Lung volume assessment for mean dark-field coefficient calculation using different determination methods

Abstract Background Accurate lung volume determination is crucial for reliable dark-field imaging. We compared different approaches for the determination of lung volume in mean dark-field coefficient calculation. Methods In this retrospective analysis of data prospectively acquired between October 2...

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Main Authors: Florian T. Gassert, Jule Heuchert, Rafael Schick, Henriette Bast, Theresa Urban, Tina Dorosti, Gregor S. Zimmermann, Sebastian Ziegelmayer, Alexander W. Marka, Markus Graf, Marcus R. Makowski, Daniela Pfeiffer, Franz Pfeiffer
Format: Article
Language:English
Published: SpringerOpen 2025-05-01
Series:European Radiology Experimental
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Online Access:https://doi.org/10.1186/s41747-025-00593-y
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author Florian T. Gassert
Jule Heuchert
Rafael Schick
Henriette Bast
Theresa Urban
Tina Dorosti
Gregor S. Zimmermann
Sebastian Ziegelmayer
Alexander W. Marka
Markus Graf
Marcus R. Makowski
Daniela Pfeiffer
Franz Pfeiffer
author_facet Florian T. Gassert
Jule Heuchert
Rafael Schick
Henriette Bast
Theresa Urban
Tina Dorosti
Gregor S. Zimmermann
Sebastian Ziegelmayer
Alexander W. Marka
Markus Graf
Marcus R. Makowski
Daniela Pfeiffer
Franz Pfeiffer
author_sort Florian T. Gassert
collection DOAJ
description Abstract Background Accurate lung volume determination is crucial for reliable dark-field imaging. We compared different approaches for the determination of lung volume in mean dark-field coefficient calculation. Methods In this retrospective analysis of data prospectively acquired between October 2018 and October 2020, patients at least 18 years of age who underwent chest computed tomography (CT) were screened for study participation. Inclusion criteria were the ability to consent and to stand upright without help. Exclusion criteria were pregnancy, lung cancer, pleural effusion, atelectasis, air space disease, ground-glass opacities, and pneumothorax. Lung volume was calculated using four methods: conventional radiography (CR) using shape information; a convolutional neural network (CNN) trained for CR; CT-based volume estimation; and results from pulmonary function testing (PFT). Results were compared using a Student t-test and Spearman ρ correlation statistics. Results We studied 81 participants (51 men, 30 women), aged 64 ± 12 years (mean ± standard deviation). All lung volumes derived from the various methods were different from each other: CR, 7.27 ± 1.64 L; CNN, 4.91 ± 1.05 L; CT, 5.25 ± 1.36 L; PFT, 6.54 L ± 1.52 L; p < 0.001 for all comparisons. A high positive correlation was found for all combinations (p < 0.001 for all), the highest one being between CT and CR (ρ = 0.88) and the lowest one between PFT and CNN (ρ = 0.78). Conclusion Lung volume and therefore mean dark-field coefficient calculation is highly dependent on the method used, taking into consideration different positioning and inhalation depths. Relevance statement This study underscores the impact of the method used for lung volume determination. In the context of mean dark-field coefficient calculation, CR-based methods are more desirable because both dark-field images and conventional images are acquired at the same breathing state, and therefore, biases due to differences in inhalation depth are eliminated. Key Points Lung volume measurements vary significantly between different determination methods. Mean dark-field coefficient calculations require the same method to ensure comparability. Radiography-based methods simplify workflows and minimize biases, making them most suitable. Graphical Abstract
