Evidence map›Paper›PMID 26233223›Full record

ArticleMedical physics2015

Generation of brain pseudo-CTs using an undersampled, single-acquisition UTE-mDixon pulse sequence and unsupervised clustering.

Kuan-Hao Su, Lingzhi Hu, Christian Stehning, Michael Helle, Pengjiang Qian, Cheryl L Thompson, Gisele C Pereira, David W Jordan, Karin A Herrmann, Melanie Traughber and 2 more

Abstract read
In one paragraph

Article in Medical physics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Article
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  7. Review
  8. Abdominopelvic MR to CT registration using a synthetic CT intermediate.Journal of applied clinical medical physics · 2022
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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

12 authors.

Kuan-Hao SuCase Center for Imaging Research, Case Western Reserve University, Cleveland, Ohio 44106 and Department of Radiology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio 44106.
Lingzhi HuPhilips Healthcare, Cleveland, Ohio 44143.
Christian StehningPhilips Research, Hamburg 22335, Germany.
Michael HellePhilips Research, Hamburg 22335, Germany.
Pengjiang QianSchool of Digital Media, Jiangnan University, Jiangsu 214122, China.
Cheryl L ThompsonDepartments of Family Medicine and Community Health and Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio 44106 and Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio 44106.
Gisele C PereiraDepartment of Radiation Oncology, University Hospitals Seidman Cancer Center, Case Western Reserve University, Cleveland, Ohio 44106.
David W JordanDepartment of Radiology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio 44106.
Karin A HerrmannDepartment of Radiology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio 44106 and Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio 44106.
Melanie TraughberPhilips Healthcare, Cleveland, Ohio 44143.
Raymond F MuzicCase Center for Imaging Research, Case Western Reserve University, Cleveland, Ohio 44106; Department of Radiology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio 44106; and Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio 44106.
Bryan J TraughberDepartment of Radiation Oncology, University Hospitals Seidman Cancer Center, Case Western Reserve University, Cleveland, Ohio 44106.

Funding

Accurate MR-based PET Attenuation Correction for Quantitative Clinical TrialsR01CA196687 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MUZIC, RAYMOND F · 2015 to 2019
$2.4M
NCI NIH HHS R01 CA196687
6 · The paper itself

Abstract

purposeMR-based pseudo-CT has an important role in MR-based radiation therapy planning and PET attenuation correction. The purpose of this study is to establish a clinically feasible approach, including image acquisition, correction, and CT formation, for pseudo-CT generation of the brain using a single-acquisition, undersampled ultrashort echo time (UTE)-mDixon pulse sequence.

methodsNine patients were recruited for this study. For each patient, a 190-s, undersampled, single acquisition UTE-mDixon sequence of the brain was acquired (TE = 0.1, 1.5, and 2.8 ms). A novel method of retrospective trajectory correction of the free induction decay (FID) signal was performed based on point-spread functions of three external MR markers. Two-point Dixon images were reconstructed using the first and second echo data (TE = 1.5 and 2.8 ms). R2(∗) images (1/T2(∗)) were then estimated and were used to provide bone information. Three image features, i.e., Dixon-fat, Dixon-water, and R2(∗), were used for unsupervised clustering. Five tissue clusters, i.e., air, brain, fat, fluid, and bone, were estimated using the fuzzy c-means (FCM) algorithm. A two-step, automatic tissue-assignment approach was proposed and designed according to the prior information of the given feature space. Pseudo-CTs were generated by a voxelwise linear combination of the membership functions of the FCM. A low-dose CT was acquired for each patient and was used as the gold standard for comparison.

resultsThe contrast and sharpness of the FID images were improved after trajectory correction was applied. The mean of the estimated trajectory delay was 0.774 μs (max: 1.350 μs; min: 0.180 μs). The FCM-estimated centroids of different tissue types showed a distinguishable pattern for different tissues, and significant differences were found between the centroid locations of different tissue types. Pseudo-CT can provide additional skull detail and has low bias and absolute error of estimated CT numbers of voxels (-22 ± 29 HU and 130 ± 16 HU) when compared to low-dose CT.

conclusionsThe MR features generated by the proposed acquisition, correction, and processing methods may provide representative clustering information and could thus be used for clinical pseudo-CT generation.

Indexed as

BrainCluster AnalysisFeasibility StudiesHumansMagnetic Resonance ImagingSkullTomography

Identifiers

PMID26233223
PMCPMC5148184

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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.