Evidence map›Paper›PMID 32235059›Full record

ArticlePhysics in medicine and biology2020

A physics-guided modular deep-learning based automated framework for tumor segmentation in PET.

Kevin H Leung, Wael Marashdeh, Rick Wray, Saeed Ashrafinia, Martin G Pomper, Arman Rahmim, Abhinav K Jha

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 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing 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

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

  1. Guideline
  2. Physical and engineering sciences in medicine · 2025
    Article
  3. Review
  4. Knowledge-Informed Machine Learning for Cancer Diagnosis and Prognosis: A Review.IEEE transactions on automation science and engineering : a publication of the IEEE Robotics and Automation Society · 2025
    Article
  5. Article
  6. Deep Semisupervised Transfer Learning for Fully Automated Whole-Body Tumor Quantification and Prognosis of Cancer on PET/CT.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Need for objective task-based evaluation of AI-based segmentation methods for quantitative PET.Proceedings of SPIE--the International Society for Optical Engineering · 2023
    Article
  14. Article
  15. A task-specific deep-learning-based denoising approach for myocardial perfusion SPECT.Proceedings of SPIE--the International Society for Optical Engineering · 2023
    Article
  16. Review
  17. Article
  18. Article
  19. Nuclear Medicine and Artificial Intelligence: Best Practices for Evaluation (the RELAINCE Guidelines).Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  20. Article
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

7 authors.

Kevin H LeungDepartment of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, United States of America.ORCID 0000-0002-8969-8737
Wael MarashdehDepartment of Radiology and Nuclear Medicine, Jordan University of Science and Technology, Ar Ramtha, Jordan.
Rick WrayMemorial Sloan Kettering Cancer Center, Greater New York City Area, NY, United States of America.
Saeed AshrafiniaThe Russell H. Morgan Department of Radiology, Johns Hopkins University, Baltimore, MD, United States of America.
Martin G PomperDepartment of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, United States of America.
Arman RahmimThe Russell H. Morgan Department of Radiology, Johns Hopkins University, Baltimore, MD, United States of America.ORCID 0000-0002-9980-2403
Abhinav K JhaDepartment of Biomedical Engineering and Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO, United States of America.ORCID 0000-0002-4795-4878

Funding

Training/Dissemination-Resource for Molecular Imaging Agents in Precision MedicineP41EB024495 · NIBIB · UT SOUTHWESTERN MEDICAL CENTER · PI MARTIN G POMPER · 2017 to 2026
$11.8M
Transmission-less attenuation and scatter compensation in myocardial perfusion SPECT with list-mode dataR21EB024647 · NIBIB · WASHINGTON UNIVERSITY · PI JHA, ABHINAV K · 2018 to 2019
$430k
NIBIB NIH HHS P41 EB024495NIBIB NIH HHS R21 EB024647
6 · The paper itself

Abstract

An important need exists for reliable positron emission tomography (PET) tumor-segmentation methods for tasks such as PET-based radiation-therapy planning and reliable quantification of volumetric and radiomic features. To address this need, we propose an automated physics-guided deep-learning-based three-module framework to segment PET images on a per-slice basis. The framework is designed to help address the challenges of limited spatial resolution and lack of clinical training data with known ground-truth tumor boundaries in PET. The first module generates PET images containing highly realistic tumors with known ground-truth using a new stochastic and physics-based approach, addressing lack of training data. The second module trains a modified U-net using these images, helping it learn the tumor-segmentation task. The third module fine-tunes this network using a small-sized clinical dataset with radiologist-defined delineations as surrogate ground-truth, helping the framework learn features potentially missed in simulated tumors. The framework was evaluated in the context of segmenting primary tumors in

Indexed as

Deep LearningPositron-Emission TomographyAutomationHumansImage Processing, Computer-AssistedLung Neoplasms

Identifiers

PMID32235059
PMCPMC12243949

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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.