Evidence map›Paper›PMID 34184390›Full record

ArticleJournal of applied clinical medical physics2021

Deep learning-based synthetic CT generation for MR-only radiotherapy of prostate cancer patients with 0.35T MRI linear accelerator.

Reza Farjam, Himanshu Nagar, Xi Kathy Zhou, David Ouellette, Silvia Chiara Formenti, J Keith DeWyngaert

Open access · goldAbstract 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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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 1 country.

Reza FarjamDepartment of Radiation Oncology, Weill Cornell Medical College, New York, New York, USA.
Himanshu NagarDepartment of Radiation Oncology, Weill Cornell Medical College, New York, New York, USA.
Xi Kathy ZhouPublic Health Science, Weill Cornell Medical College, New York, New York, USA.
David OuelletteDepartment of Radiation Oncology, Weill Cornell Medical College, New York, New York, USA.
Silvia Chiara FormentiDepartment of Radiation Oncology, Weill Cornell Medical College, New York, New York, USA.
J Keith DeWyngaertDepartment of Radiation Oncology, Weill Cornell Medical College, New York, New York, USA.
Cornell University · US

Funding

ViewRay Inc.
6 · The paper itself

Abstract

purposeTo develop a deep learning model to generate synthetic CT for MR-only radiotherapy of prostate cancer patients treated with 0.35 T MRI linear accelerator. MATERIALS AND

methodsA U-NET convolutional neural network was developed to translate 0.35 T TRUFI MRI into electron density map using a novel cost function equalizing the contribution of various tissue types including fat, muscle, bone, and background air in training. The impact of training time, dataset size, image standardization, and data augmentation approaches was also quantified. Mean absolute error (MAE) between synthetic and planning CTs was calculated to measure the goodness of the model.

resultsWith 20 patients in training, our U-NET model has the potential to generate synthetic CT with a MAE of about 29.68 ± 4.41, 16.34 ± 2.67, 23.36 ± 2.85, and 105.90 ± 22.80 HU over the entire body, fat, muscle, and bone tissues, respectively. As expected, we found that the number of patients used for training and MAE are nonlinearly correlated. Data augmentation and our proposed loss function were effective to improve MAE by ~9% and ~18% in bony voxels, respectively. Increasing the training time and image standardization did not improve the accuracy of the model.

conclusionA U-NET model has been developed and tested numerically to generate synthetic CT from 0.35T TRUFI MRI for MR-only radiotherapy of prostate cancer patients. Dosimetric evaluation using a large and independent dataset warrants the validity of the proposed model and the actual number of patients needed for the safe usage of the model in routine clinical workflow.

Indexed as

Deep LearningProstatic NeoplasmsHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleParticle AcceleratorsRadiotherapy DosageRadiotherapy Planning, Computer-AssistedTomography, X-Ray Computed0.35 T MRI-Linacdeep learningsynthetic CT

Identifiers

PMID34184390
PMCPMC8364266
OpenAlexW3174659400

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.