Evidence map›Paper›PMID 30474353›Full record

ArticleJournal of applied clinical medical physics2019

Dosimetric evaluation of an atlas-based synthetic CT generation approach for MR-only radiotherapy of pelvis anatomy.

Reza Farjam, Neelam Tyagi, Joseph O Deasy, Margie A Hunt

Abstract readEvaluation Study
In one paragraph

Article in Journal of applied clinical medical physics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

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  7. The use of PET/MRI in radiotherapy.Insights into imaging · 2024
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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

4 authors.

Reza FarjamDepartment of Radiation Oncology, Weill Cornell Medicine/New York-Presbyterian Hospital, New York, NY, USA.
Neelam TyagiDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Joseph O DeasyDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Margie A HuntDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748NIH
6 · The paper itself

Abstract

purposeTo investigate the potential of an atlas-based approach in generation of synthetic CT for pelvis anatomy.

methodsTwenty-three matched pairs of computed tomography (CT) and magnetic resonance imaging (MRI) scans were selected from a pool of prostate cancer patients. All MR scans were preprocessed to reduce scanner- and patient-induced intensity inhomogeneities and to standardize their intensity histograms. Ten (training dataset) of 23 pairs were then utilized to construct the coregistered CT-MR atlas. The synthetic CT for a new patient is generated by appropriately weighting the deformed atlas of CT-MR onto the new patient MRI. The training dataset was used as an atlas to generate the synthetic CT for the rest of the patients (test dataset). The mean absolute error (MAE) between the deformed planning CT and synthetic CT was computed over the entire CT image, bone, fat, and muscle tissues. The original treatment plans were also recomputed on the new synthetic CTs and dose-volume histogram metrics were compared. The results were compared with a commercially available synthetic CT Software (MRCAT) that is routinely used in our clinic.

resultsMAE errors (±SD) between the deformed planning CT and our proposed synthetic CTs in the test dataset were 47 ± 5, 116 ± 12, 36 ± 6, and 47 ± 5 HU for the entire image, bone, fat, and muscle tissues respectively. The MAEs were 65 ± 5, 172 ± 9, 43 ± 7, and 42 ± 4 HU for the corresponding tissues in MRCAT CT. The dosimetric comparison showed consistent results for all plans using our synthetic CT, deformed planning CT and MRCAT CT.

conclusionWe investigated the potential of a multiatlas approach to generate synthetic CT images for the pelvis. Our results demonstrate excellent results in terms of HU value assignment compared to the original CT and dosimetric consistency.

Indexed as

AlgorithmsAgedAged, 80 and overHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedOrgans at RiskPelvisPrognosisProstatic NeoplasmsRadiometryRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-Assistedbone- and fat-suppressed CTgeneralized registration errorpelvis anatomysynthetic CT

Identifiers

PMID30474353
PMCPMC6333120

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Registered trials

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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.