Evidence map›Paper›PMID 37326816›Full record

ArticleInternational journal of computer assisted radiology and surgery2024

Universal detection and segmentation of lymph nodes in multi-parametric MRI.

Tejas Sudharshan Mathai, Sungwon Lee, Thomas C Shen, Daniel Elton, Zhiyong Lu, Ronald M Summers

Open access · bronzeAbstract read
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Classification of Multi-Parametric Body MRI Series Using Deep Learning.IEEE journal of biomedical and health informatics · 2024
    Article
  3. Segmentation of mediastinal lymph nodes in CT with anatomical priors.International journal of computer assisted radiology and surgery · 2024
    Article
  4. Detection of abdominopelvic lymph nodes in multi-parametric MRI.Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society · 2024
    Article
  5. 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

6 authors at 3 institutions in 1 country.

Tejas Sudharshan MathaiNational Institutes of Health (NIH) Clinical Center, Bethesda, MD, USA. tejas.mathai@nih.gov.ORCID http://orcid.org/0009-0005-8440-1702
Sungwon LeeNational Institutes of Health (NIH) Clinical Center, Bethesda, MD, USA.
Thomas C ShenNational Institutes of Health (NIH) Clinical Center, Bethesda, MD, USA.
Daniel EltonNational Institutes of Health (NIH) Clinical Center, Bethesda, MD, USA.
Zhiyong LuNational Library of Medicine, NIH, Bethesda, MD, USA.
Ronald M SummersNational Institutes of Health (NIH) Clinical Center, Bethesda, MD, USA.
National Institutes of Health Clinical Center · USNational Institutes of Health · USUnited States National Library of Medicine · US

Funding

Machine learning for medical imaging: automated disease diagnosis and prognosisZIALM010021 · NLM · NATIONAL LIBRARY OF MEDICINE · PI LU, ZHIYONG · 2022 to 2025
$4.1M
Computer Aided Detection for Radiologic ImagesZ01CL040004 · CLC · CLINICAL CENTER · PI SUMMERS, RONALD M. · 2003 to 2008
$41k
Computer Aided Detection for Radiologic ImagesZIACL040004 · CLC · CLINICAL CENTER · PI SUMMERS, RONALD M. · 2009 to 2025
$0k
Intramural NIH HHS Z01 CL040004Intramural NIH HHS Z99 CL999999
6 · The paper itself

Abstract

purposeReliable measurement of lymph nodes (LNs) in multi-parametric MRI (mpMRI) studies of the body plays a major role in the assessment of lymphadenopathy and staging of metastatic disease. Previous approaches do not adequately exploit the complementary sequences in mpMRI to universally detect and segment lymph nodes, and they have shown fairly limited performance.

methodsWe propose a computer-aided detection and segmentation pipeline to leverage the T2 fat-suppressed (T2FS) and diffusion-weighted imaging (DWI) series from a mpMRI study. The T2FS and DWI series in 38 studies (38 patients) were co-registered and blended together using a selective data augmentation technique, such that traits of both series were visible in the same volume. A mask RCNN model was subsequently trained for universal detection and segmentation of 3D LNs.

resultsExperiments on 18 test mpMRI studies revealed that the proposed pipeline achieved a precision of [Formula: see text]%, sensitivity of [Formula: see text]% at 4 false positives (FP) per volume, and dice score of [Formula: see text]%. This represented an improvement of [Formula: see text]% in precision, [Formula: see text]% in sensitivity at 4 FP/volume, and [Formula: see text]% in dice score, respectively, over current approaches evaluated on the same dataset.

conclusionOur pipeline universally detected and segmented both metastatic and non-metastatic nodes in mpMRI studies. At test time, the input data used by the trained model could either be the T2FS series alone or a blend of co-registered T2FS and DWI series. Contrary to prior work, this eliminated the reliance on both the T2FS and DWI series in a mpMRI study.

Indexed as

Multiparametric Magnetic Resonance ImagingDiffusion Magnetic Resonance ImagingHumansLungLymph NodesMediastinumDetectionLymph nodeMRISegmentation deep learningT2

Identifiers

PMID37326816
PMCPMC11072433
OpenAlexW4380870013

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.