Review Article

Computer-Aided Diagnosis Systems for Lung Cancer: Challenges and Methodologies

Table 2

Classification component in CADe systems. Studies are ordered by their publication year.

Study Feature/input Classifier/method Database Performance

Giger et al. [123] Geometric features Comparison of geometric features Thick-slice diagnostic CT scans of 8 patients with 47 nodules Sensitivity of 94% with1.25 FPs per case

Kanazawa et al. [81] 8 features Rule based scheme Helical CT scans from 450 patients with 230 nodules
(a total of 15,750 image sections)
Sensitivity of 90%

Armato et al. [9, 124] Nine 2D and 3D features Rule-based scheme and LDA Thick-slice (10 mm) diagnostic CT scans of 43 patients with 171 nodules Sensitivity of 70% with 42.2 FPs per case in a leave-one-out test

Lee et al. [71] 13 features Rule-based scheme and LDA Thick-slice (10 mm) diagnostic CT scans of 20 patients with 98 nodules Sensitivity of 72% with 30.6 FPs per case

Ko and Betke [64] Location and 2 shape features (circularity and roundness) Rule-based scheme Helical CT scans of 16 studies (8 initial and 8 followup) obtained from 8 patients with 370 nodules Sensitivity of 86%

Brown et al. [87] Prior models based on 4 features Fuzzy matching Thick slice (5–10 mm) CT scans of 17 patients with 36 nodules Sensitivity of 86% and 11 FPs per case

Wiemker et al. [72] 4 shape and intensity features NA Thin-slice (1 mm) HRCT scans of 50 subjects (a total of more than 20,000 image sections);
12 scans were reviewed by radiologist with 203 nodules
Sensitivity of 86% with 4.9 FPs per case for nodules with diameter ≥1 mm and sensitivity of 95% with 4.4 FPs per case with diameters ≥2 mm

Gurcan et al. [78] Six 2D and 3D features Rule-based scheme and LDA Thick-slice (2.5–5 mm, mostly 5 mm) diagnostic CT scans of 34 patients with 63 nodules Sensitivity of 84% with 74.4 FPs per case in a leave-one-out test

Suzuki et al. [111] Pixel values in a subregion Multiple MTANNs Thick-slice (10 mm) screening LDCT scans of 63 patients with 71 nodules with solid, partially solid, and nonsolid patterns, including 66 cancers Sensitivity of 80.3% with 4.8 FPs per case in a validation test

Mekada et al. [63] Minimum directional difference filter Rule-based scheme CT scans of 6 subjects with 361 nodules (160–350 sections per case) Sensitivity of 71% and 7.4 FPs per case

Arimura et al. [116] Pixel values in a subregion for MTANNs (selected features for LDA) Rule-based scheme followed by multiple MTANNs (or LDA with Wilks' lambda stepwise feature selection) 106 thick-slice (10 mm) screening LDCT scans of 73 patients with 109 cancers with solid, partially solid, and nonsolid patterns Sensitivity of 83% with 5.8 FPs per case in a validation test (or a leave-one-out test for LDA)

Awai et al. [74] 6 geometric features Artificial neural network classier CT scans of 82 patients with 78 nodules (a total of 3,556 image sections) Sensitivity of 80% with 0.87 FPs per section

Paik et al. [69] SNO method that describes the shape and geometry Rule-based scheme CT scans of 8 patients Sensitivity of 90% with 5.6 FPs per case in a cross validation test

Farag et al. [125, 126] NA Template modeling approach using LS Thin-slice (2.5 mm) screening LDCT scans of 16 patients with 119 nodules and 34 normal patients Sensitivity of 93% with 3.4 FPs per case

Ge et al. [127] 44 features including 3D gradient field descriptors and ellipsoid features LDA with Wilks' lambda stepwise feature selection 82 thin-slice (1.0–2.5 mm) CT scans of 56 patients with 116 solid nodules Sensitivity of 80% with 14.7 FPs per case in a leave-one-out test

Mendonca et al. [70] Geometric and intensity models combined with eigen curvature analysis Rule-based scheme Thin-slice (1.25 and 2.5 mm) CT scans of 242 exams from two institutions: 50 CT scans with 109 nodule and 192 CT scans with 210 nodules Sensitivity of 67.5% and 9.3 FPs per case for data from the first 50 CT scans and sensitivity of 62.9% and 10.3 FPs per case for the second 192 CT scans in a leave-one-out test

Matsumoto et al. [128] 8 features LDA Thick-slice (5 or 7 mm) diagnostic CT scans of 5 patients (4 of which used contrast media) with 50 nodules Sensitivity of 90% with 64.1 FPs per case in a leave-one-out test

Yuan et al. [129] NA ImageChecker CT LN-1000 by R2 Technology Thin-slice (1.25 mm) CT scans of 150 patients with 628 nodules Sensitivity of 73% with 3.2 FPs per case in an independent test

Pu et al. [130] NA Scoring method based on the similarity distance combined with a marching cube algorithm Thin-slice (2.5 mm) screening CT scans of 52 patients with 184 nodules including 16 nonsolid nodules Sensitivity of 81.5% with 6.5 FPs per case

Retico et al. [131] Pixel values in a subvolume Voxel-based neural approach (MTANN) Thin-slice (1 mm) screening CT scans of 39 patients with 102 nodules Sensitivities of 80–85% with 10–13 FPs per case

Ye et al. [15] 15 features Rule-based scheme followed by a weighted SVM Thin-slice (1 mm) screening CT scans of 54 patients with 118 nodules including 17 non-solid nodules Sensitivity of 90.2% with 8.2 FPs per case in an independent test

Golosio et al. [132] 42 features from multithreshold ROI Fixed-topology ANN Thin-slice (1.5–3.0 mm) CT scans of 83 patients with 148 nodules that one radiologist detected from the LIDC database Sensitivity of 79% with 4 FPs per case in an independent test

Murphy et al. [133] Features selected from 135 features KNN Thin-slice screening CT scans of 813 patients with 1,525 nodules Sensitivity of 80% with 4.2 FPs per case in an independent test

Messay et al. [134] Features selected from 245 features LDA and quadratic discriminant analysis with feature selection Thin-slice CT scans of 84 patients with 143 nodules from the LIDC database Sensitivity of 83% with 3 FPs per case in a 7-fold cross-validation test

Tan et al. [135] 45 features Feature-selective classifier based on a genetic algorithm and ANNs Thin-slice CT scans of 125 patients with 80 nodules that 4 radiologists agreed from the LIDC database Sensitivity of 87.5% with 4 FPs per case in an independent test

Riccardi et al. [136] Maximum intensity projection data from the volume of interest Heuristic approach (rule-based scheme)
and SVM
Thin-slice CT scans of 154 patients with 117 nodules that
4 radiologists agreed on from the LIDC database
Sensitivity of 71% with 6.5 FPs per case in a 2-fold cross-validation test