Evidence map›Paper›PMID 37259967›Full record

ArticleJournal of magnetic resonance imaging : JMRI2024

Predicting FDG-PET Images From Multi-Contrast MRI Using Deep Learning in Patients With Brain Neoplasms.

Jiahong Ouyang, Kevin T Chen, Rui Duarte Armindo, Guido Alejandro Davidzon, Kristina Elizabeth Hawk, Farshad Moradi, Jarrett Rosenberg, Ella Lan, Helena Zhang, Greg Zaharchuk

Open access · bronzeAbstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Machine Learning-Driven radiomics on 18 F-FDG PET for glioma diagnosis: a systematic review and meta-analysis.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Synthetic O-(2-Neuro-oncology advances
    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

10 authors at 4 institutions in 3 countries.

Jiahong OuyangDepartment of Radiology, Stanford University, Stanford, California, USA.ORCID 0000-0002-0434-5757
Kevin T ChenDepartment of Biomedical Engineering, National Taiwan University, Taipei, Taiwan.
Rui Duarte ArmindoDepartment of Radiology, Stanford University, Stanford, California, USA.ORCID 0000-0003-0001-742X
Guido Alejandro DavidzonDepartment of Radiology, Stanford University, Stanford, California, USA.
Kristina Elizabeth HawkDepartment of Radiology, Stanford University, Stanford, California, USA.
Farshad MoradiDepartment of Radiology, Stanford University, Stanford, California, USA.
Jarrett RosenbergDepartment of Radiology, Stanford University, Stanford, California, USA.
Ella LanThe Harker School, San Jose, California, USA.
Helena ZhangDepartment of Radiology, Stanford University, Stanford, California, USA.
Greg ZaharchukDepartment of Radiology, Stanford University, Stanford, California, USA.ORCID 0000-0001-5781-8848
Stanford University · USHarmonic (United States) · USHospital de São José · PTNational Taiwan University · TW

Funding

Next Generation Brain PET ImagingR01NS123025 · NINDS · STANFORD UNIVERSITY · PI ZAHARCHUK, GREGORY GEORGE · 2021 to 2025
$2.7M
NIH HHS R01-NS123025NINDS NIH HHS R01 NS123025
6 · The paper itself

Abstract

backgroundPURPOSE: To generate diagnostic-quality PET equivalent imaging for patients with brain neoplasms by deep learning with multi-contrast MRI. STUDY TYPE: Retrospective. SUBJECTS: Patients (59 studies from 51 subjects; age 56 ± 13 years; 29 males) who underwent FIELD STRENGTH/SEQUENCE: 3T; 3D GRE T1, 3D GRE T1c, 3D FSE T2-FLAIR, and 3D FSE ASL, ASSESSMENT: Convolutional neural networks were trained using four MRIs as inputs and acquired FDG PET images as output. The agreement between the acquired and synthesized PET was evaluated by quality metrics and Bland-Altman plots for standardized uptake value ratio. Three physicians scored image quality on a 5-point scale, with score ≥3 as high-quality. They assessed the lesions on a 5-point scale, which was binarized to analyze diagnostic consistency of the synthesized PET compared to the acquired PET. STATISTICAL TESTS: The agreement in ratings between the acquired and synthesized PET were tested with Gwet's AC and exact Bowker test of symmetry. Agreement of the readers was assessed by Gwet's AC. P = 0.05 was used as the cutoff for statistical significance.

resultsThe synthesized PET visually resembled the acquired PET and showed significant improvement in quality metrics (+21.7% on PSNR, +22.2% on SSIM, -31.8% on RSME) compared with ASL. A total of 49.7% of the synthesized PET were considered as high-quality compared to 73.4% of the acquired PET which was statistically significant, but with distinct variability between readers. For the positive/negative lesion assessment, the synthesized PET had an accuracy of 87% but had a tendency to overcall.

conclusionThe proposed deep learning model has the potential of synthesizing diagnostic quality FDG PET images without the use of radiotracers. EVIDENCE LEVEL: 3 TECHNICAL EFFICACY: Stage 2.

Indexed as

Brain NeoplasmsDeep LearningAdultAgedFluorodeoxyglucose F18HumansMagnetic Resonance ImagingMaleMiddle AgedPositron-Emission TomographyRetrospective StudiesFluorodeoxyglucose F18brain neoplasmdeep learningFDG PET imagingPET-MR

Identifiers

PMID37259967
PMCPMC10689577
OpenAlexW4378952848

What OpenQuestion holds

Textmetadata
LicenceTDM
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.