Evidence map›Paper›PMID 31867599›Full record

ArticleNeuro-oncology2020

Deep learning-based detection and segmentation-assisted management of brain metastases.

Jie Xue, Bao Wang, Yang Ming, Xuejun Liu, Zekun Jiang, Chengwei Wang, Xiyu Liu, Ligang Chen, Jianhua Qu, Shangchen Xu and 4 more

Abstract read
In one paragraph

Article in Neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 3 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

72 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  8. Deep learning [Clinical and translational radiation oncology · 2026
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12 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

14 authors.

Jie XueSchool of Business, Shandong Normal University, Jinan, China.
Bao WangDepartment of Radiology, Qilu Hospital of Shandong University, Jinan, China.
Yang MingDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Xuejun LiuSchool of Business, Shandong Normal University, Jinan, China.
Zekun JiangShandong Key Laboratory of Medical Physics and Image Processing, School of Physics and Electronics, Shandong Normal University, Jinan, China.
Chengwei WangDepartment of Neurosurgery, the Second Hospital of Shandong University, Jinan, China.
Xiyu LiuDepartment of Radiology, the Affiliated Hospital of Qingdao University Medical College, Qingdao, China.
Ligang ChenDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Jianhua QuSchool of Business, Shandong Normal University, Jinan, China.
Shangchen XuDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Xuqun TangDepartment of Neurosurgery, Huashan Hospital Affiliated to Fudan University, Shanghai, China.
Ying MaoDepartment of Neurosurgery, Huashan Hospital Affiliated to Fudan University, Shanghai, China.
Yingchao LiuDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Dengwang LiShandong Key Laboratory of Medical Physics and Image Processing, School of Physics and Electronics, Shandong Normal University, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree-dimensional T1 magnetization prepared rapid acquisition gradient echo (3D-T1-MPRAGE) is preferred in detecting brain metastases (BM) among MRI. We developed an automatic deep learning-based detection and segmentation method for BM (named BMDS net) on 3D-T1-MPRAGE images and evaluated its performance.

methodsThe BMDS net is a cascaded 3D fully convolution network (FCN) to automatically detect and segment BM. In total, 1652 patients with 3D-T1-MPRAGE images from 3 hospitals (n = 1201, 231, and 220, respectively) were retrospectively included. Manual segmentations were obtained by a neuroradiologist and a radiation oncologist in a consensus reading in 3D-T1-MPRAGE images. Sensitivity, specificity, and dice ratio of the segmentation were evaluated. Specificity and sensitivity measure the fractions of relevant segmented voxels. Dice ratio was used to quantitatively measure the overlap between automatic and manual segmentation results. Paired samples t-tests and analysis of variance were employed for statistical analysis.

resultsThe BMDS net can detect all BM, providing a detection result with an accuracy of 100%. Automatic segmentations correlated strongly with manual segmentations through 4-fold cross-validation of the dataset with 1201 patients: the sensitivity was 0.96 ± 0.03 (range, 0.84-0.99), the specificity was 0.99 ± 0.0002 (range, 0.99-1.00), and the dice ratio was 0.85 ± 0.08 (range, 0.62-0.95) for total tumor volume. Similar performances on the other 2 datasets also demonstrate the robustness of BMDS net in correctly detecting and segmenting BM in various settings.

conclusionsThe BMDS net yields accurate detection and segmentation of BM automatically and could assist stereotactic radiotherapy management for diagnosis, therapy planning, and follow-up.

Indexed as

Brain NeoplasmsDeep LearningHumansImaging, Three-DimensionalMagnetic Resonance ImagingRetrospective Studiesbrain metastasesdeep learningfully convolution networkMRIstereotactic radiotherapy

Identifiers

PMID31867599
PMCPMC7158643

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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.