. Pauwels, E.K., Ribeiro, M.J., Stoot, J.H., McCready, V.R., Bourguignon, M., et al.: FDG accumulation and tumor biology. Nucl Med Biol 25(4), 317–322 (1998)

    Article  Google Scholar 

  33. Keyes, J.W.: SUV: standard uptake or silly useless value? J Nucl Med 36(10), 1836–1839 (1995)

    Google Scholar 

  34. Lowe, V.J., Hoffman, J.M., DeLong, D.M., Patz, E.F., Coleman, R.E.: Semiquantitative and visual analysis of FDG-PET images in pulmonary abnormalities. J Nucl Med 35(11), 1771–1776 (1994)

    Google Scholar 

  35. Cohade, C., Osman, M., Marshall, L.N., Wahl, R.N.: PET-CT: accuracy of PET and CT spatial registration of lung lesions. Eur J Nucl Med Mol Imaging 30(5), 721–726 (2003)

    Article  Google Scholar 

  36. Cristianini, N., Shawe-Taylor, J.: An introduction to support vector machines and other kernel-based learning methods. Cambridge University Press, Cambridge (2000)

    Book  MATH  Google Scholar 

  37. Chang CC, Lin CJ LIBSVM: A library for support vector machines, Software. https://www.csie.ntu.edu.tw/~cjlin/libsvm/

  38. Yamada, N., Kusumoto, M., Maeshima, A., Suzuki, K., Matsuno, Y.: Correlation of the solid part on high-resolution computed tomography with pathological scar in small lung adenocarcinomas. Jpn J Clin Oncol 37(12), 913–917 (2007)

    Article  Google Scholar 

  39. Teramoto, A., Fujita, H., Yamamuro, O., Tamaki, T.: Automated detection of pulmonary nodules in PET/CT images: ensemble false-positive reduction using a convolutional neural network technique. Med Phys 43(6), 2821–2827 (2016)

    Article  Google Scholar 

Download references

Acknowledgements

The authors are grateful to Tsuneo Tamaki, Masami Nishio, Osamu Yamamuro, Katsuaki Takahashi, Toshiki Kobayashi of the Nagoya Radiological Diagnosis Foundation. This research was supported in part by a Grant-in-Aid for Scientific Research on Innovative Areas (#26108005), MEXT, Japan; in part by Tateishi Science and Technology Foundation, Japan.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Atsushi Teramoto .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Teramoto, A., Fujita, H. (2018). Automated Lung Nodule Detection Using Positron Emission Tomography/Computed Tomography. In: Suzuki, K., Chen, Y. (eds) Artificial Intelligence in Decision Support Systems for Diagnosis in Medical Imaging. Intelligent Systems Reference Library, vol 140. Springer, Cham. https://doi.org/10.1007/978-3-319-68843-5_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-68843-5_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68842-8

  • Online ISBN: 978-3-319-68843-5

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics