Evidence map›Paper›PMID 31931556›Full record

ArticleJournal of Korean Neurosurgical Society2020

Spine Computed Tomography to Magnetic Resonance Image Synthesis Using Generative Adversarial Networks : A Preliminary Study.

Jung Hwan Lee, In Ho Han, Dong Hwan Kim, Seunghan Yu, In Sook Lee, You Seon Song, Seongsu Joo, Cheng-Bin Jin, Hakil Kim

Abstract read
In one paragraph

Article in Journal of Korean Neurosurgical Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Artificial Intelligence and Computer Vision in Low Back Pain: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Artificial Intelligence Applications in Musculoskeletal Imaging.Current reviews in musculoskeletal medicine · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Artificial intelligence and spine imaging: limitations, regulatory issues and future direction.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Machine Learning Algorithms in Neuroimaging: An Overview.Acta neurochirurgica. Supplement · 2022
    Review
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.

Jung Hwan LeeDepartment of Neurosurgery, Pusan National University Hospital, Busan, Korea.
In Ho HanDepartment of Neurosurgery, Pusan National University Hospital, Busan, Korea.
Dong Hwan KimDepartment of Neurosurgery, Pusan National University Hospital, Busan, Korea.
Seunghan YuDepartment of Neurosurgery, Pusan National University Hospital, Busan, Korea.
In Sook LeeDepartment of Radiology, Pusan National University Hospital, Busan, Korea.
You Seon SongDepartment of Radiology, Pusan National University Hospital, Busan, Korea.
Seongsu JooTeam Elysium Inc., Seoul, Korea.
Cheng-Bin JinSchool of Information and Communication Engineering, Inha University, Incheon, Korea.
Hakil KimSchool of Information and Communication Engineering, Inha University, Incheon, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo generate synthetic spine magnetic resonance (MR) images from spine computed tomography (CT) using generative adversarial networks (GANs), as well as to determine the similarities between synthesized and real MR images.

methodsGANs were trained to transform spine CT image slices into spine magnetic resonance T2 weighted (MRT2) axial image slices by combining adversarial loss and voxel-wise loss. Experiments were performed using 280 pairs of lumbar spine CT scans and MRT2 images. The MRT2 images were then synthesized from 15 other spine CT scans. To evaluate whether the synthetic MR images were realistic, two radiologists, two spine surgeons, and two residents blindly classified the real and synthetic MRT2 images. Two experienced radiologists then evaluated the similarities between subdivisions of the real and synthetic MRT2 images. Quantitative analysis of the synthetic MRT2 images was performed using the mean absolute error (MAE) and peak signal-to-noise ratio (PSNR).

resultsThe mean overall similarity of the synthetic MRT2 images evaluated by radiologists was 80.2%. In the blind classification of the real MRT2 images, the failure rate ranged from 0% to 40%. The MAE value of each image ranged from 13.75 to 34.24 pixels (mean, 21.19 pixels), and the PSNR of each image ranged from 61.96 to 68.16 dB (mean, 64.92 dB).

conclusionThis was the first study to apply GANs to synthesize spine MR images from CT images. Despite the small dataset of 280 pairs, the synthetic MR images were relatively well implemented. Synthesis of medical images using GANs is a new paradigm of artificial intelligence application in medical imaging. We expect that synthesis of MR images from spine CT images using GANs will improve the diagnostic usefulness of CT. To better inform the clinical applications of this technique, further studies are needed involving a large dataset, a variety of pathologies, and other MR sequence of the lumbar spine.

Indexed as

Computed tomographyDeep learningLumbar vertebraeMagnetic resonance imaging

Identifiers

PMID31931556
PMCPMC7218205

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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.