Lung nodule conspicuity using unsharp mask filters with storage-phosphor-based computed radiography

Purpose: To compare the performance of various types of unsharp mask filter applied in storage-phosphor-based computed radiography (SR), and to improve the detection of faint nodules of the lung cancer type.Material and Methods: A total of 120 SR radiographs were obtained by means of an anthropomorphous chest phantom and a combination of 3 types of small simulated nodule (5-mm sphere-shaped, and 5-mm and 10-mm hemisphere-shaped) placed on the phantom's surface. Eight combinations of nodule site were selected from 16 predetermined chosen sites, and 5 types of parameter were used for unsharp mask filtering. Eight observers evaluated the images, and the detectability of the lung nodules was evaluated from the images by a ROC analysis.Results: The visibility of the 10-mm hemispherical nodules was nearly equivalent at each site when 5 types of unsharp mask filter were used. The detection of the 5-mm nodules with mid-frequency suppressing and very-low-frequency enhancing filters was better than with a conventio...