Evidence map›Paper›PMID 35039538›Full record

ArticleScientific reports2022

Automated segmentation of multiparametric magnetic resonance images for cerebral AVM radiosurgery planning: a deep learning approach.

Aaron B Simon, Brian Hurt, Roshan Karunamuni, Gwe-Ya Kim, Vitali Moiseenko, Scott Olson, Nikdokht Farid, Albert Hsiao, Jona A Hattangadi-Gluth

Abstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
–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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Deep learning in MRI-guided radiation therapy: A systematic review.Journal of applied clinical medical physics · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Computational Modeling and AI in Radiation Neuro-Oncology and Radiosurgery.Advances in experimental medicine and biology · 2024
    Review
  10. Treatment of Brain Arteriovenous Malformations.Advances and technical standards in neurosurgery · 2024
    Article
  11. Machine Intelligence in Cerebrovascular and Endovascular Neurosurgery.Advances in experimental medicine and biology · 2024
    Review
  12. Article
  13. Review
  14. Review
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.

Aaron B SimonDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, 3960 Health Sciences Dr, Mail Code 0865, La Jolla, CA, USA.
Brian HurtDepartment of Radiology, University of California San Diego, La Jolla, CA, USA.
Roshan KarunamuniDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, 3960 Health Sciences Dr, Mail Code 0865, La Jolla, CA, USA.
Gwe-Ya KimDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, 3960 Health Sciences Dr, Mail Code 0865, La Jolla, CA, USA.
Vitali MoiseenkoDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, 3960 Health Sciences Dr, Mail Code 0865, La Jolla, CA, USA.
Scott OlsonDivision of Neurosurgery, University of California San Diego, La Jolla, CA, USA.
Nikdokht FaridDepartment of Radiology, University of California San Diego, La Jolla, CA, USA.
Albert HsiaoDepartment of Radiology, University of California San Diego, La Jolla, CA, USA.
Jona A Hattangadi-GluthDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, 3960 Health Sciences Dr, Mail Code 0865, La Jolla, CA, USA. jhattangadi@ucsd.edu.

Funding

Image-Guided Cognitive-Sparing Radiosurgery for Brain Metastases: Avoidance of Eloquent White Matter and Hippocampal RegionsR01CA238783 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HATTANGADI-GLUTH, JONA A · 2019 to 2021
$737k
NCI NIH HHS R01 CA238783NIH HHS R01 CA238783-01Radiological Society of North America RR1965
6 · The paper itself

Abstract

Stereotactic radiosurgery planning for cerebral arteriovenous malformations (AVM) is complicated by the variability in appearance of an AVM nidus across different imaging modalities. We developed a deep learning approach to automatically segment cerebrovascular-anatomical maps from multiple high-resolution magnetic resonance imaging/angiography (MRI/MRA) sequences in AVM patients, with the goal of facilitating target delineation. Twenty-three AVM patients who were evaluated for radiosurgery and underwent multi-parametric MRI/MRA were included. A hybrid semi-automated and manual approach was used to label MRI/MRAs with arteries, veins, brain parenchyma, cerebral spinal fluid (CSF), and embolized vessels. Next, these labels were used to train a convolutional neural network to perform this task. Imaging from 17 patients (6362 image slices) was used for training, and 6 patients (1224 slices) for validation. Performance was evaluated by Dice Similarity Coefficient (DSC). Classification performance was good for arteries, veins, brain parenchyma, and CSF, with DSCs of 0.86, 0.91, 0.98, and 0.91, respectively in the validation image set. Performance was lower for embolized vessels, with a DSC of 0.75. This demonstrates the proof of principle that accurate, high-resolution cerebrovascular-anatomical maps can be generated from multiparametric MRI/MRA. Clinical validation of their utility in radiosurgery planning is warranted.

Indexed as

Deep LearningCerebral AngiographyCerebral ArteriesCerebral VeinsHumansIntracranial Arteriovenous MalformationsMagnetic Resonance AngiographyMultiparametric Magnetic Resonance ImagingRadiosurgery

Identifiers

PMID35039538
PMCPMC8763944

What OpenQuestion holds

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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.