Evidence map›Paper›PMID 34743251›Full record

ArticleInsights into imaging2021

Deep learning-based fully automated Z-axis coverage range definition from scout scans to eliminate overscanning in chest CT imaging.

Yazdan Salimi, Isaac Shiri, Azadeh Akhavanallaf, Zahra Mansouri, Abdollah Saberi Manesh, Amirhossein Sanaat, Masoumeh Pakbin, Dariush Askari, Saleh Sandoughdaran, Ehsan Sharifipour and 2 more

Open access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.3field-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

19 citing papers in PubMed, 52 citations in OpenAlex.

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  8. AI for image quality and patient safety in CT and MRI.European radiology experimental · 2025
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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

12 authors at 5 institutions in 4 countries.

Yazdan Salimi *Division of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, 1211, Geneva, Switzerland.
Isaac Shiri *Division of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, 1211, Geneva, Switzerland.
Azadeh AkhavanallafDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, 1211, Geneva, Switzerland.
Zahra MansouriDepartment of Biomedical Engineering and Medical Physics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abdollah Saberi ManeshDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, 1211, Geneva, Switzerland.
Amirhossein SanaatDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, 1211, Geneva, Switzerland.
Masoumeh PakbinImaging Department, Qom University of Medical Sciences, Qom, Iran.
Dariush AskariDepartment of Radiology Technology, Shahid Beheshti University of Medical, Tehran, Iran.
Saleh SandoughdaranMen's Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ehsan SharifipourNeuroscience Research Center, Qom University of Medical Sciences, Qom, Iran.
Hossein ArabiDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, 1211, Geneva, Switzerland.
Habib ZaidiDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, 1211, Geneva, Switzerland. habib.zaidi@hcuge.ch.ORCID http://orcid.org/0000-0001-7559-5297
University Hospital of Geneva · CHQom University of Medical Science and Health Services · IRShahid Beheshti University of Medical Sciences · IRShahid Beheshti University · IRUniversity of Geneva · CH

Funding

H2020 European Research Council Sinfonia project under grant agreement No 945196
6 · The paper itself

Abstract

backgroundDespite the prevalence of chest CT in the clinic, concerns about unoptimized protocols delivering high radiation doses to patients still remain. This study aimed to assess the additional radiation dose associated with overscanning in chest CT and to develop an automated deep learning-assisted scan range selection technique to reduce radiation dose to patients.

resultsA significant overscanning range (31 ± 24) mm was observed in clinical setting for over 95% of the cases. The average Dice coefficient for lung segmentation was 0.96 and 0.97 for anterior-posterior (AP) and lateral projections, respectively. By considering the exact lung coverage as the ground truth, and AP and lateral projections as input, The DL-based approach resulted in errors of 0.08 ± 1.46 and - 1.5 ± 4.1 mm in superior and inferior directions, respectively. In contrast, the error on external scout views was - 0.7 ± 4.08 and 0.01 ± 14.97 mm for superior and inferior directions, respectively.The ED reduction achieved by automated scan range selection was 21% in the test group. The evaluation of a large multi-centric chest CT dataset revealed unnecessary ED of more than 2 mSv per scan and 67% increase in the thyroid absorbed dose.

conclusionThe proposed DL-based solution outperformed previous automatic methods with acceptable accuracy, even in complicated and challenging cases. The generizability of the model was demonstrated by fine-tuning the model on AP scout views and achieving acceptable results. The method can reduce the unoptimized dose to patients by exclunding unnecessary organs from field of view.

Indexed as

Chest imagingCTDeep learningOverscanningRadiation dose

Identifiers

PMID34743251
PMCPMC8572075
OpenAlexW3212441610

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.