Evidence map›Paper›PMID 31208349›Full record

ArticleBMC medical imaging2019

A potential field segmentation based method for tumor segmentation on multi-parametric MRI of glioma cancer patients.

Ranran Sun, Keqiang Wang, Lu Guo, Chengwen Yang, Jie Chen, Yalin Ti, Yu Sa

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 21 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

7 authors at 3 institutions in 1 country.

Ranran SunDepartment of Biomedical Engineering, Tianjin University, 92 Weijin Road, Tianjin, 300072, China.
Keqiang WangDepartment of Biomedical Engineering, Tianjin University, 92 Weijin Road, Tianjin, 300072, China.
Lu GuoDepartment of Biomedical Engineering, Tianjin University, 92 Weijin Road, Tianjin, 300072, China.
Chengwen YangDepartment of Biomedical Engineering, Tianjin University, 92 Weijin Road, Tianjin, 300072, China.
Jie ChenDepartment of Radiation Oncology, Tianjin Cancer Hospital, Tianjin, 300060, China.
Yalin TiGlobal Research Organization, GE Healthcare, Shanghai, 201203, China.
Yu SaDepartment of Biomedical Engineering, Tianjin University, 92 Weijin Road, Tianjin, 300072, China. sayu@tju.edu.cn.ORCID 0000-0002-9952-2583
Tianjin University · CNTianjin Medical University Cancer Institute and Hospital · CNUnited Imaging Healthcare (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate segmentation of brain tumors is vital for the gross tumor volume (GTV) definition in radiotherapy. Functional MR images like apparent diffusion constant (ADC) and fractional anisotropy (FA) images can provide more comprehensive information for sensitive detection of the GTV. We synthesize anatomical and functional MRI for accurate and semi-automatic segmentation of GTVs and improvement of clinical efficiency.

methodsFour MR image sets including T1-weighted contrast-enhanced (T1C), T2-weighted (T2), apparent diffusion constant (ADC) and fractional anisotropy (FA) images of 5 glioma patients were acquired and registered. A new potential field segmentation (PFS) method was proposed based on the concept of potential field in physics. For T1C, T2 and ADC images, global potential field segmentation (global-PFS) was used on user defined region of interest (ROI) for rough segmentation and then morphologically processed for accurate delineation of the GTV. For FA images, white matter (WM) was removed using local potential field segmentation (local-PFS), and then tumor extent was delineated with region growing and morphological methods. The individual segmentations of multi-parametric images were ensembled into a fused segmentation, considered as final GTV. GTVs were compared with manually delineated ground truth and evaluated with segmentation quality measure (Q), Dice's similarity coefficient (DSC) and Sensitivity and Specificity.

resultsExperimental study with the five patients' data and new method showed that, the mean values of Q, DSC, Sensitivity and Specificity were 0.80 (±0.07), 0.88 (±0.04), 0.92 (±0.01) and 0.88 (±0.05) respectively. The global-PFS used on ROIs of T1C, T2 and ADC images can avoid interferences from skull and other non-tumor areas. Similarity to local-PFS on FA images, it can also reduce the time complexity as compared with the global-PFS on whole image sets.

conclusionsEfficient and semi-automatic segmentation of the GTV can be achieved with the new method. Combination of anatomical and functional MR images has the potential to provide new methods and ideas for target definition in radiotherapy.

Indexed as

AlgorithmsAnisotropyBrain NeoplasmsGliomaHumansImage Processing, Computer-AssistedMultiparametric Magnetic Resonance ImagingSensitivity and SpecificityBrain tumorFunctional magnetic resonance imagingFusionSemi-automatic segmentation

Identifiers

PMID31208349
PMCPMC6580466
OpenAlexW2950132512

What OpenQuestion holds

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LicenceCC BY
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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.