Evidence map›Paper›PMID 32564359›Full record

ArticleMedical physics2020

Registration of presurgical MRI and histopathology images from radical prostatectomy via RAPSODI.

Mirabela Rusu, Wei Shao, Christian A Kunder, Jeffrey B Wang, Simon J C Soerensen, Nikola C Teslovich, Rewa R Sood, Leo C Chen, Richard E Fan, Pejman Ghanouni and 2 more

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

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

  1. Pooled it
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  18. [Bioengineering (Basel, Switzerland) · 2023
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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

12 authors.

Mirabela RusuDepartment of Radiology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
Wei ShaoDepartment of Radiology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
Christian A KunderDepartment of Pathology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
Jeffrey B WangSchool of Medicine, Stanford University, Stanford, CA, 94305, USA.
Simon J C SoerensenDepartment of Urology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
Nikola C TeslovichDepartment of Urology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
Rewa R SoodDepartment of Electrical Engineering, Stanford University, Stanford, CA, 94305, USA.
Leo C ChenDepartment of Urology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
Richard E FanDepartment of Urology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
Pejman GhanouniDepartment of Radiology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
James D BrooksDepartment of Urology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
Geoffrey A SonnDepartment of Radiology, School of Medicine, Stanford University, Stanford, CA, 94305, USA.

Funding

Predoctoral Training in Biomedical Imaging at Stanford UniversityT32EB009653 · NIBIB · STANFORD UNIVERSITY · PI BUTTS-PAULY, KIM · 2010 to 2019
$2.1M
Whole-Brain Oscillatory and Behavioral Responses to Noninvasive Local Ketamine Uncaging in the Medial Prefrontal CortexF30MH119763 · NIMH · STANFORD UNIVERSITY · PI WANG, JEFFREY BOND · 2020 to 2021
$75k
NIBIB NIH HHS T32 EB009653NIMH NIH HHS F30 MH119763Stanford University 5T32 EB009653
6 · The paper itself

Abstract

purposeMagnetic resonance imaging (MRI) has great potential to improve prostate cancer diagnosis; however, subtle differences between cancer and confounding conditions render prostate MRI interpretation challenging. The tissue collected from patients who undergo radical prostatectomy provides a unique opportunity to correlate histopathology images of the prostate with preoperative MRI to accurately map the extent of cancer from histopathology images onto MRI. We seek to develop an open-source, easy-to-use platform to align presurgical MRI and histopathology images of resected prostates in patients who underwent radical prostatectomy to create accurate cancer labels on MRI.

methodsHere, we introduce RAdiology Pathology Spatial Open-Source multi-Dimensional Integration (RAPSODI), the first open-source framework for the registration of radiology and pathology images. RAPSODI relies on three steps. First, it creates a three-dimensional (3D) reconstruction of the histopathology specimen as a digital representation of the tissue before gross sectioning. Second, RAPSODI registers corresponding histopathology and MRI slices. Third, the optimized transforms are applied to the cancer regions outlined on the histopathology images to project those labels onto the preoperative MRI.

resultsWe tested RAPSODI in a phantom study where we simulated various conditions, for example, tissue shrinkage during fixation. Our experiments showed that RAPSODI can reliably correct multiple artifacts. We also evaluated RAPSODI in 157 patients from three institutions that underwent radical prostatectomy and have very different pathology processing and scanning. RAPSODI was evaluated in 907 corresponding histpathology-MRI slices and achieved a Dice coefficient of 0.97 ± 0.01 for the prostate, a Hausdorff distance of 1.99 ± 0.70 mm for the prostate boundary, a urethra deviation of 3.09 ± 1.45 mm, and a landmark deviation of 2.80 ± 0.59 mm between registered histopathology images and MRI.

conclusionOur robust framework successfully mapped the extent of cancer from histopathology slices onto MRI providing labels from training machine learning methods to detect cancer on MRI.

Indexed as

Prostatic NeoplasmsRadiologyHumansMagnetic Resonance ImagingMaleProstateProstatectomySeminal Vesiclescancer labelshistopathologyMRIprostate cancerregistration

Identifiers

PMID32564359
PMCPMC7586964

What OpenQuestion holds

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Registered trials

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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.