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Pušeljić, M; Mohorko, B; Počivavšek, T; Moazedi-Fürst, F; Schmid, J; Fuchsjäger, M; Talakić, E.
Effect of slice thickness on quantitative analysis of interstitial lung disease: a retrospective volumetric chest CT study.
Radiol Med. 2025; 130(8):1172-1182 Doi: 10.1007/s11547-025-02023-w [OPEN ACCESS]
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Leading authors Med Uni Graz
Puseljic Marijan
Talakic Emina
Co-authors Med Uni Graz
Fuchsjäger Michael
Moazedi-Fürst Florentine
Schmid Johannes
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Abstract:
INTRODUCTION: High-resolution computed tomography (HRCT) is essential for evaluating interstitial lung disease (ILD). The effect of slice thickness on threshold-based quantification of individual ILD components remains underexplored. This study investigates the effect of slice thickness on ILD quantification using Lung CT Analyzer. METHODS: Retrospective analysis of 53 ILD patients (mean age 64.3 ± 14.1 years) who underwent chest CT scans with HRCT (slice thickness ≤ 1.25 mm) and conventional CT (CCT, ≥ 2.5 mm) reconstructions. Quantitative lung volumes, functional parenchyma, emphysema, ground-glass opacity (GGO), consolidation and affected parenchyma were assessed. The effects of contrast media (CM) application and ILD pattern was assessed separately. RESULTS: Emphysema volume was significantly higher in HRCT compared to CCT for the whole lung (766.9 ± 568.3 mL vs. 482.6 ± 454.4 mL, p < 0.001), the right lung (431.4 ± 314.6 mL vs. 270.2 ± 251.3 mL, p < 0.001), and the left lung (337.3 ± 259.9 mL vs. 228.0 ± 221.5 mL, p < 0.001). Consolidation volumes also differed significantly between HRCT and CCT for the whole lung (271.6 ± 128.4 mL vs. 252.0 ± 126.3 mL, p < 0.001), with similar findings for the right and left lung. Functional volume was underestimated in CCT reconstructions. No significant differences were observed for GGO volumes or overall affected parenchyma. CM application and ILD pattern had no significant interaction on the measurements. CONCLUSION: Slice thickness significantly affects the quantification of functional parenchyma, emphysema and consolidation, whereas GGO and the overall ILD extent remain unaffected.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Lung Diseases, Interstitial - diagnostic imaging
Retrospective Studies - administration & dosage
Middle Aged - administration & dosage
Female - administration & dosage
Male - administration & dosage
Tomography, X-Ray Computed - methods
Aged - administration & dosage
Contrast Media - administration & dosage
Radiographic Image Interpretation, Computer-Assisted - administration & dosage
Lung - diagnostic imaging

Find related publications in this database (Keywords)
Interstitial lung disease
Pulmonary fibrosis
Computed tomography
Quantitative lung analysis
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