Evidence map›Paper›PMID 30179261›Full record

ArticleMedical physics2018

Multienergy element-resolved cone beam CT (MEER-CBCT) realized on a conventional CBCT platform.

Chenyang Shen, Bin Li, Yifei Lou, Ming Yang, Linghong Zhou, Xun Jia

Abstract read
In one paragraph

Article in Medical physics, 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
0.7field-weighted citation impact, top 32% 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, 14 citations in OpenAlex.

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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

6 authors at 4 institutions in 2 countries.

Chenyang ShenDepartment of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Bin LiDepartment of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Yifei LouDepartment of Mathematical Science, University of Texas at Dallas, Dallas, TX, 75080, USA.
Ming YangDepartment of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Linghong ZhouDepartment of Biomedical Engineering, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Xun JiaDepartment of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
The University of Texas Southwestern Medical Center · USSouthern Medical University · CNSun Yat-sen University Cancer Center · CNThe University of Texas at Dallas · US

Funding

Next generation small animal radiation research platformR37CA214639 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI JIA, XUN · 2018 to 2024
$3.8M
Precise image guidance for liver cancer stereotactic body radiotherapy using element-resolved motion-compensated cone beam CTR01CA227289 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI JIA, XUN · 2018 to 2022
$2.0M
Explore random sampling for dose reduction and scatter removal in cone beam CTR21EB021545 · NIBIB · UT SOUTHWESTERN MEDICAL CENTER · PI JIA, XUN, ZHU, LEI · 2016 to 2017
$463k
4D cone beam CT reconstruction for radiotherapy via motion vector optimizationR21EB017978 · NIBIB · UT SOUTHWESTERN MEDICAL CENTER · PI JIA, XUN · 2014 to 2015
$444k
Cancer Prevention and Research Institute of Texas RP160661Ministry of Science and Technology of China 2015BAI01B10National Natural Science Foundation of China 81571771NCI NIH HHS 1R01CA214639NCI NIH HHS 1R01CA227289NCI NIH HHS R01 CA227289NCI NIH HHS R37 CA214639NIBIB NIH HHS 1R21EB021545NIBIB NIH HHS R21 EB017978NIBIB NIH HHS R21 EB021545
6 · The paper itself

Abstract

purposeCone beam CT (CBCT) has been widely used in radiation therapy. However, its main application is still to acquire anatomical information for patient positioning. This study proposes a multienergy element-resolved (MEER) CBCT framework that employs energy-resolved data acquisition on a conventional CBCT platform and then simultaneously reconstructs images of x-ray attenuation coefficients, electron density relative to water (rED), and elemental composition (EC) to support advanced applications.

methodsThe MEER-CBCT framework is realized on a Varian TrueBeam CBCT platform using a kVp-switching scanning scheme. A simultaneous image reconstruction and elemental decomposition model is formulated as an optimization problem. The objective function uses a least square term to enforce fidelity between x-ray attenuation coefficients and projection measurements. Spatial regularization is introduced via sparsity under a tight wavelet-frame transform. Consistency is imposed among rED, EC, and attenuation coefficients and inherently serves as a regularization term along the energy direction. The EC is further constrained by a sparse combination of ECs in a dictionary containing tissues commonly existing in humans. The optimization problem is solved by a novel alternating-direction minimization scheme. The MEER-CBCT framework was tested in a simulation study using an NCAT phantom and an experimental study using a Gammex phantom.

resultsMEER-CBCT framework was successfully realized on a clinical Varian TrueBeam onboard CBCT platform with three energy channels of 80, 100, and 120 kVp. In the simulation study, the attenuation coefficient image achieved a structural similarity index of 0.98, compared to 0.61 for the image reconstructed by the conventional conjugate gradient least square (CGLS) algorithm, primarily because of reduction in artifacts. In the experimental study, the attenuation image obtained a contrast-to-noise ratio ≥60, much higher than that of CGLS results (~16) because of noise reduction. The median errors in rED and EC were 0.5% and 1.4% in the simulation study and 1.4% and 2.3% in the experimental study.

conclusionWe proposed a novel MEER-CBCT framework realized on a clinical CBCT platform. Simulation and experimental studies demonstrated its capability to simultaneously reconstruct x-ray attenuation coefficient, rED, and EC images accurately.

Indexed as

Cone-Beam Computed TomographyImage Processing, Computer-AssistedPhantoms, Imagingcone beam CTdictionaryelemental-resolved reconstructioniterative algorithmkVp-switchingmulti-energy

Identifiers

PMID30179261
PMCPMC6553481
OpenAlexW2889758266

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.