Evidence map›Paper›PMID 31851956›Full record

ArticlePhysics in medicine and biology2020

Male pelvic multi-organ segmentation aided by CBCT-based synthetic MRI.

Yang Lei, Tonghe Wang, Sibo Tian, Xue Dong, Ashesh B Jani, David Schuster, Walter J Curran, Pretesh Patel, Tian Liu, Xiaofeng Yang

Abstract read
In one paragraph

Article in Physics in medicine and biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–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

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Deep learning in MRI-guided radiation therapy: A systematic review.Journal of applied clinical medical physics · 2024
    Pooled it
  2. Article
  3. [Advances in low-dose cone-beam computed tomography image reconstruction methods based on deep learning].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Review
  4. Article
  5. Artificial intelligence for treatment delivery: image-guided radiotherapy.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Review
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  11. Bladder Cancer and Artificial Intelligence: Emerging Applications.The Urologic clinics of North America · 2024
    Review
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  18. Artificial Intelligence in Radiation Therapy.IEEE transactions on radiation and plasma medical sciences · 2022
    Article
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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

10 authors.

Yang LeiDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, United States of America.
Tonghe WangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, United States of America.
Sibo TianDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, United States of America.
Xue DongDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, United States of America.
Ashesh B JaniDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, United States of America.
David SchusterDepartment of Radiology and Imaging Sciences and Winship Cancer Institute, Emory University, United States of America.
Walter J CurranDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, United States of America.
Pretesh PatelDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, United States of America.
Tian LiuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, United States of America.
Xiaofeng YangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, United States of America.

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

To develop an automated cone-beam computed tomography (CBCT) multi-organ segmentation method for potential CBCT-guided adaptive radiation therapy workflow. The proposed method combines the deep leaning-based image synthesis method, which generates magnetic resonance images (MRIs) with superior soft-tissue contrast from on-board setup CBCT images to aid CBCT segmentation, with a deep attention strategy, which focuses on learning discriminative features for differentiating organ margins. The whole segmentation method consists of 3 major steps. First, a cycle-consistent adversarial network (CycleGAN) was used to estimate a synthetic MRI (sMRI) from CBCT images. Second, a deep attention network was trained based on sMRI and its corresponding manual contours. Third, the segmented contours for a query patient was obtained by feeding the patient's CBCT images into the trained sMRI estimation and segmentation model. In our retrospective study, we included 100 prostate cancer patients, each of whom has CBCT acquired with prostate, bladder and rectum contoured by physicians with MRI guidance as ground truth. We trained and tested our model with separate datasets among these patients. The resulting segmentations were compared with physicians' manual contours. The Dice similarity coefficient and mean surface distance indices between our segmented and physicians' manual contours (bladder, prostate, and rectum) were 0.95  ±  0.02, 0.44  ±  0.22 mm, 0.86  ±  0.06, 0.73  ±  0.37 mm, and 0.91  ±  0.04, 0.72  ±  0.65 mm, respectively. We have proposed a novel CBCT-only pelvic multi-organ segmentation strategy using CBCT-based sMRI and validated its accuracy against manual contours. This technique could provide accurate organ volume for treatment planning without requiring MR images acquisition, greatly facilitating routine clinical workflow.

Indexed as

AlgorithmsCone-Beam Computed TomographyHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleOrgan SizePelvisProstatic NeoplasmsRectumRetrospective StudiesUrinary Bladder

Identifiers

PMID31851956
PMCPMC7042793

What OpenQuestion holds

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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.