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Title: LUNGx Challenge for computerized lung nodule classification

Abstract

The purpose of this work is to describe the LUNGx Challenge for the computerized classification of lung nodules on diagnostic computed tomography (CT) scans as benign or malignant and report the performance of participants’ computerized methods along with that of six radiologists who participated in an observer study performing the same Challenge task on the same dataset. The Challenge provided sets of calibration and testing scans, established a performance assessment process, and created an infrastructure for case dissemination and result submission. We present ten groups that applied their own methods to 73 lung nodules (37 benign and 36 malignant) that were selected to achieve approximate size matching between the two cohorts. Area under the receiver operating characteristic curve (AUC) values for these methods ranged from 0.50 to 0.68; only three methods performed statistically better than random guessing. The radiologists’ AUC values ranged from 0.70 to 0.85; three radiologists performed statistically better than the best-performing computer method. The LUNGx Challenge compared the performance of computerized methods in the task of differentiating benign from malignant lung nodules on CT scans, placed in the context of the performance of radiologists on the same task. Lastly, the continued public availability of the Challenge casesmore » will provide a valuable resource for the medical imaging research community.« less

Authors:
 [1];  [1];  [1];  [2];  [3];  [1];  [1];  [4];  [4];  [5];  [4]
  1. Univ. of Chicago, IL (United States). Department of Radiology
  2. Univ. of Michigan, Ann Arbor, MI (United States). Department of Radiology
  3. Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Health Data Sciences Institute, Biomedical Science and Engineering Center
  4. National Cancer Institute, Cancer Imaging Program, Division of Cancer Treatment and Diagnosis, Bethesda, MD (United States)
  5. Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Cancer Imaging Program, Frederick, MD (United States)
Publication Date:
Research Org.:
Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)
Sponsoring Org.:
USDOE
OSTI Identifier:
1338539
Grant/Contract Number:  
AC05-00OR22725
Resource Type:
Accepted Manuscript
Journal Name:
Journal of Medical Imaging
Additional Journal Information:
Journal Volume: 3; Journal Issue: 4; Conference: LUNGx Challenge for computerized lung nodule classification; Journal ID: ISSN 2329-4302
Publisher:
SPIE
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; 97 MATHEMATICS AND COMPUTING

Citation Formats

Armato, Samuel G., Drukker, Karen, Li, Feng, Hadjiiski, Lubomir, Tourassi, Georgia D., Engelmann, Roger M., Giger, Maryellen L., Redmond, George, Farahani, Keyvan, Kirby, Justin S., and Clarke, Laurence P. LUNGx Challenge for computerized lung nodule classification. United States: N. p., 2016. Web. doi:10.1117/1.JMI.3.4.044506.
Armato, Samuel G., Drukker, Karen, Li, Feng, Hadjiiski, Lubomir, Tourassi, Georgia D., Engelmann, Roger M., Giger, Maryellen L., Redmond, George, Farahani, Keyvan, Kirby, Justin S., & Clarke, Laurence P. LUNGx Challenge for computerized lung nodule classification. United States. https://doi.org/10.1117/1.JMI.3.4.044506
Armato, Samuel G., Drukker, Karen, Li, Feng, Hadjiiski, Lubomir, Tourassi, Georgia D., Engelmann, Roger M., Giger, Maryellen L., Redmond, George, Farahani, Keyvan, Kirby, Justin S., and Clarke, Laurence P. Mon . "LUNGx Challenge for computerized lung nodule classification". United States. https://doi.org/10.1117/1.JMI.3.4.044506. https://www.osti.gov/servlets/purl/1338539.
@article{osti_1338539,
title = {LUNGx Challenge for computerized lung nodule classification},
author = {Armato, Samuel G. and Drukker, Karen and Li, Feng and Hadjiiski, Lubomir and Tourassi, Georgia D. and Engelmann, Roger M. and Giger, Maryellen L. and Redmond, George and Farahani, Keyvan and Kirby, Justin S. and Clarke, Laurence P.},
abstractNote = {The purpose of this work is to describe the LUNGx Challenge for the computerized classification of lung nodules on diagnostic computed tomography (CT) scans as benign or malignant and report the performance of participants’ computerized methods along with that of six radiologists who participated in an observer study performing the same Challenge task on the same dataset. The Challenge provided sets of calibration and testing scans, established a performance assessment process, and created an infrastructure for case dissemination and result submission. We present ten groups that applied their own methods to 73 lung nodules (37 benign and 36 malignant) that were selected to achieve approximate size matching between the two cohorts. Area under the receiver operating characteristic curve (AUC) values for these methods ranged from 0.50 to 0.68; only three methods performed statistically better than random guessing. The radiologists’ AUC values ranged from 0.70 to 0.85; three radiologists performed statistically better than the best-performing computer method. The LUNGx Challenge compared the performance of computerized methods in the task of differentiating benign from malignant lung nodules on CT scans, placed in the context of the performance of radiologists on the same task. Lastly, the continued public availability of the Challenge cases will provide a valuable resource for the medical imaging research community.},
doi = {10.1117/1.JMI.3.4.044506},
journal = {Journal of Medical Imaging},
number = 4,
volume = 3,
place = {United States},
year = {Mon Dec 19 00:00:00 EST 2016},
month = {Mon Dec 19 00:00:00 EST 2016}
}

Journal Article:
Free Publicly Available Full Text
Publisher's Version of Record

Figures / Tables:

Figure 1 Figure 1: The interface developed for the observer study allowed a user to raster through all section images of a scan, manipulate the visualization settings, and view relevant patient and image-acquisition information from the image DICOM headers. Nodules for evaluation were demarcated with blue crosshairs. Radiologists used the slider barmore » to mark their assessment of nodule malignancy.« less

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