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CT-based quantitative evaluation of radiation-induced lung fibrosis: a study of interobserver and intraobserver variations

Authors
Heo, J; Cho, O; Noh, OK; Oh, YT; Chun, M; Park, HJ; Kim, MH
Citation
Radiation oncology journal, 32(1):43-47, 2014
Journal Title
Radiation oncology journal
ISSN
2234-19002234-3164
Abstract
Purpose: The degree of radiation-induced lung fibrosis (RILF) can be measured quantitatively by fibrosis volume (VF) on chest computed tomography (CT) scan. The purpose of this study was to investigate the interobserver and intraobserver variability in CT-based measurement of VF.



Materials and Methods: We selected 10 non-small cell lung cancer patients developed with RILF after postoperative radiation therapy (PORT) and delineated VF on the follow-up chest CT scanned at more than 6 months after radiotherapy. Three radiation oncologists independently delineated VF to investigate the interobserver variability. Three times of delineation of VF was performed by two radiation oncologists for the analysis of intraobserver variability. We analysed the concordance index (CI) and inter/intra-class correlation coefficient (ICC).



Results: The median CI was 0.61 (range, 0.44 to 0.68) for interobserver variability and the median CIs for intraobserver variability were 0.69 (range, 0.65 to 0.79) and 0.61(range, 0.55 to 0.65) by two observers. The ICC for interobserver variability was 0.974 (p < 0.001) and ICCs for intraobserver variability were 0.996 (p < 0.001) and 0.991 (p < 0.001), respectively.



Conclusion: CT-based measurement of VF with patients who received PORT was a highly consistent and reproducible quantitative method between and within observers.
Keywords
Radiation-induced lung fibrosisFibrosis volumeQuantitative CTInterobserver variationIntraobserver variation
DOI
10.3857/roj.2014.32.1.43
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiation Oncology
AJOU Authors
노, 오규오, 영택전, 미선김, 미화박, 혜진
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