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Polyp Measurement with CT Colonography: Multiple-Reader, Multiple-Workstation Comparison

Brett M. Young1, J. G. Fletcher2, Scott R. Paulsen1, Fargol Booya2, C. Daniel Johnson2, Kristina T. Johnson2,3, Zackary Melton2, Drew Rodysill2,4 and Jay Mandrekar5

1 Mayo Clinic College of Medicine, Rochester, MN 55905.
2 Department of Radiology, Mayo Clinic Rochester, Mayo East 2-B, 200 First St. SW, Rochester, MN 55905.
3 Present address: St. Olaf College, Northfield, MN.
4 Present address: Northwestern University, Evanston, IL.
5 Division of Biostatistics, Mayo Clinic Rochester, Rochester, MN 55905.


Figure 1
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Fig. 1A Colon phantom and artificial polyps. (Reprinted with permission from [10].) CT topogram shows colon phantom submerged in water bath.

 

Figure 2
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Fig. 1B Colon phantom and artificial polyps. (Reprinted with permission from [10].) Photograph shows artificial pedunculated, sessile, and flat polyp structures used in phantom.

 

Figure 3
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Fig. 2A Colon phantom. Two-dimensional axial CT images show method for determining polyp size by measurement of largest diameter of polyp with linear tool. Contiguous images at lung window.

 

Figure 4
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Fig. 2B Colon phantom. Two-dimensional axial CT images show method for determining polyp size by measurement of largest diameter of polyp with linear tool. Contiguous images at lung window.

 

Figure 5
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Fig. 2C Colon phantom. Two-dimensional axial CT images show method for determining polyp size by measurement of largest diameter of polyp with linear tool. Contiguous images at lung window.

 

Figure 6
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Fig. 2D Colon phantom. Two-dimensional axial CT images show method for determining polyp size by measurement of largest diameter of polyp with linear tool. Contiguous images at lung window.

 

Figure 7
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Fig. 2E Colon phantom. Two-dimensional axial CT images show method for determining polyp size by measurement of largest diameter of polyp with linear tool. Contiguous images at lung window.

 

Figure 8
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Fig. 2F Colon phantom. Two-dimensional axial CT images show method for determining polyp size by measurement of largest diameter of polyp with linear tool. Contiguous images at soft-tissue window.

 

Figure 9
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Fig. 2G Colon phantom. Two-dimensional axial CT images show method for determining polyp size by measurement of largest diameter of polyp with linear tool. Contiguous images at soft-tissue window.

 

Figure 10
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Fig. 2H Colon phantom. Two-dimensional axial CT images show method for determining polyp size by measurement of largest diameter of polyp with linear tool. Contiguous images at soft-tissue window.

 

Figure 11
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Fig. 2I Colon phantom. Two-dimensional axial CT images show method for determining polyp size by measurement of largest diameter of polyp with linear tool. Contiguous images at soft-tissue window.

 

Figure 12
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Fig. 3A Colon phantom. Method for determining polyp size. Contiguous sagittal 2D multiplanar reconstruction images with lung window.

 

Figure 13
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Fig. 3B Colon phantom. Method for determining polyp size. Contiguous sagittal 2D multiplanar reconstruction images with lung window.

 

Figure 14
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Fig. 3C Colon phantom. Method for determining polyp size. Contiguous sagittal 2D multiplanar reconstruction images with lung window.

 

Figure 15
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Fig. 3D Colon phantom. Method for determining polyp size. Contiguous sagittal 2D multiplanar reconstruction images with lung window.

 

Figure 16
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Fig. 3E Colon phantom. Method for determining polyp size. Contiguous sagittal 2D multiplanar reconstruction images with lung window.

 

Figure 17
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Fig. 3F Colon phantom. Method for determining polyp size. Contiguous coronal 2D multiplanar reconstruction images at lung window. Line (H) indicates largest diameter of polyp.

 

Figure 18
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Fig. 3G Colon phantom. Method for determining polyp size. Contiguous coronal 2D multiplanar reconstruction images at lung window. Line (H) indicates largest diameter of polyp.

 

Figure 19
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Fig. 3H Colon phantom. Method for determining polyp size. Contiguous coronal 2D multiplanar reconstruction images at lung window. Line (H) indicates largest diameter of polyp.

 

Figure 20
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Fig. 3I Colon phantom. Method for determining polyp size. Contiguous coronal 2D multiplanar reconstruction images at lung window. Line (H) indicates largest diameter of polyp.

 

Figure 21
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Fig. 3J Colon phantom. Method for determining polyp size. Contiguous coronal 2D multiplanar reconstruction images at lung window. Line (H) indicates largest diameter of polyp.

 

Figure 22
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Fig. 3K Colon phantom. Method for determining polyp size. Perspective, volume-rendered images show 3D measurements obtained with Advantage workstation (GE Healthcare).

 

Figure 23
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Fig. 3L Colon phantom. Method for determining polyp size. Perspective, volume-rendered images show 3D measurements obtained with Advantage workstation (GE Healthcare).

 

Figure 24
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Fig. 3M Colon phantom. Method for determining polyp size. Perspective, volume-rendered images show 3D measurements obtained with Advantage workstation (GE Healthcare).

 

Figure 25
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Fig. 3N Colon phantom. Method for determining polyp size. Tissue-cube images show 3D measurements obtained with Vitrea workstation (Vital Images).

 

Figure 26
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Fig. 3O Colon phantom. Method for determining polyp size. Tissue-cube images show 3D measurements obtained with Vitrea workstation (Vital Images).

 

Figure 27
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Fig. 3P Colon phantom. Method for determining polyp size. Tissue-cube images show 3D measurements obtained with Vitrea workstation (Vital Images).

 

Figure 28
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Fig. 4 Box plot shows error values (measured size minus true size) for 65-mAs data set. Box represents 50% of values. Horizontal line = median value, vertical line = range of values, GE = GE Healthcare Advantage workstation, Ax = axial image, L = lung window, ST = soft-tissue window, MPR = multiplanar reconstruction, Siem = Siemens Medical Solutions Wizard workstation, Vital = Vital Images Vitrea workstation.

 

Figure 29
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Fig. 5 Box plot shows error values (measured size minus true size) for 5-mAs data set. Box represents 50% of values. Horizontal line = median value, vertical line = range of values, GE = GE Healthcare Advantage workstation, Ax = axial image, L = lung window, ST = soft-tissue window, MPR = multiplanar reconstruction, Siem = Siemens Medical Solutions Wizard workstation, Vital = Vital Images Vitrea workstation.

 

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