Evidence map›Paper›PMID 36751021›Full record

ArticleJournal of medical radiation sciences2023

Magnetic resonance imaging organ at risk delineation for nasopharyngeal radiotherapy: Measuring the effectiveness of an educational intervention.

Olivia Ryan, Kylie Dundas, Yolanda Surjan, Doaa Elwadia, Kimberley Nguyen, Michael Cardoso, Shivani Kumar

Open access · goldAbstract read
In one paragraph

Article in Journal of medical radiation sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 5 institutions in 1 country.

Olivia RyanCollege of Health, Medicine and Wellbeing, School of Health Sciences, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5160-6200
Kylie DundasLiverpool and Macarthur Cancer Therapy Centres, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.
Yolanda SurjanCollege of Health, Medicine and Wellbeing, School of Health Sciences, The University of Newcastle, Callaghan, New South Wales, Australia.
Doaa ElwadiaLiverpool and Macarthur Cancer Therapy Centres, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.
Kimberley NguyenLiverpool and Macarthur Cancer Therapy Centres, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.
Michael CardosoLiverpool and Macarthur Cancer Therapy Centres, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.
Shivani KumarLiverpool and Macarthur Cancer Therapy Centres, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.
UNSW Sydney · AUIngham Institute · AUSouth Western Sydney Local Health District · AUUniversity of Newcastle Australia · AUUniversity of Wollongong · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMagnetic resonance imaging (MRI) demonstrates superior soft tissue contrast and is increasingly being used in radiotherapy planning. This study evaluated the impact of an education workshop in minimising inter-observer variation (IOV) for nasopharyngeal organs at risk (OAR) delineation on MRI.

methodsTen observers delineated 14 OARs on 4 retrospective nasopharyngeal MRI data sets. Standard contouring guidelines were provided pre-workshop. Following an education workshop on MRI OAR delineation, observers blinded to their original contours repeated the 14 OAR delineations. For comparison, reference volumes were delineated by two head and neck radiation oncologists. IOV was evaluated using dice similarity coefficient (DSC), Hausdorff distance (HD) and relative volume. Location of largest deviations was evaluated with centroid values. Observer confidence pre- and post-workshop was also recorded using a 6-point Likert scale. The workshop was deemed beneficial for an OAR if ≥50% of observers mean scores improved in any metric and ≥50% of observers' confidence improved.

resultsAll OARs had ≥50% of observers improve in at least one metric. Base of tongue, larynx, spinal cord and right temporal lobe were the only OARs achieving a mean DSC score of ≥0.7. Base of tongue, left and right lacrimal glands, larynx, left optic nerve and right parotid gland all exhibited statistically significant HD improvements post-workshop (P < 0.05). Brainstem and left and right temporal lobes all had statistically significant relative volume improvements post-workshop (P < 0.05). Post-workshop observer confidence improvement was observed for all OARs (P < 0.001).

conclusionsThe educational workshop reduced IOV and improved observers' confidence when delineating nasopharyngeal OARs on MRI.

Indexed as

Magnetic Resonance ImagingRadiation OncologyHumansNeckObserver VariationOrgans at RiskRadiotherapy Planning, Computer-AssistedRetrospective Studieseducationinter-observer variabilityMRInasopharyngeal carcinomaOAR delineation

Identifiers

PMID36751021
PMCPMC10122931
OpenAlexW4319461347

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.