Evidence map›Paper›PMID 32430531›Full record

ArticleSurgical endoscopy2021

Computer-assisted real-time automatic prostate segmentation during TaTME: a single-center feasibility study.

Daichi Kitaguchi, Nobuyoshi Takeshita, Hiroki Matsuzaki, Hiro Hasegawa, Ryoya Honda, Koichi Teramura, Tatsuya Oda, Masaaki Ito

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

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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

8 authors.

Daichi KitaguchiSurgical Device Innovation Office, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Nobuyoshi TakeshitaSurgical Device Innovation Office, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan. ntakeshi@east.ncc.go.jp.
Hiroki MatsuzakiSurgical Device Innovation Office, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Hiro HasegawaSurgical Device Innovation Office, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Ryoya HondaDepartment of Colorectal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Koichi TeramuraDepartment of Colorectal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Tatsuya OdaDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Masaaki ItoSurgical Device Innovation Office, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan. maito@east.ncc.go.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrethral injuries (UIs) are significant complications pertaining to transanal total mesorectal excision (TaTME). It is important for surgeons to identify the prostate during TaTME to prevent UI occurrence; intraoperative image navigation could be considered useful in this regard. This study aims at developing a deep learning model for real-time automatic prostate segmentation based on intraoperative video during TaTME. The proposed model's performance has been evaluated.

methodsThis was a single-institution retrospective feasibility study. Semantic segmentation of the prostate area was performed using a convolutional neural network (CNN)-based approach. DeepLab v3 plus was utilized as the CNN model for the semantic segmentation task. The Dice coefficient (DC), which is calculated based on the overlapping area between the ground truth and predicted area, was utilized as an evaluation metric for the proposed model.

resultsFive hundred prostate images were randomly extracted from 17 TaTME videos, and the prostate area was manually annotated on each image. Fivefold cross-validation tests were performed, and as observed, the average DC value equaled 0.71 ± 0.04, the maximum value being 0.77. Additionally, the model operated at 11 fps, which provides acceptable real-time performance.

conclusionsTo the best of the authors' knowledge, this is the first effort toward realization of computer-assisted TaTME, and results obtained in this study suggest that the proposed deep learning model can be utilized for real-time automatic prostate segmentation. In future endeavors, the accuracy and performance of the proposed model will be improved to enable its use in practical applications, and its capability to reduce UI risks during TaTME will be verified.

Indexed as

Image Processing, Computer-AssistedProstateComputersFeasibility StudiesHumansMaleRetrospective StudiesConvolutional neural networkDeep learningProstate recognitionSemantic segmentationTaTMEUrethral injury

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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.