Evidence map›Paper›PMID 33086205›Full record

ArticlePhysics in medicine and biology2020

Deep learning-based medical image segmentation with limited labels.

Weicheng Chi, Lin Ma, Junjie Wu, Mingli Chen, Weiguo Lu, Xuejun Gu

Open access · greenAbstract 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.4field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 45 citations in OpenAlex.

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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 1 institution in 2 countries.

Weicheng ChiDepartment of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States of America.ORCID 0000-0002-2284-8008
Lin MaDepartment of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States of America.ORCID 0000-0002-5637-8577
Junjie WuDepartment of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States of America.
Mingli ChenDepartment of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States of America.
Weiguo LuDepartment of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States of America.ORCID 0000-0003-3036-7287
Xuejun GuDepartment of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States of America.ORCID 0000-0001-6725-6906
The University of Texas Southwestern Medical Center · US

Funding

An artificial intelligence-driven distributed stereotactic radiosurgery strategy for multiple brain metastases managementR01CA235723 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GU, XUEJUN, LU, WEIGUO · 2019 to 2024
$2.9M
Novel On-line PET Based Intra-Beam Range Verification and Delivery Optimization for Improved Particle Radiation TherapyR01CA218402 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI LU, WEIGUO, SHAO, YIPING · 2018 to 2022
$2.2M
NCI NIH HHS R01 CA218402NCI NIH HHS R01 CA235723
6 · The paper itself

Abstract

Deep learning (DL)-based auto-segmentation has the potential for accurate organ delineation in radiotherapy applications but requires large amounts of clean labeled data to train a robust model. However, annotating medical images is extremely time-consuming and requires clinical expertise, especially for segmentation that demands voxel-wise labels. On the other hand, medical images without annotations are abundant and highly accessible. To alleviate the influence of the limited number of clean labels, we propose a weakly supervised DL training approach using deformable image registration (DIR)-based annotations, leveraging the abundance of unlabeled data. We generate pseudo-contours by utilizing DIR to propagate atlas contours onto abundant unlabeled images and train a robust DL-based segmentation model. With 10 labeled TCIA dataset and 50 unlabeled CT scans from our institution, our model achieved Dice similarity coefficient of 87.9%, 73.4%, 73.4%, 63.2% and 61.0% on mandible, left & right parotid glands and left & right submandibular glands of TCIA test set and competitive performance on our institutional clinical dataset and a third party (PDDCA) dataset. Experimental results demonstrated the proposed method outperformed traditional multi-atlas DIR methods and fully supervised limited data training and is promising for DL-based medical image segmentation application with limited annotated data.

Indexed as

Deep LearningImage Processing, Computer-AssistedNeural Networks, ComputerTomography, X-Ray Computeddeep learningdeformable image registrationlimited labelssegmentation

Identifiers

PMID33086205
PMCPMC8058113
OpenAlexW3093690432

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.