Medical Image Analysis
Volume 14, Issue 6 , Pages 707-722, December 2010

Comparing and combining algorithms for computer-aided detection of pulmonary nodules in computed tomography scans: The ANODE09 study

  • Bram van Ginneken

      Affiliations

    • Image Sciences Institute, University Medical Center Utrecht, The Netherlands
    • Department of Radiology, Radboud University Nijmegen Medical Centre, The Netherlands
    • Corresponding Author InformationCorresponding author at: Image Sciences Institute, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, The Netherlands. Tel.: + 31 30 250 4635; fax: +31 30 251 3399.
  • ,
  • Samuel G. Armato III

      Affiliations

    • Department of Radiology, University of Chicago, USA
  • ,
  • Bartjan de Hoop

      Affiliations

    • Department of Radiology, University Medical Center Utrecht, The Netherlands
  • ,
  • Saskia van Amelsvoort-van de Vorst

      Affiliations

    • Department of Radiology, University Medical Center Utrecht, The Netherlands
  • ,
  • Thomas Duindam

      Affiliations

    • Image Sciences Institute, University Medical Center Utrecht, The Netherlands
  • ,
  • Meindert Niemeijer

      Affiliations

    • Image Sciences Institute, University Medical Center Utrecht, The Netherlands
  • ,
  • Keelin Murphy

      Affiliations

    • Image Sciences Institute, University Medical Center Utrecht, The Netherlands
  • ,
  • Arnold Schilham

      Affiliations

    • Image Sciences Institute, University Medical Center Utrecht, The Netherlands
  • ,
  • Alessandra Retico

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Pisa, Pisa, Italy
  • ,
  • Maria Evelina Fantacci

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Pisa, Pisa, Italy
    • Dipartimento di Fisica dell’Università di Pisa, Pisa, Italy
  • ,
  • Niccolò Camarlinghi

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Pisa, Pisa, Italy
    • Dipartimento di Fisica dell’Università di Pisa, Pisa, Italy
  • ,
  • Francesco Bagagli

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Pisa, Pisa, Italy
    • Dipartimento di Fisica dell’Università di Pisa, Pisa, Italy
  • ,
  • Ilaria Gori

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Pisa, Pisa, Italy
    • Bracco Imaging S.p.A., Milano, Italy
  • ,
  • Takeshi Hara

      Affiliations

    • Department of Intelligent Image Information, Gifu University Graduate School of Medicine, Gifu, Japan
  • ,
  • Hiroshi Fujita

      Affiliations

    • Department of Intelligent Image Information, Gifu University Graduate School of Medicine, Gifu, Japan
  • ,
  • Gianfranco Gargano

      Affiliations

    • Dipartimento Interateneo ‘M. Merlin’ dell’Univerisità degli Studi di Bari, Italy
    • Istituto Nazionale di Fisica Nucleare, Sezione di Bari, Italy
  • ,
  • Roberto Bellotti

      Affiliations

    • Dipartimento Interateneo ‘M. Merlin’ dell’Univerisità degli Studi di Bari, Italy
    • Istituto Nazionale di Fisica Nucleare, Sezione di Bari, Italy
  • ,
  • Sabina Tangaro

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Bari, Italy
  • ,
  • Lourdes Bolaños

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Torino, Italy
    • Caeden, Cuba
  • ,
  • Francesco De Carlo

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Bari, Italy
  • ,
  • Piergiorgio Cerello

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Torino, Italy
  • ,
  • Sorin Cristian Cheran

      Affiliations

    • Istituto Nazionale di Fisica Nucleare, Sezione di Torino, Italy
  • ,
  • Ernesto Lopez Torres

      Affiliations

    • Caeden, Cuba
  • ,
  • Mathias Prokop

      Affiliations

    • Department of Radiology, University Medical Center Utrecht, The Netherlands
    • Department of Radiology, Radboud University Nijmegen Medical Centre, The Netherlands

Received 14 August 2009; received in revised form 14 May 2010; accepted 25 May 2010. published online 04 June 2010.

Abstract 

Numerous publications and commercial systems are available that deal with automatic detection of pulmonary nodules in thoracic computed tomography scans, but a comparative study where many systems are applied to the same data set has not yet been performed. This paper introduces ANODE09 ( http://anode09.isi.uu.nl), a database of 55 scans from a lung cancer screening program and a web-based framework for objective evaluation of nodule detection algorithms. Any team can upload results to facilitate benchmarking. The performance of six algorithms for which results are available are compared; five from academic groups and one commercially available system. A method to combine the output of multiple systems is proposed. Results show a substantial performance difference between algorithms, and demonstrate that combining the output of algorithms leads to marked performance improvements.

Keywords: Computer-aided detection, Computed tomography, Lung nodules, Lung cancer

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PII: S1361-8415(10)00058-7

doi:10.1016/j.media.2010.05.005

Medical Image Analysis
Volume 14, Issue 6 , Pages 707-722, December 2010