Evidence map›Paper›PMID 34395244›Full record

ArticleFrontiers in oncology2021

CT-Based Pelvic T

Reza Kalantar, Christina Messiou, Jessica M Winfield, Alexandra Renn, Arash Latifoltojar, Kate Downey, Aslam Sohaib, Susan Lalondrelle, Dow-Mu Koh, Matthew D Blackledge

Abstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
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  5. [Stroke-p2pHD: Cross-modality generation model of cerebral infarction from CT to DWI images].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
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  12. CrossMagma (New York, N.Y.) · 2024
    Article
  13. Segmentation of pelvic structures in T2 MRI via MR-to-CT synthesis.Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society · 2024
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  14. Review
  15. Article
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  19. Towards 2D/3D Registration of the Preoperative MRI to Intraoperative Fluoroscopic Images for Visualization of Bone Defects.Computer methods in biomechanics and biomedical engineering. Imaging & visualization · 2023
    Article
  20. 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

10 authors.

Reza KalantarDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom.
Christina MessiouDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom.
Jessica M WinfieldDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom.
Alexandra RennDepartment of Radiology, The Royal Marsden Hospital, London, United Kingdom.
Arash LatifoltojarDepartment of Radiology, The Royal Marsden Hospital, London, United Kingdom.
Kate DowneyDepartment of Radiology, The Royal Marsden Hospital, London, United Kingdom.
Aslam SohaibDepartment of Radiology, The Royal Marsden Hospital, London, United Kingdom.
Susan LalondrelleGynaecological Unit, The Royal Marsden Hospital, London, United Kingdom.
Dow-Mu KohDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom.
Matthew D BlackledgeDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom.

Funding

Cancer Research UK 19727Cancer Research UK 28284
6 · The paper itself

Abstract

backgroundComputed tomography (CT) and magnetic resonance imaging (MRI) are the mainstay imaging modalities in radiotherapy planning. In MR-Linac treatment, manual annotation of organs-at-risk (OARs) and clinical volumes requires a significant clinician interaction and is a major challenge. Currently, there is a lack of available pre-annotated MRI data for training supervised segmentation algorithms. This study aimed to develop a deep learning (DL)-based framework to synthesize pelvic T

methodsMRI synthesis was performed using UNet++ and cycle-consistent generative adversarial network (Cycle-GAN), and the predictions were compared qualitatively and quantitatively against a baseline UNet model using pixel-wise and perceptual loss functions. Additionally, the Cycle-GAN predictions were evaluated through qualitative expert testing (4 radiologists), and a pelvic bone segmentation routine based on a UNet architecture was trained on synthetic MRI using CT-propagated contours and subsequently tested on real pelvic T

resultsIn our experiments, Cycle-GAN generated sharp images for all pelvic slices whilst UNet and UNet++ predictions suffered from poorer spatial resolution within deformable soft-tissues (e.g. bladder, bowel). Qualitative radiologist assessment showed inter-expert variabilities in the test scores; each of the four radiologists correctly identified images as acquired/synthetic with 67%, 100%, 86% and 94% accuracy. Unsupervised segmentation of pelvic bone on T1-weighted images was successful in a number of test cases.

conclusionPelvic MRI synthesis is a challenging task due to the absence of soft-tissue contrast on CT. Our study showed the potential of deep learning models for synthesizing realistic MR images from CT, and transferring cross-domain knowledge which may help to expand training datasets for 21 development of MR-only segmentation models.

Indexed as

computed tomography (CT)convolutional neural network (CNN)generative adversarial network (GAN)magnetic resonance imaging (MRI)medical image synthesisradiotherapy planning

Identifiers

PMID34395244
PMCPMC8363308

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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.