Evidence map›Paper›PMID 34807501›Full record

ArticleJournal of applied clinical medical physics2022

Deep learning-based auto-segmentation of clinical target volumes for radiotherapy treatment of cervical cancer.

Chen-Ying Ma, Ju-Ying Zhou, Xiao-Ting Xu, Jian Guo, Miao-Fei Han, Yao-Zong Gao, Hui Du, Johannes N Stahl, Jonathan S Maltz

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
16.7field-weighted citation impact, top 1% 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

51 citing papers in PubMed, 84 citations in OpenAlex.

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  7. HAR-Net: Automatic delineation of clinical target volumes for cervical cancer guided by hierarchical anatomical refinement.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
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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

9 authors at 3 institutions in 1 country.

Chen-Ying MaDepartment of Radiation Oncology, First Affiliated Hospital of Soochow University, Suzhou, China.
Ju-Ying ZhouDepartment of Radiation Oncology, First Affiliated Hospital of Soochow University, Suzhou, China.
Xiao-Ting XuDepartment of Radiation Oncology, First Affiliated Hospital of Soochow University, Suzhou, China.
Jian GuoDepartment of Radiation Oncology, First Affiliated Hospital of Soochow University, Suzhou, China.
Miao-Fei HanShanghai United Imaging Healthcare, Co. Ltd., Jiading, China.
Yao-Zong GaoShanghai United Imaging Healthcare, Co. Ltd., Jiading, China.
Hui DuShanghai United Imaging Healthcare, Co. Ltd., Jiading, China.
Johannes N StahlShanghai United Imaging Healthcare, Co. Ltd., Jiading, China.
Jonathan S MaltzShanghai United Imaging Healthcare, Co. Ltd., Jiading, China.
United Imaging Healthcare (China) · CNFirst Affiliated Hospital of Soochow University · CNSoochow University · CN

Funding

National Natural Science Foundation of China 81602792Suzhou Science and Technology Development Plan Project SS201628
6 · The paper itself

Abstract

objectivesBecause radiotherapy is indispensible for treating cervical cancer, it is critical to accurately and efficiently delineate the radiation targets. We evaluated a deep learning (DL)-based auto-segmentation algorithm for automatic contouring of clinical target volumes (CTVs) in cervical cancers.

methodsComputed tomography (CT) datasets from 535 cervical cancers treated with definitive or postoperative radiotherapy were collected. A DL tool based on VB-Net was developed to delineate CTVs of the pelvic lymph drainage area (dCTV1) and parametrial area (dCTV2) in the definitive radiotherapy group. The training/validation/test number is 157/20/23. CTV of the pelvic lymph drainage area (pCTV1) was delineated in the postoperative radiotherapy group. The training/validation/test number is 272/30/33. Dice similarity coefficient (DSC), mean surface distance (MSD), and Hausdorff distance (HD) were used to evaluate the contouring accuracy. Contouring times were recorded for efficiency comparison.

resultsThe mean DSC, MSD, and HD values for our DL-based tool were 0.88/1.32 mm/21.60 mm for dCTV1, 0.70/2.42 mm/22.44 mm for dCTV2, and 0.86/1.15 mm/20.78 mm for pCTV1. Only minor modifications were needed for 63.5% of auto-segmentations to meet the clinical requirements. The contouring accuracy of the DL-based tool was comparable to that of senior radiation oncologists and was superior to that of junior/intermediate radiation oncologists. Additionally, DL assistance improved the performance of junior radiation oncologists for dCTV2 and pCTV1 contouring (mean DSC increases: 0.20 for dCTV2, 0.03 for pCTV1; mean contouring time decrease: 9.8 min for dCTV2, 28.9 min for pCTV1).

conclusionsDL-based auto-segmentation improves CTV contouring accuracy, reduces contouring time, and improves clinical efficiency for treating cervical cancer.

Indexed as

Deep LearningUterine Cervical NeoplasmsAlgorithmsFemaleHumansOrgans at RiskRadiotherapy Planning, Computer-Assistedartificial intelligence (AI)auto-segmentationcervical cancerclinical target volume (CTV)deep learning

Identifiers

PMID34807501
PMCPMC8833283
OpenAlexW3217557310

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.