カナイ タカユキ
  金井 貴幸
   所属   医学部 医学科(東京女子医科大学病院)
   職種   講師
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Evaluation of four-dimensional computed tomography (4D-CT)-based pulmonary ventilation: The high correlation between 4D-CT ventilation and (81m)Kr-planar images was found.
掲載誌名 正式名:Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
略  称:Radiother Oncol
ISSNコード:18790887/01678140
掲載区分国外
巻・号・頁 119(3),pp.444-8
著者・共著者 Kanai Takayuki, Kadoya Noriyuki, Ito Kengo, Kishi Kazuma, Dobashi Suguru, Yamamoto Takaya, Umezawa Rei, Matsushita Haruo, Takeda Ken, Jingu Keiichi
担当区分 筆頭著者
発行年月 2016/06
概要 PURPOSE:To evaluate four-dimensional computed tomography (4D-CT)-derived pulmonary ventilation by comparing with (81m)Kr-gas ventilation (VRI). We also proposed two methods to improve the functional accuracy of 4D-CT ventilation images and evaluated these methods.METHODS AND MATERIALS:Eleven lung cancer patients with 4D-CT and VRI were analyzed. Hounsfield unit-based (VHU) and a Jacobian-based (VJac) 4D-CT ventilation images were calculated. They were evaluated by voxel-by-voxel spearman's rank correlation coefficient (r) between 4D-CT ventilation and VRI images. After applying an averaging ventilation method and a slope calculating method, correlations were also calculated.RESULTS:4D-CT ventilation showed the high correlation to VRI (r=0.875 with VHU). An averaging method brought significantly higher (p=0.012) correlations to nuclear medicine images with VHU. The improvement was not significant (p=0.619) with VJac. Slope calculating method improved the correlation with VHU and slightly worsened the correlation with VJac.CONCLUSIONS:The averaging method we proposed might be useful to improve 4D-CT ventilation images. We found good agreement between 4D-CT ventilation and nuclear medicine ventilation, indicating the high physiologic accuracy of 4D-CT ventilation.
DOI 10.1016/j.radonc.2016.04.030
PMID 27165614