Reliability Report
Two independent instruments. One acquisition event.
Image Reliability
Acquisition-induced measurement variability
Low
±1.2mm
Expected SD (k=2) · range 6.6–9.0 mm
Contributing factors
!
Soft reconstruction kernel
~
Complex boundary geometry
AI Robustness
Protocol estimate · Reference model
Low
This model showed large output changes under clinically realistic protocol
variations. This acquisition profile falls into a protocol region where the
model demonstrated lower robustness during validation.
Reference robustness profile · Tested across reconstruction kernel,
slice thickness, dose, and vendor variation.
Clinical impact
⚠
Lung-RADS threshold risk
Diameter range (6.6–9.0 mm) spans the Lung-RADS 2→3 boundary.
Category assignment unreliable without protocol standardization.
Recommendation
Confirm diameter on equivalent reconstruction before assessing
interval growth or upgrading Lung-RADS category.
Technical details
ARS score 15.4% (95% CI 11.2–19.6%)
Sphericity 0.412
S/V ratio 0.81 mm⁻¹
Boundary ΔHU 184.3 HU (mean |Δ|, 3-voxel shell)
Kernel / Slice / IRB60f · 5.0 mm · ASIR-V 50%
CTDIvol 2.1 mGy
Series UID 1.2.840.114350…4609
Processed 2026-06-18T14:32:07Z · Engine v2.3.1 · RPT-20260618-00274
Image Reliability
Acquisition-induced measurement variability
High
±0.4mm
Expected SD (k=2) · range 17.9–18.7 mm
Contributing factors
✓
Standard reconstruction kernel
✓
Well above resolution limit
✓
Compact, well-defined boundary
AI Robustness
Protocol estimate · Reference model
High
This model showed stable output across clinically realistic protocol
variations. This acquisition profile falls into a protocol region where the
model demonstrated higher robustness during validation.
Reference robustness profile · Tested across reconstruction kernel,
slice thickness, dose, and vendor variation.
Clinical impact
✓
Low threshold risk
Measurement variability unlikely to affect Lung-RADS category or AI output
on repeat or cross-site acquisition.
Recommendation
No protocol adjustment required. Standard interval comparison applies.
Technical details
ARS score 1.8% (95% CI 0.4–3.2%)
Sphericity 0.738
S/V ratio 0.22 mm⁻¹
Boundary ΔHU 41.2 HU (mean |Δ|, 3-voxel shell)
Kernel / Slice / IRB30f · 3.0 mm · ADMIRE 3
CTDIvol 3.4 mGy
Series UID 1.2.276.0.7230010…5162
Processed 2026-06-18T14:32:09Z · Engine v2.3.1 · RPT-20260618-00275