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spelling doaj-art-0dd9b8f33d124a17b7e9337fe36ff3e02025-08-20T03:48:15ZengSpringerOpenEuropean Radiology Experimental2509-92802025-05-01911910.1186/s41747-025-00593-yLung volume assessment for mean dark-field coefficient calculation using different determination methodsFlorian T. Gassert0Jule Heuchert1Rafael Schick2Henriette Bast3Theresa Urban4Tina Dorosti5Gregor S. Zimmermann6Sebastian Ziegelmayer7Alexander W. Marka8Markus Graf9Marcus R. Makowski10Daniela Pfeiffer11Franz Pfeiffer12Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Chair of Biomedical Physics, Department of Physics, School of Natural Sciences, Technical University of Munich (TUM)Chair of Biomedical Physics, Department of Physics, School of Natural Sciences, Technical University of Munich (TUM)Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Division of Respiratory Medicine, Department of Internal Medicine I, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)Abstract Background Accurate lung volume determination is crucial for reliable dark-field imaging. We compared different approaches for the determination of lung volume in mean dark-field coefficient calculation. Methods In this retrospective analysis of data prospectively acquired between October 2018 and October 2020, patients at least 18 years of age who underwent chest computed tomography (CT) were screened for study participation. Inclusion criteria were the ability to consent and to stand upright without help. Exclusion criteria were pregnancy, lung cancer, pleural effusion, atelectasis, air space disease, ground-glass opacities, and pneumothorax. Lung volume was calculated using four methods: conventional radiography (CR) using shape information; a convolutional neural network (CNN) trained for CR; CT-based volume estimation; and results from pulmonary function testing (PFT). Results were compared using a Student t-test and Spearman ρ correlation statistics. Results We studied 81 participants (51 men, 30 women), aged 64 ± 12 years (mean ± standard deviation). All lung volumes derived from the various methods were different from each other: CR, 7.27 ± 1.64 L; CNN, 4.91 ± 1.05 L; CT, 5.25 ± 1.36 L; PFT, 6.54 L ± 1.52 L; p < 0.001 for all comparisons. A high positive correlation was found for all combinations (p < 0.001 for all), the highest one being between CT and CR (ρ = 0.88) and the lowest one between PFT and CNN (ρ = 0.78). Conclusion Lung volume and therefore mean dark-field coefficient calculation is highly dependent on the method used, taking into consideration different positioning and inhalation depths. Relevance statement This study underscores the impact of the method used for lung volume determination. In the context of mean dark-field coefficient calculation, CR-based methods are more desirable because both dark-field images and conventional images are acquired at the same breathing state, and therefore, biases due to differences in inhalation depth are eliminated. Key Points Lung volume measurements vary significantly between different determination methods. Mean dark-field coefficient calculations require the same method to ensure comparability. Radiography-based methods simplify workflows and minimize biases, making them most suitable. Graphical Abstracthttps://doi.org/10.1186/s41747-025-00593-yLung volume measurementRadiography (thoracic)Respiratory function testsThoraxTomography (x-ray computed)
spellingShingle Florian T. Gassert
Jule Heuchert
Rafael Schick
Henriette Bast
Theresa Urban
Tina Dorosti
Gregor S. Zimmermann
Sebastian Ziegelmayer
Alexander W. Marka
Markus Graf
Marcus R. Makowski
Daniela Pfeiffer
Franz Pfeiffer
Lung volume assessment for mean dark-field coefficient calculation using different determination methods
European Radiology Experimental
Lung volume measurement
Radiography (thoracic)
Respiratory function tests
Thorax
Tomography (x-ray computed)
title Lung volume assessment for mean dark-field coefficient calculation using different determination methods
title_full Lung volume assessment for mean dark-field coefficient calculation using different determination methods
title_fullStr Lung volume assessment for mean dark-field coefficient calculation using different determination methods
title_full_unstemmed Lung volume assessment for mean dark-field coefficient calculation using different determination methods
title_short Lung volume assessment for mean dark-field coefficient calculation using different determination methods
title_sort lung volume assessment for mean dark field coefficient calculation using different determination methods
topic Lung volume measurement
Radiography (thoracic)
Respiratory function tests
Thorax
Tomography (x-ray computed)
url https://doi.org/10.1186/s41747-025-00593-y
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