Evidence map›Paper›PMID 30948341›Full record

ArticleMedical dosimetry : official journal of the American Association of Medical Dosimetrists

Dosimetric study on learning-based cone-beam CT correction in adaptive radiation therapy.

Tonghe Wang, Yang Lei, Nivedh Manohar, Sibo Tian, Ashesh B Jani, Hui-Kuo Shu, Kristin Higgins, Anees Dhabaan, Pretesh Patel, Xiangyang Tang and 3 more

Abstract read
In one paragraph

Article in Medical dosimetry : official journal of the American Association of Medical Dosimetrists. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Deep learning-based thoracic CBCT correction with histogram matching.Biomedical physics & engineering express · 2021
    Article
  6. Knowledge-based radiation treatment planning: A data-driven method survey.Journal of applied clinical medical physics · 2021
    Review
  7. A review of deep learning based methods for medical image multi-organ segmentation.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2021
    Review
  8. Article
  9. Review
  10. Article
  11. Patterns of practice for adaptive and real-time radiation therapy (POP-ART RT) part II: Offline and online plan adaption for interfractional changes.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2020
    Article
  12. Deep learning in medical image registration: a review.Physics in medicine and biology · 2020
    Review
  13. Article
  14. Machine learning in quantitative PET: A review of attenuation correction and low-count image reconstruction methods.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2020
    Review
  15. Article
  16. Article
  17. Article
  18. Article
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

13 authors.

Tonghe WangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Yang LeiDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Nivedh ManoharDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Sibo TianDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Ashesh B JaniDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Hui-Kuo ShuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Kristin HigginsDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Anees DhabaanDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Pretesh PatelDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Xiangyang TangDepartment of Radiology and Imaging Sciences and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Tian LiuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Walter J CurranDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Xiaofeng YangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA. Electronic address: xyang43@emory.edu.

Funding

Multiparametric MRI-guided Prostate HDR Brachytherapy with Focal Tumor BoostR01CA215718 · NCI · EMORY UNIVERSITY · PI YANG, XIAOFENG · 2018 to 2022
$1.8M
NCI NIH HHS R01 CA215718
6 · The paper itself

Abstract

introductionCone-beam CT (CBCT) image quality is important for its quantitative analysis in adaptive radiation therapy. However, due to severe artifacts, the CBCTs are primarily used for verifying patient setup only so far. We have developed a learning-based image quality improvement method which could provide CBCTs with image quality comparable to planning CTs (pCTs). The accuracy of dose calculations based on these CBCTs is unknown. In this study, we aim to investigate the dosimetric accuracy of our corrected CBCT (CCBCT) in brain stereotactic radiosurgery (SRS) and pelvic radiotherapy. MATERIALS AND

methodsWe retrospectively investigated a total of 32 treatment plans from 22 patients, each of whom with both original treatment pCTs and CBCTs acquired during treatment setup. The CCBCT and original CBCT (OCBCT) were registered to the pCT for generating CCBCT-based and OCBCT-based treatment plans. The original pCT-based plans served as ground truth. Clinically-relevant dose volume histogram (DVH) metrics were extracted from the ground truth, OCBCT-based and CCBCT-based plans for comparison. Gamma analysis was also performed to compare the absorbed dose distributions between the pCT-based and OCBCT/CCBCT-based plans of each patient.

resultsCCBCTs demonstrated better image contrast and more accurate HU ranges when compared side-by-side with OCBCTs. For pelvic radiotherapy plans, the mean dose error in DVH metrics for planning target volume (PTV), bladder and rectum was significantly reduced, from 1% to 0.3%, after CBCT correction. The gamma analysis showed the average pass rate increased from 94.5% before correction to 99.0% after correction. For brain SRS treatment plans, both original and corrected CBCT images were accurate enough for dose calculation, though CCBCT featured higher image quality.

conclusionCCBCTs can provide a level of dose accuracy comparable to traditional pCTs for brain and prostate radiotherapy planning and the correction method proposed here can be useful in CBCT-guided adaptive radiotherapy.

Indexed as

Cone-Beam Computed TomographyMachine LearningPelvisRadiosurgeryBrain NeoplasmsDecision TreesHumansOrgans at RiskQuality ImprovementRadiometryRadiotherapy DosageRadiotherapy Planning, Computer-AssistedRetrospective StudiesAdaptive radiation therapyCone-beam CT

Identifiers

PMID30948341
PMCPMC6773528

What OpenQuestion holds

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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.