ArticleRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2018
Metal artefact reduction for accurate tumour delineation in radiotherapy.
Article in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The application of metal artifact reduction methods on computed tomography scans for radiotherapy applications: A literature review.Journal of applied clinical medical physics · 2021Pooled it
- Comparison of Titanium and Carbon Fiber-Reinforced Polyetheretherketone Spinal Implants in Postoperative Spine Stereotactic Body Radiation Therapy: A Comprehensive Review of Current Evidence and Future Perspectives.Advances in radiation oncology · 2026Review
- Biomaterials for vertebral body repair: interior augmentation and total replacement-a literature review of bone fusion outcomes in clinical studies.Journal of spine surgery (Hong Kong) · 2026Review
- Dose calculation accuracy with extended CT scales near metal: phantom-patient evaluation using a beam-metal overlap metric.Radiation oncology (London, England) · 2026Article
- Study on the influence of fixed dental prostheses on radiotherapy dose distribution based on dual-layer detector spectral CT imaging.Frontiers in oncology · 2026Article
- Metal artifact reduction in spectral computed tomography for intracavity brachytherapy in cervical cancer patients: a prospective study.Radiation oncology (London, England) · 2025Article
- Practical considerations for handling implants in proton therapy.Journal of applied clinical medical physics · 2025Article
- Dual-Energy Computed Tomography, a New Metal Artifact Reduction Technique for Total Hip Arthroplasty: Is There a Light in the Darkness?Journal of clinical medicine · 2025Review
- Article
- The impact of metal implants on the dose and clinical outcome of radiotherapy (Review).Molecular and clinical oncology · 2024Review
- Gross failure rates and failure modes for a commercial AI-based auto-segmentation algorithm in head and neck cancer patients.Journal of applied clinical medical physics · 2024Article
- Attenuation Correction of Long Axial Field-of-View Positron Emission Tomography Using Synthetic Computed Tomography Derived from the Emission Data: Application to Low-Count Studies and Multiple Tracers.Diagnostics (Basel, Switzerland) · 2023Article
- Evaluation of computed tomography metal artifact and CyberKnife fiducial recognition for novel size fiducial markers.Journal of applied clinical medical physics · 2023Article
- Split-filter dual energy computed tomography radiotherapy: From calibration to image guidance.Physics and imaging in radiation oncology · 2023Article
- Clinical evaluation of vertebral body replacement of carbon fiber-reinforced polyetheretherketone in patients with tumor manifestation of the thoracic and lumbar spine.Acta neurochirurgica · 2023Article
- Combined clustered scan-based metal artifact reduction algorithm (CCS-MAR) for ultrasound-guided cardiac radioablation.Physical and engineering sciences in medicine · 2022Article
- Dental management in head and neck cancers: from intensity-modulated radiotherapy with photons to proton therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Review
- The impact of a metal artefact reduction algorithm on treatment planning for patients undergoing radiotherapy of the pelvis.Physics and imaging in radiation oncology · 2022Article
- Mechanical Fatigue Performance of Patient-Specific Polymer Plates in Oncologic Mandible Reconstruction.Journal of clinical medicine · 2022Article
- Improving radiation physics, tumor visualisation, and treatment quantification in radiotherapy with spectral or dual-energy CT.Journal of applied clinical medical physics · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
background and purposeTwo techniques for metal artefact reduction for computed tomography were studied in order to identify their impact on tumour delineation in radiotherapy. MATERIALS AND
methodsUsing specially designed phantoms containing metal implants (dental, spine and hip) as well as patient images, we investigated the impact of two methods for metal artefact reduction on (A) the size and severity of metal artefacts and the accuracy of Hounsfield Unit (HU) representation, (B) the visual impact of metal artefacts on image quality and (C) delineation accuracy. A metal artefact reduction algorithm (MAR) and two types of dual energy virtual monochromatic (DECT VM) reconstructions were used separately and in combination to identify the optimal technique for each implant site.
resultsThe artefact area and severity was reduced (by 48-76% and 58-79%, MAR and DECT VM respectively) and accurate Hounsfield-value representation was increased by 22-82%. For each energy, the observers preferred MAR over non-MAR reconstructions (p < 0.01 for dental and hip cases, p < 0.05 for the spine case). In addition, DECT VM was preferred for spine implants (p < 0.01). In all cases, techniques that improved target delineation significantly (p < 0.05) were identified.
conclusionsDECT VM and MAR techniques improve delineation accuracy and the optimal of reconstruction technique depends on the type of metal implant.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.