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J. M. Reinhardt, N. D. D'Souza, and E. A. Hoffman. Accurate Measurement of Intra-Thoracic Airways. IEEE Trans. Medical Imaging, vol. 16, no. 6, pp. 820-827, 1997.

Abstract: Airway geometry measurements can provide information regarding pulmonary physiology and pathophysiology. There has been considerable interest in measuring intra-thoracic airways in two-dimensional slices from volumetric X-ray CT. Such measurements can be used to evaluate and track the progression of diseases affecting the airways. A popular airway measurement method uses the ?half-max? criteria, in which the gray level at the airway wall is estimated to be halfway between the minimum and maximum gray levels along a ray crossing the edge. However, because the scanning process introduces blurring, the half-max approach may not be applicable across all airway sizes. We propose a new measurement method based on a model of the scanning process. In our approach, we examine the gray-level profile of a ray crossing the airway wall and use a maximum-likelihood method to estimate the airway inner and outer radius. Using CT scans of a physical phantom, we present results showing that the new approach is more accurate than the half-max method at estimating wall location for thin-walled airways.

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Keywords: airways measurement

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The Reinhardt Biomedical Imaging Lab