Evidence map›Paper›PMID 27455480›Full record

Trial reportJournal of applied clinical medical physics2016

The feasibility of atlas-based automatic segmentation of MRI for H&N radiotherapy planning.

Kieran Wardman, Robin J D Prestwich, Mark J Gooding, Richard J Speight

Abstract readClinical Trial
In one paragraph

Trial report in Journal of applied clinical medical physics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
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  10. Article
  11. Review
  12. Article
  13. Magnetic Resonance Image-Guided Radiotherapy (MRIgRT): A 4.5-Year Clinical Experience.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2018
    Article
  14. Segmentation of parotid glands from registered CT and MR images.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2018
    Article
  15. Article
  16. Article
  17. Article
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

4 authors.

Kieran WardmanUniversity of Leeds. um11kcw@leeds.ac.uk.
Robin J D Prestwich
Mark J Gooding
Richard J Speight

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atlas-based autosegmentation is an established tool for segmenting structures for CT-planned head and neck radiotherapy. MRI is being increasingly integrated into the planning process. The aim of this study is to assess the feasibility of MRI-based, atlas-based autosegmentation for organs at risk (OAR) and lymph node levels, and to compare the segmentation accuracy with CT-based autosegmentation. Fourteen patients with locally advanced head and neck cancer in a prospective imaging study underwent a T1-weighted MRI and a PET-CT (with dedicated contrast-enhanced CT) in an immobilization mask. Organs at risk (orbits, parotids, brainstem, and spinal cord) and the left level II lymph node region were manually delineated on the CT and MRI separately. A 'leave one out' approach was used to automatically segment structures onto the remaining images separately for CT and MRI. Contour comparison was performed using multiple positional metrics: Dice index, mean distance to conformity (MDC), sensitivity index (Se Idx), and inclusion index (Incl Idx). Automatic segmentation using MRI of orbits, parotids, brainstem, and lymph node level was acceptable with a DICE coefficient of 0.73-0.91, MDC 2.0-5.1mm, Se Idx 0.64-0.93, Incl Idx 0.76-0.93. Segmentation of the spinal cord was poor (Dice coefficient 0.37). The process of automatic segmentation was significantly better on MRI compared to CT for orbits, parotid glands, brainstem, and left lymph node level II by multiple positional metrics; spinal cord segmentation based on MRI was inferior compared with CT. Accurate atlas-based automatic segmentation of OAR and lymph node levels is feasible using T1-MRI; segmentation of the spinal cord was found to be poor. Comparison with CT-based automatic segmentation suggests that the process is equally as, or more accurate, using MRI. These results support further translation of MRI-based segmentation methodology into clinicalpractice.

Indexed as

AdultAgedAlgorithmsCarcinoma, Squamous CellElectronic Data ProcessingFeasibility StudiesHead and Neck NeoplasmsHumansMagnetic Resonance ImagingMiddle AgedModels, AnatomicNeoplasm StagingOrgans at RiskProspective StudiesRadiographic Image Interpretation, Computer-AssistedRadiotherapy, Intensity-Modulated

Identifiers

PMID27455480
PMCPMC5690045

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.