Evidence map›Paper›PMID 31192695›Full record

ArticleThe British journal of radiology2019

MRI-based treatment planning for liver stereotactic body radiotherapy: validation of a deep learning-based synthetic CT generation method.

Yingzi Liu, Yang Lei, Tonghe Wang, Oluwatosin Kayode, Sibo Tian, Tian Liu, Pretesh Patel, Walter J Curran, Lei Ren, Xiaofeng Yang

Open access · greenAbstract readValidation Study
In one paragraph

Article in The British journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Deep learning in MRI-guided radiation therapy: A systematic review.Journal of applied clinical medical physics · 2024
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

10 authors at 2 institutions in 1 country.

Yingzi Liu1 Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia.
Yang Lei1 Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia.
Tonghe Wang1 Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia.
Oluwatosin Kayode1 Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia.
Sibo Tian1 Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia.
Tian Liu1 Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia.
Pretesh Patel1 Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia.
Walter J Curran1 Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia.
Lei Ren2 Department of Radiation Oncology, Duke University, Durham, North Carolina.
Xiaofeng Yang1 Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia.
Emory University · USDuke University · US

Funding

Multiparametric MRI-guided Prostate HDR Brachytherapy with Focal Tumor BoostR01CA215718 · NCI · EMORY UNIVERSITY · PI YANG, XIAOFENG · 2018 to 2022
$1.8M
A Limited-angle Intra-fractional Verification (LIVE) System for SBRT TreatmentsR01CA184173 · NCI · DUKE UNIVERSITY · PI REN, LEI, YIN, FANG-FANG · 2015 to 2018
$1.5M
NCI NIH HHS R01 CA184173NCI NIH HHS R01 CA215718
6 · The paper itself

Abstract

objectiveThe purpose of this work is to develop and validate a learning-based method to derive electron density from routine anatomical MRI for potential MRI-based SBRT treatment planning.

methodsWe proposed to integrate dense block into cycle generative adversarial network (GAN) to effectively capture the relationship between the CT and MRI for CT synthesis. A cohort of 21 patients with co-registered CT and MR pairs were used to evaluate our proposed method by the leave-one-out cross-validation. Mean absolute error, peak signal-to-noise ratio and normalized cross-correlation were used to quantify the imaging differences between the synthetic CT (sCT) and CT. The accuracy of Hounsfield unit (HU) values in sCT for dose calculation was evaluated by comparing the dose distribution in sCT-based and CT-based treatment planning. Clinically relevant dose-volume histogram metrics were then extracted from the sCT-based and CT-based plans for quantitative comparison.

resultsThe mean absolute error, peak signal-to-noise ratio and normalized cross-correlation of the sCT were 72.87 ± 18.16 HU, 22.65 ± 3.63 dB and 0.92 ± 0.04, respectively. No significant differences were observed in the majority of the planning target volume and organ at risk dose-volume histogram metrics (

conclusionThe image similarity and dosimetric agreement between sCT and original CT warrant further development of an MRI-only workflow for liver stereotactic body radiation therapy. ADVANCES IN KNOWLEDGE: This work is the first deep-learning-based approach to generating abdominal sCT through dense-cycle-GAN. This method can successfully generate the small bony structures such as the rib bones and is able to predict the HU values for dose calculation with comparable accuracy to reference CT images.

Indexed as

Carcinoma, HepatocellularDeep LearningHumansLiverLiver NeoplasmsMagnetic Resonance ImagingRadiosurgeryRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedTomography, X-Ray Computed

Identifiers

PMID31192695
PMCPMC6724629
OpenAlexW2949576325

What OpenQuestion holds

Textmetadata
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.