Evidence map›Paper›PMID 37046593›Full record

ArticleCancers2023

From Head and Neck Tumour and Lymph Node Segmentation to Survival Prediction on PET/CT: An End-to-End Framework Featuring Uncertainty, Fairness, and Multi-Region Multi-Modal Radiomics.

Zohaib Salahuddin, Yi Chen, Xian Zhong, Henry C Woodruff, Nastaran Mohammadian Rad, Shruti Atul Mali, Philippe Lambin

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Ensemble Deep Learning Models for Automated Segmentation of Tumor and Lymph Node Volumes in Head and Neck Cancer Using Pre- and Mid-Treatment MRI: Application of Auto3DSeg and SegResNet.Head and Neck Tumor Segmentation for MR-Guided Applications : First MICCAI Challenge, HNTS-MRG 2024, held in conjunction with MICCAI 2024, Marrakesh, Morocco, October 17, 2024, proceedings · 2025
    Article
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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

7 authors at 3 institutions in 2 countries.

Zohaib SalahuddinThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.
Yi ChenThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.
Xian ZhongThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.
Henry C WoodruffThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0001-7911-5123
Nastaran Mohammadian RadThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.
Shruti Atul MaliThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0002-8307-8051
Philippe LambinThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0001-7961-0191
Maastricht University · NLGuizhou University · CNSun Yat-sen University · CN

Funding

European Union's Horizon 2020 Research and Innovation Programme ImmunoSABR n° 733008, MSCA-ITN-PREDICT n° 766276, CHAIMELEON n° 952172, EuCan-Image n° 952103
6 · The paper itself

Abstract

Automatic delineation and detection of the primary tumour (GTVp) and lymph nodes (GTVn) using PET and CT in head and neck cancer and recurrence-free survival prediction can be useful for diagnosis and patient risk stratification. We used data from nine different centres, with 524 and 359 cases used for training and testing, respectively. We utilised posterior sampling of the weight space in the proposed segmentation model to estimate the uncertainty for false positive reduction. We explored the prognostic potential of radiomics features extracted from the predicted GTVp and GTVn in PET and CT for recurrence-free survival prediction and used SHAP analysis for explainability. We evaluated the bias of models with respect to age, gender, chemotherapy, HPV status, and lesion size. We achieved an aggregate Dice score of 0.774 and 0.760 on the test set for GTVp and GTVn, respectively. We observed a per image false positive reduction of 19.5% and 7.14% using the uncertainty threshold for GTVp and GTVn, respectively. Radiomics features extracted from GTVn in PET and from both GTVp and GTVn in CT are the most prognostic, and our model achieves a C-index of 0.672 on the test set. Our framework incorporates uncertainty estimation, fairness, and explainability, demonstrating the potential for accurate detection and risk stratification.

Indexed as

CT radiomicsexplainabilityfair artificial intelligencehead and neck cancerPET radiomicssegmentationuncertainty estimation

Identifiers

PMID37046593
PMCPMC10093277
OpenAlexW4360614842

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.