Evidence map›Paper›PMID 31206709›Full record

ArticleMedical physics2019

Paired cycle-GAN-based image correction for quantitative cone-beam computed tomography.

Joseph Harms, Yang Lei, Tonghe Wang, Rongxiao Zhang, Jun Zhou, Xiangyang Tang, Walter J Curran, Tian Liu, Xiaofeng Yang

Open access · greenAbstract read
In one paragraph

Article in Medical physics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 3 pooled it
20.7field-weighted citation impact, top 1% 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

119 citing papers in PubMed, 3 syntheses or guidelines pooled it, 251 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Deep Learning for CT Synthesis in Radiotherapy.Bioengineering (Basel, Switzerland) · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

59 more citing papers are in PubMed but not listed here.

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

9 authors at 1 institution in 1 country.

Joseph HarmsDepartment 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.
Tonghe WangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Rongxiao ZhangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Jun ZhouDepartment 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.
Walter J CurranDepartment of Radiation Oncology 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.
Xiaofeng YangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Emory University · US

Funding

Multiparametric MRI-guided Prostate HDR Brachytherapy with Focal Tumor BoostR01CA215718 · NCI · EMORY UNIVERSITY · PI YANG, XIAOFENG · 2018 to 2022
$1.8M
Department of Defense W81XWH-17-1-0438Dunwoody Golf Club Prostate Cancer ResearchNCI NIH HHS R01 CA215718NIH HHS R01CA215718Prostate Cancer Research Program
6 · The paper itself

Abstract

purposeThe incorporation of cone-beam computed tomography (CBCT) has allowed for enhanced image-guided radiation therapy. While CBCT allows for daily 3D imaging, images suffer from severe artifacts, limiting the clinical potential of CBCT. In this work, a deep learning-based method for generating high quality corrected CBCT (CCBCT) images is proposed.

methodsThe proposed method integrates a residual block concept into a cycle-consistent adversarial network (cycle-GAN) framework, called res-cycle GAN, to learn a mapping between CBCT images and paired planning CT images. Compared with a GAN, a cycle-GAN includes an inverse transformation from CBCT to CT images, which constrains the model by forcing calculation of both a CCBCT and a synthetic CBCT. A fully convolution neural network with residual blocks is used in the generator to enable end-to-end CBCT-to-CT transformations. The proposed algorithm was evaluated using 24 sets of patient data in the brain and 20 sets of patient data in the pelvis. The mean absolute error (MAE), peak signal-to-noise ratio (PSNR), normalized cross-correlation (NCC) indices, and spatial non-uniformity (SNU) were used to quantify the correction accuracy of the proposed algorithm. The proposed method is compared to both a conventional scatter correction and another machine learning-based CBCT correction method.

resultsOverall, the MAE, PSNR, NCC, and SNU were 13.0 HU, 37.5 dB, 0.99, and 0.05 in the brain, 16.1 HU, 30.7 dB, 0.98, and 0.09 in the pelvis for the proposed method, improvements of 45%, 16%, 1%, and 93% in the brain, and 71%, 38%, 2%, and 65% in the pelvis, over the CBCT image. The proposed method showed superior image quality as compared to the scatter correction method, reducing noise and artifact severity. The proposed method produced images with less noise and artifacts than the comparison machine learning-based method.

conclusionsThe authors have developed a novel deep learning-based method to generate high-quality corrected CBCT images. The proposed method increases onboard CBCT image quality, making it comparable to that of the planning CT. With further evaluation and clinical implementation, this method could lead to quantitative adaptive radiation therapy.

Indexed as

Cone-Beam Computed TomographyAlgorithmsImage Processing, Computer-AssistedSignal-To-Noise Ratioadaptive radiation therapycycle-GANdeep learningimage quality improvementquantitative imaging

Identifiers

PMID31206709
PMCPMC7771209
OpenAlexW2952935478

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.