Evidence map›Paper›PMID 32141618›Full record

ArticleMedical physics2020

CBCT-based synthetic CT generation using deep-attention cycleGAN for pancreatic adaptive radiotherapy.

Yingzi Liu, Yang Lei, Tonghe Wang, Yabo Fu, Xiangyang Tang, Walter J Curran, Tian Liu, Pretesh Patel, Xiaofeng Yang

Abstract read
In one paragraph

Article in Medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing 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

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

  1. Pooled it
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  6. Radiation Oncology-Biology Integration Network: Bridging the Gap between Biological Research and Clinical Practice.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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  14. Deep Learning for CT Synthesis in Radiotherapy.Bioengineering (Basel, Switzerland) · 2025
    Review
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  16. Article
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44 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

9 authors.

Yingzi LiuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Yang LeiDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Tonghe WangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Yabo FuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Xiangyang TangDepartment of Radiology and Imaging Sciences and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Walter J CurranDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Tian LiuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Pretesh PatelDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.
Xiaofeng YangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, 30322, USA.

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 CA215718NIH HHS R01CA215718,Winship Cancer Institute
6 · The paper itself

Abstract

purposeCurrent clinical application of cone-beam CT (CBCT) is limited to patient setup. Imaging artifacts and Hounsfield unit (HU) inaccuracy make the process of CBCT-based adaptive planning presently impractical. In this study, we developed a deep-learning-based approach to improve CBCT image quality and HU accuracy for potential extended clinical use in CBCT-guided pancreatic adaptive radiotherapy.

methodsThirty patients previously treated with pancreas SBRT were included. The CBCT acquired prior to the first fraction of treatment was registered to the planning CT for training and generation of synthetic CT (sCT). A self-attention cycle generative adversarial network (cycleGAN) was used to generate CBCT-based sCT. For the cohort of 30 patients, the CT-based contours and treatment plans were transferred to the first fraction CBCTs and sCTs for dosimetric comparison.

resultsAt the site of abdomen, mean absolute error (MAE) between CT and sCT was 56.89 ± 13.84 HU, comparing to 81.06 ± 15.86 HU between CT and the raw CBCT. No significant differences (P > 0.05) were observed in the PTV and OAR dose-volume-histogram (DVH) metrics between the CT- and sCT-based plans, while significant differences (P < 0.05) were found between the CT- and the CBCT-based plans.

conclusionsThe image similarity and dosimetric agreement between the CT and sCT-based plans validated the dose calculation accuracy carried by sCT. The CBCT-based sCT approach can potentially increase treatment precision and thus minimize gastrointestinal toxicity.

Indexed as

Spiral Cone-Beam Computed TomographyAttentionCone-Beam Computed TomographyHumansPancreasRadiotherapy DosageRadiotherapy Planning, Computer-Assistedadaptive radiotherapyGANCBCT-based synthetic CT generationself-attention cycle

Identifiers

PMID32141618
PMCPMC7762616

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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.