Technical Note: Image filtering to make computer-aided detection robust to image reconstruction kernel choice in lung cancer CT screening
Purpose: In lung cancer computed tomography (CT) screening, the performance of a computer-aided detection (CAD) system depends on the selection of the image reconstruction kernel. To reduce this dependence on reconstruction kernels, the authors propose a novel application of an image filtering method previously proposed by their group. Methods: The proposed filtering process uses the ratio of modulation transfer functions (MTFs) of two reconstruction kernels as a filtering function in the spatial-frequency domain. This method is referred to as MTF{sub ratio} filtering. Test image data were obtained from CT screening scans of 67 subjects who each had one nodule. Images were reconstructed using two kernels: f{sub STD} (for standard lung imaging) and f{sub SHARP} (for sharp edge-enhancement lung imaging). The MTF{sub ratio} filtering was implemented using the MTFs measured for those kernels and was applied to the reconstructed f{sub SHARP} images to obtain images that were similar to the f{sub STD} images. A mean filter and a median filter were applied (separately) for comparison. All reconstructed and filtered images were processed using their prototype CAD system. Results: The MTF{sub ratio} filtered images showed excellent agreement with the f{sub STD} images. The standard deviation for the difference between these images was very small, ∼6.0 Hounsfield units (HU). However, the mean and median filtered images showed larger differences of ∼48.1 and ∼57.9 HU from the f{sub STD} images, respectively. The free-response receiver operating characteristic (FROC) curve for the f{sub SHARP} images indicated poorer performance compared with the FROC curve for the f{sub STD} images. The FROC curve for the MTF{sub ratio} filtered images was equivalent to the curve for the f{sub STD} images. However, this similarity was not achieved by using the mean filter or median filter. Conclusions: The accuracy of MTF{sub ratio} image filtering was verified and the method was demonstrated to be effective for reducing the kernel dependence of CAD performance.