Evidence map›Paper›PMID 33383333›Full record

ArticleMedical image analysis2021

Semi-automatic sigmoid colon segmentation in CT for radiation therapy treatment planning via an iterative 2.5-D deep learning approach.

Yesenia Gonzalez, Chenyang Shen, Hyunuk Jung, Dan Nguyen, Steve B Jiang, Kevin Albuquerque, Xun Jia

Open access · greenAbstract read
In one paragraph

Article in Medical image analysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Systematic review of artificial intelligence in brachytherapy.Journal of contemporary brachytherapy · 2026
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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

7 authors at 2 institutions in 1 country.

Yesenia Gonzalezinnovative Technology of Radiotherapy Computation and Hardware (iTORCH) Laboratory. Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Chenyang Sheninnovative Technology of Radiotherapy Computation and Hardware (iTORCH) Laboratory. Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: Chenyang.Shen@UTSouthwestern.edu.
Hyunuk Junginnovative Technology of Radiotherapy Computation and Hardware (iTORCH) Laboratory. Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Dan NguyenDepartment of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Steve B JiangDepartment of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Kevin AlbuquerqueDepartment of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Xun Jiainnovative Technology of Radiotherapy Computation and Hardware (iTORCH) Laboratory. Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: Xun.Jia@UTSouthwestern.edu.
The University of Texas Southwestern Medical Center · USSouthwestern Medical Center · US

Funding

Intelligent treatment planning for cancer radiotherapyR01CA237269 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI JIA, XUN, JIANG, STEVE BIN · 2019 to 2023
$2.5M
Precise image guidance for liver cancer stereotactic body radiotherapy using element-resolved motion-compensated cone beam CTR01CA227289 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI JIA, XUN · 2018 to 2022
$2.0M
Explore random sampling for dose reduction and scatter removal in cone beam CTR21EB021545 · NIBIB · UT SOUTHWESTERN MEDICAL CENTER · PI JIA, XUN, ZHU, LEI · 2016 to 2017
$463k
Automated Treatment Planning for High-Dose-Rate Brachytherapy for Cervical CancerF31CA243504 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GONZALEZ, YESENIA AMANDA · 2020 to 2020
$35k
NCI NIH HHS F31 CA243504NCI NIH HHS R01 CA227289NCI NIH HHS R01 CA237269NIBIB NIH HHS R21 EB021545
6 · The paper itself

Abstract

Automatic sigmoid colon segmentation in CT for radiotherapy treatment planning is challenging due to complex organ shape, close distances to other organs, and large variations in size, shape, and filling status. The patient bowel is often not evacuated, and CT contrast enhancement is not used, which further increase problem difficulty. Deep learning (DL) has demonstrated its power in many segmentation problems. However, standard 2-D approaches cannot handle the sigmoid segmentation problem due to incomplete geometry information and 3-D approaches often encounters the challenge of a limited training data size. Motivated by human's behavior that segments the sigmoid slice by slice while considering connectivity between adjacent slices, we proposed an iterative 2.5-D DL approach to solve this problem. We constructed a network that took an axial CT slice, the sigmoid mask in this slice, and an adjacent CT slice to segment as input and output the predicted mask on the adjacent slice. We also considered other organ masks as prior information. We trained the iterative network with 50 patient cases using five-fold cross validation. The trained network was repeatedly applied to generate masks slice by slice. The method achieved average Dice similarity coefficients of 0.82 0.06 and 0.88 0.02 in 10 test cases without and with using prior information.

Indexed as

Deep LearningColon, SigmoidHumansImage Processing, Computer-AssistedTomography, X-Ray ComputedDeep learningSegmentationSigmoid colon

Identifiers

PMID33383333
PMCPMC7847132
OpenAlexW3112667527

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.