Evidence map›Paper›PMID 37919325›Full record

ArticleScientific reports2023

Segmentation of glioblastomas in early post-operative multi-modal MRI with deep neural networks.

Ragnhild Holden Helland, Alexandros Ferles, André Pedersen, Ivar Kommers, Hilko Ardon, Frederik Barkhof, Lorenzo Bello, Mitchel S Berger, Tora Dunås, Marco Conti Nibali and 23 more

Abstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

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  9. Clinical evaluation of two glioblastoma delineation methods based on neural networks.Technical innovations & patient support in radiation oncology · 2025
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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

33 authors.

Ragnhild Holden Helland *Department of Health Research, SINTEF Digital, 7465, Trondheim, Norway. ragnhild.h.helland@ntnu.no.
Alexandros Ferles *Cancer Center Amsterdam, Brain Tumor Center, Amsterdam University Medical Centers, 1081 HV, Amsterdam, The Netherlands.
André PedersenDepartment of Health Research, SINTEF Digital, 7465, Trondheim, Norway.
Ivar KommersCancer Center Amsterdam, Brain Tumor Center, Amsterdam University Medical Centers, 1081 HV, Amsterdam, The Netherlands.
Hilko ArdonDepartment of Neurosurgery, Twee Steden Hospital, 5042 AD, Tilburg, The Netherlands.
Frederik BarkhofDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Vrije Universiteit, 1081 HV, Amsterdam, The Netherlands.
Lorenzo BelloNeurosurgical Oncology Unit, Department of Oncology and Hemato-oncology, Humanitas Research Hospital, Università Degli Studi di Milano, 20122, Milan, Italy.
Mitchel S BergerDepartment of Neurological Surgery, University of California San Francisco, San Francisco, CA, 94143, USA.
Tora DunåsDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30, Gothenburg, Sweden.
Marco Conti NibaliIRCCS Ospedale Galeazzi Sant'Ambrogio, 20157, Milan, Italy.
Julia FurtnerDepartment of Biomedical Imaging and Image-guided Therapy, Medical University Vienna, 1090, Vienna, Austria.
Shawn Hervey-JumperDepartment of Neurological Surgery, University of California San Francisco, San Francisco, CA, 94143, USA.
Albert J S IdemaDepartment of Neurosurgery, Northwest Clinics, 1815 JD, Alkmaar, The Netherlands.
Barbara KieselDepartment of Neurosurgery, Medical University Vienna, 1090, Vienna, Austria.
Rishi Nandoe TewariDepartment of Neurosurgery, Haaglanden Medical Center, 2512 VA, The Hague, The Netherlands.
Emmanuel MandonnetDepartment of Neurological Surgery, Hôpital Lariboisière, 75010, Paris, France.
Domenique M J MüllerCancer Center Amsterdam, Brain Tumor Center, Amsterdam University Medical Centers, 1081 HV, Amsterdam, The Netherlands.
Pierre A RobeDepartment of Neurology and Neurosurgery, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Marco RossiDepartment of Medical Biotechnology and Translational Medicine, Università Degli Studi di Milano, 20122, Milan, Italy.
Lisa M SagbergDepartment of Neurosurgery, St. Olavs hospital, Trondheim University Hospital, 7030, Trondheim, Norway.
Tommaso SciortinoIRCCS Ospedale Galeazzi Sant'Ambrogio, 20157, Milan, Italy.
Tom AaldersDepartment of Neurosurgery, Isala, 8025 AB, Zwolle, The Netherlands.
Michiel WagemakersDepartment of Neurosurgery, University Medical Center Groningen, University of Groningen, 9713 GZ, Groningen, The Netherlands.
Georg WidhalmDepartment of Neurosurgery, Medical University Vienna, 1090, Vienna, Austria.
Marnix G WitteDepartment of Radiation Oncology, The Netherlands Cancer Institute, 1066 CX, Amsterdam, The Netherlands.
Aeilko H ZwindermanDepartment of Clinical Epidemiology and Biostatistics, Amsterdam University Medical Centers, University of Amsterdam, 1105 AZ, Amsterdam, The Netherlands.
Paulina L MajewskaDepartment of Neurology and Neurosurgery, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Asgeir S JakolaDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30, Gothenburg, Sweden.
Ole SolheimDepartment of Neurology and Neurosurgery, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Philip C De Witt HamerCancer Center Amsterdam, Brain Tumor Center, Amsterdam University Medical Centers, 1081 HV, Amsterdam, The Netherlands.
Ingerid ReinertsenDepartment of Health Research, SINTEF Digital, 7465, Trondheim, Norway.
Roelant S EijgelaarCancer Center Amsterdam, Brain Tumor Center, Amsterdam University Medical Centers, 1081 HV, Amsterdam, The Netherlands.
David BougetDepartment of Health Research, SINTEF Digital, 7465, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extent of resection after surgery is one of the main prognostic factors for patients diagnosed with glioblastoma. To achieve this, accurate segmentation and classification of residual tumor from post-operative MR images is essential. The current standard method for estimating it is subject to high inter- and intra-rater variability, and an automated method for segmentation of residual tumor in early post-operative MRI could lead to a more accurate estimation of extent of resection. In this study, two state-of-the-art neural network architectures for pre-operative segmentation were trained for the task. The models were extensively validated on a multicenter dataset with nearly 1000 patients, from 12 hospitals in Europe and the United States. The best performance achieved was a 61% Dice score, and the best classification performance was about 80% balanced accuracy, with a demonstrated ability to generalize across hospitals. In addition, the segmentation performance of the best models was on par with human expert raters. The predicted segmentations can be used to accurately classify the patients into those with residual tumor, and those with gross total resection.

Indexed as

GlioblastomaDatasets as TopicEuropeHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMulticenter Studies as TopicNeoplasm, ResidualNeural Networks, Computer

Identifiers

PMID37919325
PMCPMC10622432

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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.