Title
Longitudinal follow-up study of smoking-induced emphysema progression in low-dose CT screening of lung cancer
Abstract
Chronic obstructive pulmonary disease is a major public health problem that is predicted to be third leading cause of death in 2030. Although spirometry is traditionally used to quantify emphysema progression, it is difficult to detect the loss of pulmonary function by emphysema in early stage, and to assess the susceptibility to smoking. This study presents quantification method of smoking-induced emphysema progression based on annual changes of low attenuation volume (LAV) by each lung lobe acquired from low-dose CT images in lung cancer screening. The method consists of three steps. First, lung lobes are segmented using extracted interlobar fissures by enhancement filter based on four-dimensional curvature. Second, LAV of each lung lobe is segmented. Finally, smoking-induced emphysema progression is assessed by statistical analysis of the annual changes represented by linear regression of LAV percentage in each lung lobe. This method was applied to 140 participants in lung cancer CT screening for six years. The results showed that LAV progressions of nonsmokers, past smokers, and current smokers are different in terms of pack-year and smoking cessation duration. This study demonstrates effectiveness in diagnosis and prognosis of early emphysema in lung cancer CT screening.
Year
DOI
Venue
2014
10.1117/12.2044007
Proceedings of SPIE
Keywords
Field
DocType
emphysema,low dose CT screening,3D image analysis
Lung cancer,Computer vision,Disease,Lung,Lung cancer screening,Spirometry,Pulmonary function testing,Smoking cessation,Artificial intelligence,Radiology,Cause of death,Physics
Conference
Volume
ISSN
Citations 
9035
0277-786X
0
PageRank 
References 
Authors
0.34
1
11
Name
Order
Citations
PageRank
hajime suzuki122.39
mikio matsuhiro254.05
Yoshiki Kawata319254.44
Noboru Niki418866.10
yasuhiko nakano500.34
Hironobu Ohmatsu613845.23
masahiko kusumoto74616.28
takaaki tsuchida804.39
Kenji Eguchi912942.78
Masahiro Kaneko105519.24
Noriyuki Moriyama1114850.47