Evidence map›Paper›PMID 33735394›Full record

ArticleEuropean radiology2021

Deep learning-based methods may minimize GBCA dosage in brain MRI.

Huanyu Luo, Tao Zhang, Nan-Jie Gong, Jonthan Tamir, Srivathsa Pasumarthi Venkata, Cheng Xu, Yunyun Duan, Tao Zhou, Fuqing Zhou, Greg Zaharchuk and 2 more

Erratum issued Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05754476 (Multi-center and Prospective Cohort Study of Artificial Intelligence Model for Gadolinium-based Contrast Agent Reduction in Brain MRI), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT05754476 unknown statusnot on this map

Multi-center and Prospective Cohort Study of Artificial Intelligence Model for Gadolinium-based Contrast Agent Reduction in Brain MRI (MAGNET)

TypeobservationalSponsorBeijing Tiantan HospitalRan2019 to 2024Enrolled3,000ConditionsBrain DiseasesArmsLow-dose GBCA levels
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  10. AI for image quality and patient safety in CT and MRI.European radiology experimental · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Huanyu LuoDepartment of Radiology, Beijing Tiantan Hospital, Capital Medical University, No. 119, the West Southern 4th Ring Road, Fengtai District, Beijing, 100070, China.
Tao ZhangSubtle Medical Inc., Menlo Park, CA, USA.
Nan-Jie GongVector Lab for Intelligent Medical Imaging and Neural Engineering, International Innovation Center of Tsinghua University, Shanghai, China.
Jonthan TamirSubtle Medical Inc., Menlo Park, CA, USA.
Srivathsa Pasumarthi VenkataSubtle Medical Inc., Menlo Park, CA, USA.
Cheng XuDepartment of Radiology, Beijing Tiantan Hospital, Capital Medical University, No. 119, the West Southern 4th Ring Road, Fengtai District, Beijing, 100070, China.
Yunyun DuanDepartment of Radiology, Beijing Tiantan Hospital, Capital Medical University, No. 119, the West Southern 4th Ring Road, Fengtai District, Beijing, 100070, China.
Tao ZhouDepartment of Radiology, The Fourth People's Hospital of Shanxi Province, Xi'an, 710043, China.
Fuqing ZhouDepartment of Radiology, The First Affiliated Hospital, Nanchang University, Nanchang, 330006, China.
Greg ZaharchukDepartment of Radiology, Stanford University, Stanford, CA, USA.
Jing Xue *Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, No. 119, the West Southern 4th Ring Road, Fengtai District, Beijing, 100070, China. xuejing2006@126.com.
Yaou Liu *Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, No. 119, the West Southern 4th Ring Road, Fengtai District, Beijing, 100070, China. yaouliu80@163.com.ORCID http://orcid.org/0000-0002-9930-0331
Capital Medical University · CNBeijing Tian Tan Hospital · CNNanchang University · CNStanford University · USThe Fourth People's Hospital · CNTsinghua University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the clinical performance of a deep learning (DL)-based method for brain MRI exams with reduced gadolinium-based contrast agent (GBCA) dose to provide better understanding of the readiness and limitations of this method.

methodsEighty-three consecutive patients (from March 2019 to August 2019) who underwent brain contrast-enhanced (CE) MRI were included. Three 3D T1-weighted images with zero-dose, low-dose (10%), and full-dose (100%) GBCA were collected. The first 30 cases were used to train a DL model to synthesize the full-dose GBCA images from the zero-dose and low-dose image pairs. The remaining 53 cases were used for testing. The enhancement pattern, number, and location of enhancing lesions were recorded. Overall image quality, image signal noise ratio (SNR), lesion conspicuity, and lesion enhancement were assessed.

resultsLesion detection from the DL-synthesized CE-MRI image accurately matched those from the true full-dose CE-MRI images in 48 of 53 cases (90.6%). The DL method identified the lesions in 34 of 36 cases (94.4%) with a single enhanced lesion and all lesions in 3 of 6 cases (50.0%) in cases with multiple enhancing lesions. The agreement between synthesized and true full-dose CE-MRI images were 0.73, 0.63, 0.89, and 0.87 for image quality, image SNR, lesion conspicuity, and lesion enhancement, respectively.

conclusionsThe proposed DL method is a feasible way to minimize the dosage of GBCAs in brain MRI without sacrificing the diagnostic information. Missing enhancement of small lesions in patients with multiple lesions was observed, requiring improvements in algorithms or dosage design. KEY POINTS: • This study evaluated the clinical performance of a DL-based reconstruction method for significant dose reduction in GBCA contrast-enhanced MRI exams. • The proposed DL method has the potential to satisfy the routine radiological diagnosis needs in certain clinical applications.

Indexed as

Contrast MediaDeep LearningBrainHumansMagnetic Resonance ImagingNeuroimagingContrast MediaContrast mediaDeep learningGadoliniumMagnetic resonance imaging

Identifiers

PMID33735394
OpenAlexW3137651818

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.