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9 March 2010Two-dimensional airway analysis using probabilistic neural networks
Although 3-D airway tree segmentation permits analysis of airway tree paths of practical lengths and facilitates
visual inspection, our group developed and tested an automated computer scheme that was operated on individual 2-D
CT images to detect airway sections and measure their morphometry and/or dimensions. The algorithm computes a set
of airway features including airway lumen area (Ai), airway cross-sectional area (Aw), the ratio (Ra) of Ai to Aw, and the
airway wall thickness (Tw) for each detected airway section depicted on the CT image slice. Thus, this 2-D based
algorithm does not depend on the accuracy of 3-D airway tree segmentation and does not require that CT examination
encompasses the entire lung or reconstructs contiguous images. However, one disadvantage of the 2-D image based
schemes is the lack of the ability to identify the airway generation (Gb) of the detected airway section. In this study, we
developed and tested a new approach that uses 2-D airway features to assign a generation number to an airway. We
developed and tested two probabilistic neural networks (PNN) based on different sets of airway features computed by
our 2-D based scheme. The PNNs were trained and tested on 12 lung CT examinations (8 training and 4 testing). The
accuracy for the PNN that utilized Ai and Ra for identifying the generation of airway sections varies from 55.4% - 100%.
The overall accuracy of the PNN for all detected airway sections that are spread over all generations is 76.7%.
Interestingly, adding wall thickness feature (Tw) to PNN did not improve identification accuracy. This preliminary study
demonstrates that a set of 2-D airway features may be used to identify the generation number of an airway with
reasonable accuracy.
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Jun Tan, Bin Zheng, Sang Cheol Park, Jiantao Pu, Frank C. Sciurba, Joseph K. Leader, "Two-dimensional airway analysis using probabilistic neural networks," Proc. SPIE 7626, Medical Imaging 2010: Biomedical Applications in Molecular, Structural, and Functional Imaging, 762612 (9 March 2010); https://doi.org/10.1117/12.844497