Evidence map›Paper›PMID 25875287›Full record

ArticleEuropean radiology2015

Automated CT-based segmentation and quantification of total intracranial volume.

Carlos Aguilar, Kaijsa Edholm, Andrew Simmons, Lena Cavallin, Susanne Muller, Ingmar Skoog, Elna-Marie Larsson, Rimma Axelsson, Lars-Olof Wahlund, Eric Westman

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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  3. CT-based volumetric measures obtained through deep learning: Association with biomarkers of neurodegeneration.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
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  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carlos AguilarDepartment of Neurobiology, Care Sciences and Society (NVS), Division of Clinical Geriatrics, Karolinska Institute, Novum, Blickagången 6, 14157, Stockholm, Sweden. carlos.aguilar@ki.se.
Kaijsa EdholmDepartment of Clinical Science, Intervention and Technology, Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden.
Andrew SimmonsInstitute of Psychiatry, King's College London, London, UK.
Lena CavallinDepartment of Clinical Science, Intervention and Technology, Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden.
Susanne MullerDepartment of Clinical Science, Intervention and Technology, Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden.
Ingmar SkoogDepartment of Psychiatry and Neurochemistry, The Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Elna-Marie LarssonDepartment of Surgical Sciences, Radiology, Akademiska Sjukhuset, Uppsala University, Uppsala, Sweden.
Rimma AxelssonDepartment of Clinical Science, Intervention and Technology, Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden.
Lars-Olof WahlundDepartment of Neurobiology, Care Sciences and Society (NVS), Division of Clinical Geriatrics, Karolinska Institute, Novum, Blickagången 6, 14157, Stockholm, Sweden.
Eric WestmanDepartment of Neurobiology, Care Sciences and Society (NVS), Division of Clinical Geriatrics, Karolinska Institute, Novum, Blickagången 6, 14157, Stockholm, Sweden.

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
NCATS NIH HHS UL1 TR000077
6 · The paper itself

Abstract

objectivesTo develop an algorithm to segment and obtain an estimate of total intracranial volume (tICV) from computed tomography (CT) images. MATERIALS AND

methodsThirty-six CT examinations from 18 patients were included. Ten patients were examined twice the same day and eight patients twice six months apart (these patients also underwent MRI). The algorithm combines morphological operations, intensity thresholding and mixture modelling. The method was validated against manual delineation and its robustness assessed from repeated imaging examinations. Using automated MRI software, the comparability with MRI was investigated. Volumes were compared based on average relative volume differences and their magnitudes; agreement was shown by a Bland-Altman analysis graph.

resultsWe observed good agreement between our algorithm and manual delineation of a trained radiologist: the Pearson's correlation coefficient was r = 0.94, tICVml[manual] = 1.05 × tICVml[automated] - 33.78 (R(2) = 0.88). Bland-Altman analysis showed a bias of 31 mL and a standard deviation of 30 mL over a range of 1265 to 1526 mL.

conclusionstICV measurements derived from CT using our proposed algorithm have shown to be reliable and consistent compared to manual delineation. However, it appears difficult to directly compare tICV measures between CT and MRI. KEY POINTS: • Automated estimation of tICV is in good agreement with manual tracing. • Consistent tICV estimations from repeated measurements demonstrate the robustness of the algorithm. • Automatically segmented volumes seem less variable than those from manual tracing. • Unbiased and automated tlCV estimation is possible from CT.

Indexed as

AgedAged, 80 and overAlgorithmsBrainFemaleFollow-Up StudiesHumansImage Processing, Computer-AssistedLikelihood FunctionsMagnetic Resonance ImagingMaleMiddle AgedOrgan SizePhantoms, ImagingReproducibility of ResultsRetrospective StudiesComputed tomographyMagnetic resonance imagingMaximum likelihood estimatorSkull strippingTotal intracranial volume

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.