Evidence map›Paper›PMID 33458408›Full record

ArticlePhysics and imaging in radiation oncology2018

Comparison of four dimensional computed tomography and magnetic resonance imaging in abdominal radiotherapy planning.

Andrew Oar, Gary Liney, Robba Rai, Shrikant Deshpande, Li Pan, Meredith Johnston, Michael Jameson, Shivani Kumar, Mark Lee

Abstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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  13. Imaging science and development in modern high-precision radiotherapy.Physics and imaging in radiation oncology · 2019
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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

9 authors.

Andrew OarLiverpool and Macarthur Cancer Therapy Centre, Sydney, Australia.
Gary LineyLiverpool and Macarthur Cancer Therapy Centre, Sydney, Australia.
Robba RaiLiverpool and Macarthur Cancer Therapy Centre, Sydney, Australia.
Shrikant DeshpandeLiverpool and Macarthur Cancer Therapy Centre, Sydney, Australia.
Li PanSiemens Healthineers, Baltimore, MD, USA.
Meredith JohnstonLiverpool and Macarthur Cancer Therapy Centre, Sydney, Australia.
Michael JamesonLiverpool and Macarthur Cancer Therapy Centre, Sydney, Australia.
Shivani KumarLiverpool and Macarthur Cancer Therapy Centre, Sydney, Australia.
Mark LeeLiverpool and Macarthur Cancer Therapy Centre, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeFour-dimensional (4D) computed tomography (CT) is widely used in radiotherapy (RT) planning and remains the current standard for motion evaluation. We assess a 4D magnetic resonance imaging (MRI) sequence in terms of motion and image quality in a phantom, healthy volunteers and patients undergoing RT. MATERIALS AND

methodsThe 4D-MRI sequence is a prototype T1-weighted 3D gradient echo with radial acquisition with self-gating. The accuracy of the 4D-MRI respiratory sorting based method was assessed using a MRI-CT compatible respiratory simulation phantom. In volunteers, abdominal viscera were evaluated for artefact, noise, structure delineation and overall image quality using a previously published four-point scoring system. In patients undergoing abdominal RT, the tumour (or a surrogate) was utilized to assess the range of motion on both 4D-CT and 4D-MRI. Furthermore, imaging quality was evaluated for both 4D-CT and 4D-MRI.

resultsIn phantom studies 4D-MRI demonstrated amplitude of motion error of less than 0.2 mm for five, seven and ten bins. 4D-MRI provided excellent image quality for liver, kidney and pancreas. In patients, the median amplitude of motion seen on 4D-CT and 4D-MRI was 11.2 mm (range 2.8-20.3 mm) and 10.1 mm (range 0.7-20.7 mm) respectively. The median difference in amplitude between 4D-CT and 4D-MRI was -0.6 mm (range -3.4-5.2 mm). 4D-MRI demonstrated superior edge detection (median score 3 versus 1) and overall image quality (median score 2 versus 1) compared to 4D-CT.

conclusionsThe prototype 4D-MRI sequence demonstrated promising results and may be used in abdominal targeting, motion gating, and towards implementing MRI-based adaptive RT.

Indexed as

4D-MRI, abdominal radiotherapyFour dimensional magnetic resonance imagingMotion managementMRI

Identifiers

PMID33458408
PMCPMC7807635

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LicenceCC BY-NC-ND
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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.