Evidence map›Paper›PMID 31538718›Full record

ArticleJournal of applied clinical medical physics2019

Impact of CT reconstruction algorithm on auto-segmentation performance.

Claudia Miller, Daniel Mittelstaedt, Noel Black, Paul Klahr, Siamak Nejad-Davarani, Heinrich Schulz, Liran Goshen, Xiaoxia Han, Ahmed I Ghanem, Eric D Morris and 1 more

Open access · goldAbstract read
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 14 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

11 authors at 6 institutions in 4 countries.

Claudia MillerDepartment of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI, USA.
Daniel MittelstaedtDepartment of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI, USA.
Noel BlackDepartment of CT Imaging Physics, Philips Healthcare, Cleveland, OH, USA.
Paul KlahrDepartment of CT Imaging Physics, Philips Healthcare, Cleveland, OH, USA.
Siamak Nejad-DavaraniDepartment of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI, USA.
Heinrich SchulzPhilips GmbH Innovative Technologies, Hamburg, Germany.
Liran GoshenDepartment of CT Imaging Physics, Philips Healthcare, Cleveland, OH, USA.
Xiaoxia HanDepartment of Public Health Sciences, Henry Ford Health System, Detroit, MI, USA.
Ahmed I GhanemDepartment of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI, USA.
Eric D MorrisDepartment of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI, USA.
Carri Glide-HurstDepartment of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI, USA.
Henry Ford Hospital · USPhilips (Finland) · FIAlexandria University · EGHenry Ford Health System · USPhilips (Germany) · DEWayne State University · US

Funding

Development of Anatomical Patient Models to Facilitate MR-only Treatment PlanningR01CA204189 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI GLIDE-HURST, CARRI KAYE · 2016 to 2020
$1.5M
National Cancer Institute of the National Institutes of Health R01CA204189NCI NIH HHS R01 CA204189
6 · The paper itself

Abstract

Model-based iterative reconstruction (MBIR) reduces CT imaging dose while maintaining image quality. However, MBIR reduces noise while preserving edges which may impact intensity-based tasks such as auto-segmentation. This work evaluates the sensitivity of an auto-contouring prostate atlas across multiple MBIR reconstruction protocols and benchmarks the results against filtered back projection (FBP). Images were created from raw projection data for 11 prostate cancer cases using FBP and nine different MBIR reconstructions (3 protocols/3 noise reduction levels) yielding 10 reconstructions/patient. Five bony structures, bladder, rectum, prostate, and seminal vesicles (SVs) were segmented using an auto-segmentation pipeline that renders 3D binary masks for analysis. Performance was evaluated for volume percent difference (VPD) and Dice similarity coefficient (DSC), using FBP as the gold standard. Nonparametric Friedman tests plus post hoc all pairwise comparisons were employed to test for significant differences (P < 0.05) for soft tissue organs and protocol/level combinations. A physician performed qualitative grading of 396 MBIR contours across the prostate, bladder, SVs, and rectum in comparison to FBP using a six-point scale. MBIR contours agreed with FBP for bony anatomy (DSC ≥ 0.98), bladder (DSC ≥ 0.94, VPD < 8.5%), and prostate (DSC = 0.94 ± 0.03, VPD = 4.50 ± 4.77% (range: 0.07-26.39%). Increased variability was observed for rectum (VPD = 7.50 ± 7.56% and DSC = 0.90 ± 0.08) and SVs (VPD and DSC of 8.23 ± 9.86% range (0.00-35.80%) and 0.87 ± 0.11, respectively). Over the all protocol/level comparisons, a significant difference was observed for the prostate VPD between BSPL1 and BSTL2 (adjusted P-value = 0.039). Nevertheless, 300 of 396 (75.8%) of the four soft tissue structures using MBIR were graded as equivalent or better than FBP, suggesting that MBIR offered potential improvements in auto-segmentation performance when compared to FBP. Future work may involve tuning organ-specific MBIR parameters to further improve auto-segmentation performance. Running title: Impact of CT Reconstruction Algorithm on Auto-segmentation Performance.

Indexed as

AlgorithmsHumansImage Processing, Computer-AssistedMaleOrgans at RiskPrognosisProstatic NeoplasmsRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedRetrospective StudiesTomography, X-Ray Computedauto-segmentationcomputed tomographymodel-based iterative reconstructionreconstruction

Identifiers

PMID31538718
PMCPMC6753741
OpenAlexW2973798265

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.