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자료유형
학술저널
저자정보
Heo, Jaesung (Department of Radiation Oncology, Ajou University School of Medicine) Cho, Oyeon (Department of Radiation Oncology, Ajou University School of Medicine) Noh, O Kyu (Department of Radiation Oncology, Ajou University School of Medicine) O, Young-Taek (Department of Radiation Oncology, Ajou University School of Medicine) Chun, Mison (Department of Radiation Oncology, Ajou University School of Medicine) Kim, Mi-Hwa (Department of Radiation Oncology, Ajou University School of Medicine) Park, Hae-Jin (Department of Radiation Oncology, Ajou University School of Medicine)
저널정보
대한방사선종양학회 Radiation oncology journal : ROJ Radiation oncology journal : ROJ 제32권 제1호
발행연도
2014.1
수록면
43 - 47 (5page)

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Purpose: The degree of radiation-induced lung fibrosis (RILF) can be measured quantitatively by fibrosis volume (VF) on chest computed tomography (CT) scan. The purpose of this study was to investigate the interobserver and intraobserver variability in CT-based measurement of VF. Materials and Methods: We selected 10 non-small cell lung cancer patients developed with RILF after postoperative radiation therapy (PORT) and delineated VF on the follow-up chest CT scanned at more than 6 months after radiotherapy. Three radiation oncologists independently delineated VF to investigate the interobserver variability. Three times of delineation of VF was performed by two radiation oncologists for the analysis of intraobserver variability. We analysed the concordance index (CI) and inter/intra-class correlation coefficient (ICC). Results: The median CI was 0.61 (range, 0.44 to 0.68) for interobserver variability and the median CIs for intraobserver variability were 0.69 (range, 0.65 to 0.79) and 0.61(range, 0.55 to 0.65) by two observers. The ICC for interobserver variability was 0.974 (p < 0.001) and ICCs for intraobserver variability were 0.996 (p < 0.001) and 0.991 (p < 0.001), respectively. Conclusion: CT-based measurement of VF with patients who received PORT was a highly consistent and reproducible quantitative method between and within observers.

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