Skip to main content

Table 2 Summary of studies reporting percent Bland–Altman analysis of interscan variability

From: Factors influencing the outcome of volumetry tools for pulmonary nodule analysis: a systematic review and attempted meta-analysis

Ref.

Population

(n)

Independent variable/subgroup

Bias

lowerLOA

upperLOA

[7]

Patients with known pulmonary nodules

     
  

100

Size: all

− 0,90%

− 16,40%

14,60%

  

58

Size: 30–< 80 mm3

− 0.3%

− 16.8%

16.2%

  

42

Size: 80–150 mm3

− 1.7%

− 15.5%

12.3%

[8]

Patients with pulmonary nodules detected on CCTA

195

Cardiac cycle phase (systole vs diastole)

2.65%

− 47.0%

52.3%

[9]

Patients with part− solid nodules

66

Kernel

   
   

Solid component segmentation

− 3.2%

− 45.0%

39.0%

   

Whole nodule segmentation

13,00%

− 21.0%

46.0%

[10]

Patients under surveillance for < 2 mm solid nodules

 

Radiation dose exposure (LDCT vs. ULDCT)

   
 

170

all nodules

− 2.0%

− 18.0%

22.7%

  

97

indeterminate nodules

− 6.0%

− 12.7%

21.9%

  

68

BMI < 25

− 2.5%

− 17.5%

23.6%

  

102

BMI > 25

− 1.0%

− 18.3%

20.8%

[11]

Patients with preoperative scans for subsolid nodules

66

Reconstruction algorithm: FBP vs. MBIR

   
  

solid component segmentation

6.3%

− 51.9%

64.6%

   

whole nodule segmentation

3.2%

− 20.5%

27,00%

[12]

Patients with emphysema

88

Level of inspiration (end-inspiratory vs end-expiratory)

7,5%

− 24,1%

39,1%

[13]

Patients were enrolled prospectively

105

Radiation dose (LDCT vs. ULDCT with FBP or SAFIRE)

   
   

FBP

0.2%

− 20.0%

20.4%

   

SAFIRE

0.3%

− 9.7%

10.4%

[14]

Patients with subsolid nodules

94

intraobserver (R1)

− 1,5%

− 17,3%

16,5%

   

Intraobserver (R2)

0,4%

− 14,8%

18,5%

[15]

Patients retrospectively enrolled

202

Radiation dose exposure (SDCT vs. ULDCT)

   
   

Intraobserver (R1)

1.4%

− 25.1%

26.2%

   

Intraobserver (R2)

1.9%

− 25.1%

28.9%

   

Interobserver (R1 vs R2)

1.2%

− 25,0%

27.4%

   

interobserver (R2 vs R1)

2.1%

− 23.9%

28.1%

[16]

Consecutive patients referred for known or suspected pulmonary metastases (3.3 mm—30 mm)

89

Software

   
  

Software A

0,0%

− 17,0%

17,0%

  

Software B

0,0%

− 13,1%

13,1%

  

Software C

0,0%

− 20,8%

20,8%

  

Software D

0,0%

− 13,4%

13,4%

  

Software E

0,0%

− 20,5%

20,5%

  

Software F

0,0%

− 19,6%

19,6%

[17]

Patients on follow-up for lung cancer or scanned because of suspicious pulmonary nodules

 

Radiation dose exposure (SDCT vs. ULDCT)

   
 

229

Size: all

   
  

Intraobserver (R1)

1.5%

− 25.1%

28.1%

  

Intraobserver (R2)

2,0%

− 26.4%

30.4%

   

Interobserver (R1 vs R2)

1.3%

− 26.5%

29.1%

   

interobserver (R2 vs R1)

2.2%

− 25.2%

29.6%

  

153

size: < 10 mm

   
   

Intraobserver (R1)

2.3%

− 28.5%

33.1%

   

Intraobserver (R2)

2.6%

− 29.4%

34.6%

   

Interobserver (R1 vs R2)

1.9%

− 28.3%

32.1%

   

Interobserver (R2 vs R1)

2.1%

− 29,10%

33.3%

  

76

Size: ≥ 10 mm

   
   

Intraobserver (R1)

1.4%

− 18.6%

21.4%

   

Intraobserver (R2)

0.4%

− 18.6%

19.4%

   

Interobserver (R1 vs R2)

0.4%

− 17,00%

17.8%

   

Interobserver (R2 vs R1)

0.6%

− 18.4%

19.6%

[18]

Patients with known nodules were prospectively enrolled

83

Radiation dose: SDCT vs. LDCT

   
  

SDCT

12.8%

− 27.0%

40.0%

   

LDCT

17.0%

− 38.0%

60.0%

[19]

Patients with contrast-enhanced chest CT

101

Slice thickness: 1 mm

− 0.1%

− 21.6%

20.3%

  

101

Slice thickness: 3 mm

1.0%

− 15.4%

15.2%

  

101

Slice thickness: 5 mm

1.6%

− 21.8%

27.6%

[20]

Patients with pulmonary metastases

218

Segmentation: all

1.3%

− 21.2%

23.8%

  

106

Segmentation: complete

0.28%

− 11.9%

12.4%

  

112

Segmentation: incomplete

1.61%

− 26.8%

30.0%

[21]

Patients with pulmonary metastases

96

Segmentation algorithm

0.0%

− 26.9%

26.9%

[22]

Patients with pulmonary metastases

151

Size: all

0.7%

− 20.4%

21.9%

  

105

Size: < 10 mm

0.55%

− 19.3%

20.4%

  1. The independent variable is the influencing factor (if any) that changes between measurements of each nodule (e.g., standard dose [SDCT], low-dose CT [LDCT] vs. ultra-low-dose CT [ULDCT])