Evidence map›Paper›PMID 32043812›Full record

ArticleJournal of applied clinical medical physics2020

A technique to generate synthetic CT from MRI for abdominal radiotherapy.

Shu-Hui Hsu, Pamela DuPre, Qi Peng, Wolfgang A Tomé

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

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  12. Machine learning applications in radiation oncology.Physics and imaging in radiation oncology · 2021
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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

4 authors at 2 institutions in 1 country.

Shu-Hui HsuDepartment of Radiation Oncology, Montefiore Medical Center, Bronx, NY, USA.
Pamela DuPreDepartment of Radiation Oncology, Montefiore Medical Center, Bronx, NY, USA.
Qi PengGruss Magnetic Resonance Research Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Wolfgang A ToméDepartment of Radiation Oncology, Montefiore Medical Center, Bronx, NY, USA.
Montefiore Medical Center · USResonance Research (United States) · US

Funding

Varian Medical Systems
6 · The paper itself

Abstract

purposeTo investigate a method to classify tissues types for synthetic CT generation using MRI for treatment planning in abdominal radiotherapy.

methodsAn institutional review board approved volunteer study was performed on a 3T MRI scanner. In-phase, fat and water images were acquired for five volunteers with breath-hold using an mDixon pulse sequence. A method to classify different tissue types for synthetic CT generation in the abdomen was developed. Three tissue clusters (fat, high-density tissue, and spine/air/lungs) were generated using a fuzzy-c means clustering algorithm. The third cluster was further segmented into three sub-clusters that represented spine, air, and lungs. Therefore, five segments were automatically generated. To evaluate segmentation accuracy using the method, the five segments were manually contoured on MRI images as the ground truth, and the volume ratio, Dice coefficient, and Hausdorff distance metric were calculated. The dosimetric effect of segmentation accuracy was evaluated on simulated targets close to air, lungs, and spine using a two-arc volumetric modulated arc therapy (VMAT) technique.

resultsThe volume ratio of auto-segmentation to manual segmentation was 0.88-2.1 for the air segment and 0.72-1.13 for the remaining segments. The range of the Dice coefficient was 0.24-0.83, 0.84-0.93, 0.94-0.98, 0.93-0.96, and 0.76-0.79 for air, fat, lungs, high-density tissue, and spine, respectively. The range of the mean Hausdorff distance was 3-29.1 mm, 0.5-1.3 mm, 0.4-1 mm, 0.7-1.6 mm, and 1.2-1.4 mm for air, fat, lungs, high-density tissue, and spine, respectively. Despite worse segmentation accuracy in air and spine, the dosimetric effect was 0.2% ± 0.2%, with a maximum difference of 0.8% for all target locations.

conclusionA method to generate synthetic CT in the abdomen was developed, and segmentation accuracy and its dosimetric effect were evaluated. Our results demonstrate the potential of using MRI alone for treatment planning in the abdomen.

Indexed as

Magnetic Resonance ImagingRadiotherapy, Intensity-ModulatedTomography, X-Ray ComputedAbdomenAirAlgorithmsCluster AnalysisHumansImage Processing, Computer-AssistedMultimodal ImagingRadiometryRadiotherapyRadiotherapy Planning, Computer-AssistedReproducibility of ResultsMRIradiotherapysegmentation accuracysynthetic CT

Identifiers

PMID32043812
PMCPMC7020981
OpenAlexW3006198585

What OpenQuestion holds

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LicenceCC BY
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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.