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Improvement in the reproducibility of region of interest using an auditory feedback loop: A pilot assessment using dynamic contrast‐enhanced (DCE) breast MR images
Author(s) -
Chun Hee,
Clymer Bradley,
Sammet Steffen,
Koch Regina M.,
Stevens Robert,
Knopp Michael V.
Publication year - 2008
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.21229
Subject(s) - repeatability , computer science , contrast (vision) , reproducibility , visualization , dynamic contrast , artificial intelligence , computer vision , speech recognition , magnetic resonance imaging , medicine , mathematics , radiology , statistics
Purpose To augment traditional visual data perception of complex multiparametric imaging data sets by adding auditory feedback to improve the delineation of regions of interest (ROIs) in tumor assessment in dynamic contrast‐enhanced (DCE) MRI. Materials and Methods In addition to conventional display methodologies, we have created an application window which interfaces with audio output using dynamically loadable sound modules, providing goodness of fit (GF) information through auditory feedback. We have assessed effectiveness of conveying sound information with three independent readers on eight DCE‐MR breast image data sets. The assessment was based on either conventional visual only mode or combined visual plus auditory mode. For statistical comparison between two sensory approaches, interobserver repeatability was measured with three different criteria. Results Adding auditory feedback improves repeatability significantly ( P < 0.01), and the enhanced sensory approach had higher repeatability than visual only mode in visually complex breast tumor cases. However, in easy and moderate cases, visual only mode was more reproducible than the combined mode with very high significance ( P < 0.001). Conclusion Adding auditory information to visual based image analysis for identifying tumor ROIs provides higher interobserver repeatability for analyzing complex multidimensional/multiparametric medical image data sets with visually difficult lesions to delineate. J. Magn. Reson. Imaging 2007. © 2007 Wiley‐Liss, Inc.