Evidence map›Paper›PMID 29371120›Full record

ArticleAcademic radiology2018

Coregistration of Preoperative MRI with Ex Vivo Mesorectal Pathology Specimens to Spatially Map Post-treatment Changes in Rectal Cancer Onto In Vivo Imaging: Preliminary Findings.

Jacob Antunes, Satish Viswanath, Justin T Brady, Benjamin Crawshaw, Pablo Ros, Scott Steele, Conor P Delaney, Raj Paspulati, Joseph Willis, Anant Madabhushi

Open access · greenAbstract read
In one paragraph

Article in Academic radiology, 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
0.8field-weighted citation impact, top 23% of its field
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, 13 citations in OpenAlex.

  1. Article
  2. Hypoxia Imaging as a Radiomics Signature in Tumors Using NovelbioRxiv : the preprint server for biology · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Harnessing non-destructive 3D pathology.Nature biomedical engineering · 2021
    Review
  7. Article
  8. Novel Quantitative Imaging for Predicting Response to Therapy: Techniques and Clinical Applications.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2018
    Review
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 at 3 institutions in 1 country.

Jacob AntunesDepartment of Biomedical Engineering, Case Western Reserve University, 309 Wickenden Building, 10900 Euclid Avenue, Cleveland, OH 44106. Electronic address: jacob.antunes@case.edu.
Satish ViswanathDepartment of Biomedical Engineering, Case Western Reserve University, 309 Wickenden Building, 10900 Euclid Avenue, Cleveland, OH 44106.
Justin T BradyDepartment of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio.
Benjamin CrawshawDepartment of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio.
Pablo RosDepartment of Radiology, University Hospitals Case Medical Center, Cleveland, Ohio.
Scott SteeleDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.
Conor P DelaneyDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.
Raj PaspulatiDepartment of Radiology, University Hospitals Case Medical Center, Cleveland, Ohio.
Joseph WillisDepartment of Pathology, University Hospitals Case Medical Center, Cleveland, Ohio.
Anant MadabhushiDepartment of Biomedical Engineering, Case Western Reserve University, 309 Wickenden Building, 10900 Euclid Avenue, Cleveland, OH 44106.
University Hospitals Cleveland Medical Center · USCase Western Reserve University · USCleveland Clinic · US

Funding

Targeting 15-PGDH in Colon Cancer Prognosis, Prediction, Treatment and PreventionP50CA150964 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARKOWITZ, SANFORD D. · 2011 to 2022
$24.6M
Computerized histologic image predictor of cancer outcomeR01CA202752 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI FELDMAN, MICHAEL D, GANESAN, SHRIDAR · 2016 to 2020
$3.1M
MR Fingerprinting and Computerized Decision Support for Prostate CancerR01CA208236 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GULANI, VIKAS, PONSKY, LEE EVAN · 2017 to 2022
$3.0M
Pathology Image Informatics Platform for visualization, analysis and managementU24CA199374 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI GURCAN, METIN NAFI, MADABHUSHI, ANANT · 2015 to 2019
$2.9M
Comprehensive quantitative ultrafast 3D liver MRIR01DK098503 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI GULANI, VIKAS, SEIBERLICH, NICOLE · 2013 to 2017
$2.6M
Histologic image-based aggressiveness prediction in p16+ oropharyngeal carcinomaR21CA179327 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MADABHUSHI, ANANT · 2014 to 2015
$389k
Computerized morphologic-molecular predictor of progression in DCISR21CA195152 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI BADVE, SUNIL S., MADABHUSHI, ANANT · 2015 to 2016
$388k
BIOMEDICAL ENGINEERING RESEARCH FACILITIESC06RR012463 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI KUTINA, KENNETH L · 1997 to 1997
–
NCI NIH HHS P50 CA150964NCI NIH HHS R01 CA202752NCI NIH HHS R01 CA208236NCI NIH HHS R21 CA179327NCI NIH HHS R21 CA195152NCI NIH HHS U24 CA199374NCRR NIH HHS C06 RR012463NIDDK NIH HHS R01 DK098503
6 · The paper itself

Abstract

RATIONALE AND

objectivesThe objective of this study was to develop and quantitatively evaluate a radiology-pathology fusion method for spatially mapping tissue regions corresponding to different chemoradiation therapy-related effects from surgically excised whole-mount rectal cancer histopathology onto preoperative magnetic resonance imaging (MRI). MATERIALS AND

methodsThis study included six subjects with rectal cancer treated with chemoradiation therapy who were then imaged with a 3-T T2-weighted MRI sequence, before undergoing mesorectal excision surgery. Excised rectal specimens were sectioned, stained, and digitized as two-dimensional (2D) whole-mount slides. Annotations of residual disease, ulceration, fibrosis, muscularis propria, mucosa, fat, inflammation, and pools of mucin were made by an expert pathologist on digitized slide images. An expert radiologist and pathologist jointly established corresponding 2D sections between MRI and pathology images, as well as identified a total of 10 corresponding landmarks per case (based on visually similar structures) on both modalities (five for driving registration and five for evaluating alignment). We spatially fused the in vivo MRI and ex vivo pathology images using landmark-based registration. This allowed us to spatially map detailed annotations from 2D pathology slides onto corresponding 2D MRI sections.

resultsQuantitative assessment of coregistered pathology and MRI sections revealed excellent structural alignment, with an overall deviation of 1.50 ± 0.63 mm across five expert-selected anatomic landmarks (in-plane misalignment of two to three pixels at 0.67- to 1.00-mm spatial resolution). Moreover, the T2-weighted intensity distributions were distinctly different when comparing fibrotic tissue to perirectal fat (as expected), but showed a marked overlap when comparing fibrotic tissue and residual rectal cancer.

conclusionsOur fusion methodology enabled successful and accurate localization of post-treatment effects on in vivo MRI.

Indexed as

Magnetic Resonance ImagingAgedAnatomic LandmarksChemoradiotherapy, AdjuvantFemaleFibrosisHumansImage Processing, Computer-AssistedIntra-Abdominal FatMaleMiddle AgedNeoadjuvant TherapyPreliminary DataRectal NeoplasmsRectumcoregistrationpathologyRadiologyrectal cancertreatment response

Identifiers

PMID29371120
PMCPMC6116513
OpenAlexW2787194114

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.