Evidence map›Paper›PMID 33779037›Full record

ArticleJournal of applied clinical medical physics2021

Impact of slice thickness, pixel size, and CT dose on the performance of automatic contouring algorithms.

Kai Huang, Dong Joo Rhee, Rachel Ger, Rick Layman, Jinzhong Yang, Carlos E Cardenas, Laurence E Court

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

37 citing papers in PubMed.

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  8. The impact of scanner domain shift on deep learning performance in medical imaging: an experimental study.International journal of computer assisted radiology and surgery · 2026
    Article
  9. Observational
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  18. Cardiac substructure delineation in radiation therapy - A state-of-the-art review.Journal of medical imaging and radiation oncology · 2024
    Review
  19. 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

7 authors.

Kai HuangThe University of Texas MD Anderson Cancer Center UTHealth Graduate School of Biomedical Sciences, Houston, TX, USA.
Dong Joo RheeThe University of Texas MD Anderson Cancer Center UTHealth Graduate School of Biomedical Sciences, Houston, TX, USA.
Rachel GerDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rick LaymanDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jinzhong YangDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID https://orcid.org/0000-0002-9254-4501
Carlos E CardenasDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Laurence E CourtDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Funding

The Radiation Planning Assistant (RPA) for Radiation Therapy Planning in Low- and Middle-Income CountriesUH3CA202665 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BEADLE, BETH M, COURT, LAURENCE E · 2018 to 2020
$2.3M
NCI NIH HHS UH3 CA202665NCI NIH HHS UH3CA202665Siemens HealthineersVarian Medical Systems
6 · The paper itself

Abstract

purposeTo investigate the impact of computed tomography (CT) image acquisition and reconstruction parameters, including slice thickness, pixel size, and dose, on automatic contouring algorithms.

methodsEleven scans from patients with head-and-neck cancer were reconstructed with varying slice thicknesses and pixel sizes. CT dose was varied by adding noise using low-dose simulation software. The impact of these imaging parameters on two in-house auto-contouring algorithms, one convolutional neural network (CNN)-based and one multiatlas-based system (MACS) was investigated for 183 reconstructed scans. For each algorithm, auto-contours for organs-at-risk were compared with auto-contours from scans with 3 mm slice thickness, 0.977 mm pixel size, and 100% CT dose using Dice similarity coefficient (DSC), Hausdorff distance (HD), and mean surface distance (MSD).

resultsIncreasing the slice thickness from baseline value of 3 mm gave a progressive reduction in DSC and an increase in HD and MSD on average for all structures. Reducing the CT dose only had a relatively minimal effect on DSC and HD. The rate of change with respect to dose for both auto-contouring methods is approximately 0. Changes in pixel size had a small effect on DSC and HD for CNN-based auto-contouring with differences in DSC being within 0.07. Small structures had larger deviations from the baseline values than large structures for DSC. The relative differences in HD and MSD between the large and small structures were small.

conclusionsAuto-contours can deviate substantially with changes in CT acquisition and reconstruction parameters, especially slice thickness and pixel size. The CNN was less sensitive to changes in pixel size, and dose levels than the MACS. The results contraindicated more restrictive values for the parameters should be used than a typical imaging protocol for head-and-neck.

Indexed as

Head and Neck NeoplasmsTomography, X-Ray ComputedAlgorithmsHumansImage Processing, Computer-AssistedNeural Networks, ComputerOrgans at Riskatlas-based segmentationauto-contouringconvolutional neural networkCT parameters

Identifiers

PMID33779037
PMCPMC8130223

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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.