Evidence map›Paper›PMID 33043156›Full record

ArticlePhysics and imaging in radiation oncology2020

A convolutional neural network for contouring metastatic lymph nodes on diffusion-weighted magnetic resonance images for assessment of radiotherapy response.

Oliver J Gurney-Champion, Jennifer P Kieselmann, Kee H Wong, Brian Ng-Cheng-Hin, Kevin Harrington, Uwe Oelfke

Open access · goldAbstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. A Survey on Deep Learning for Precision Oncology.Diagnostics (Basel, Switzerland) · 2022
    Review
  5. Review
  6. Article
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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

6 authors at 2 institutions in 1 country.

Oliver J Gurney-ChampionJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Jennifer P KieselmannJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Kee H WongThe Royal Marsden NHS Foundation Trust, London, United Kingdom.
Brian Ng-Cheng-HinTargeted Therapy Team, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Kevin HarringtonTargeted Therapy Team, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Uwe OelfkeJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Institute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GB

Funding

Cancer Research UK 21993Cancer Research UK 28284
6 · The paper itself

Abstract

background and purposeRetrieving quantitative parameters from magnetic resonance imaging (MRI), e.g. for early assessment of radiotherapy treatment response, necessitates contouring regions of interest, which is time-consuming and prone to errors. This becomes more pressing for daily imaging on MRI-guided radiotherapy systems. Therefore, we trained a deep convolutional neural network to automatically contour involved lymph nodes on diffusion-weighted (DW) MRI of head and neck cancer (HNC) patients receiving radiotherapy. MATERIALS AND

methodsDW-images from 48 HNC patients (18 induction-chemotherapy + chemoradiotherapy; 30 definitive chemoradiotherapy) with 68 involved lymph nodes were obtained on a diagnostic 1.5 T MR-scanner prior to and 2-3 timepoints throughout treatment. A radiation oncologist delineated the lymph nodes on the b = 50 s/mm

resultsIn the definitive chemoradiotherapy patients (n = 96 patients/lymphnodes/timepoints) the DSC was 0.87 (0.81-0.91) [median (1st-3rd quantiles)] and ΔADC was 1.9% (0.8-3.4%) and both remained stable throughout treatment. The network performed worse in the patients receiving induction-chemotherapy (n = 65), with DSC = 0.80 (0.71-0.87) and ΔADC = 3.3% (1.6-8.0%). The network performed well on the MR-Linac data (n = 8) with DSC = 0.80 (0.75-0.82) and ΔADC = 4.0% (0.6-9.1%).

conclusionsWe established accurate automatic contouring of involved lymph nodes for HNC patients on diagnostic and MR-Linac DW-images.

Indexed as

ContouringConvolutional neural networksDeep learningDiffusion magnetic resonance imagingHead and neck neoplasmsLymph nodesMagnetic resonance imagingMR-guided radiotherapyMR-LinacNeural networks, ComputerRadiotherapy

Identifiers

PMID33043156
PMCPMC7536306
OpenAlexW3036315246

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.