Evidence map›Paper›PMID 29343204›Full record

ArticleTechnology in cancer research & treatment2018

Automatic Intracranial Segmentation: Is the Clinician Still Needed?

Nicolas Meillan, Jean-Emmanuel Bibault, Julien Vautier, Caroline Daveau-Bergerault, Sarah Kreps, Hélène Tournat, Catherine Durdux, Philippe Giraud

Abstract read
In one paragraph

Article in Technology in cancer research & treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

8 authors.

Nicolas Meillan1 Service de Cancérologie Radiothérapie, Hopital Saint-Louis, Paris, France.
Jean-Emmanuel Bibault2 Service d'Onco-Radiothérapie, Hopital Europeen Georges Pompidou, Paris, France.
Julien Vautier2 Service d'Onco-Radiothérapie, Hopital Europeen Georges Pompidou, Paris, France.
Caroline Daveau-Bergerault2 Service d'Onco-Radiothérapie, Hopital Europeen Georges Pompidou, Paris, France.
Sarah Kreps2 Service d'Onco-Radiothérapie, Hopital Europeen Georges Pompidou, Paris, France.
Hélène Tournat2 Service d'Onco-Radiothérapie, Hopital Europeen Georges Pompidou, Paris, France.
Catherine Durdux2 Service d'Onco-Radiothérapie, Hopital Europeen Georges Pompidou, Paris, France.
Philippe Giraud2 Service d'Onco-Radiothérapie, Hopital Europeen Georges Pompidou, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStereotactic hypofractionated radiotherapy is an effective treatment for brain metastases in oligometastatic patients. Its planning is however time-consuming because of the number of organs at risk to be manually segmented. This study evaluates 2 automated segmentation commercial software.

methodsPatients were scanned in the treatment position. The computed tomography scan was registered on a magnetic resonance imaging and volumes were manually segmented by a clinician. Then 2 automated segmentations were performed (with iPlan and Smart Segmentation). RT STRUCT files were compared with Aquilab's Artistruct segment comparison module. We selected common segmented volume ratio as the main judging criterion. Secondary criteria were Dice-Sørensen coefficients, overlap ratio, and additional segmented volume.

resultsTwenty consecutive patients were included. Agreement between manual and automated contouring was poor. Common segmented volumes ranged from 7.71% to 82.54%, Dice-Sørensen coefficient ranged from 0.0745 to 0.8398, overlap ratio ranged from 0.0414 to 0.7275, and additional segmented volume ranged from 9.80% to 92.25%. Each software outperformed the other on some organs while performing worse on others.

conclusionNo software seemed clearly better than the other. Common segmented volumes were much too low for routine use in stereotactic hypofractionated brain radiotherapy. Manual editing is still needed.

Indexed as

AdultAgedAged, 80 and overAlgorithmsBrain NeoplasmsFemaleHumansImage Processing, Computer-AssistedImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle AgedOrgans at RiskRadiosurgeryRadiotherapy Planning, Computer-AssistedSoftwareautomated segmentationbrainradiation therapyradiosurgery

Identifiers

PMID29343204
PMCPMC5784565

What OpenQuestion holds

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LicenceCC BY-NC
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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.