Evidence map›Paper›PMID 37919354›Full record

ArticleScientific reports2023

Multi-class glioma segmentation on real-world data with missing MRI sequences: comparison of three deep learning algorithms.

Hugh G Pemberton, Jiaming Wu, Ivar Kommers, Domenique M J Müller, Yipeng Hu, Olivia Goodkin, Sjoerd B Vos, Sotirios Bisdas, Pierre A Robe, Hilko Ardon and 22 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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  10. Automated Diffusion Analysis for Noninvasive Prediction ofAJNR. American journal of neuroradiology · 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

32 authors.

Hugh G Pemberton *Centre for Medical Image Computing (CMIC), University College London, London, UK.
Jiaming Wu *Centre for Medical Image Computing (CMIC), University College London, London, UK.
Ivar KommersNeurosurgical Center Amsterdam, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
Domenique M J MüllerNeurosurgical Center Amsterdam, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
Yipeng HuCentre for Medical Image Computing (CMIC), University College London, London, UK.
Olivia GoodkinCentre for Medical Image Computing (CMIC), University College London, London, UK.
Sjoerd B VosCentre for Medical Image Computing (CMIC), University College London, London, UK.
Sotirios BisdasNeuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK.
Pierre A RobeDepartment of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Hilko ArdonDepartment of Neurosurgery, St. Elisabeth Hospital, Tilburg, The Netherlands.
Lorenzo BelloNeurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.
Marco RossiNeurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.
Tommaso SciortinoNeurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.
Marco Conti NibaliNeurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.
Mitchel S BergerDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Shawn L Hervey-JumperDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Wim BouwknegtDepartment of Neurosurgery, Medical Center Slotervaart, Amsterdam, The Netherlands.
Wimar A Van den BrinkDepartment of Neurosurgery, Isala Hospital, Zwolle, The Netherlands.
Julia FurtnerDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University Vienna, Vienna, Austria.
Seunggu J HanDepartment of Neurological Surgery, Stanford University, Stanford, USA.
Albert J S IdemaDepartment of Neurosurgery, Northwest Clinics, Alkmaar, The Netherlands.
Barbara KieselDepartment of Neurosurgery, Medical University Vienna, Vienna, Austria.
Georg WidhalmDepartment of Neurosurgery, Medical University Vienna, Vienna, Austria.
Alfred KloetDepartment of Neurosurgery, Medical Center Haaglanden, The Hague, The Netherlands.
Michiel WagemakersDepartment of Neurosurgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Aeilko H ZwindermanDepartment of Clinical Epidemiology and Biostatistics, Academic Medical Center, Amsterdam, The Netherlands.
Sandro M KriegTUM-Neuroimaging Center, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Emmanuel MandonnetDepartment of Neurosurgery, Lariboisière Hospital, APHP, Paris, France.
Ferran PradosCentre for Medical Image Computing (CMIC), University College London, London, UK.
Philip de Witt HamerNeurosurgical Center Amsterdam, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
Frederik BarkhofCentre for Medical Image Computing (CMIC), University College London, London, UK.
Roelant S EijgelaarNeurosurgical Center Amsterdam, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands. r.eijgelaar@amsterdamumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study tests the generalisability of three Brain Tumor Segmentation (BraTS) challenge models using a multi-center dataset of varying image quality and incomplete MRI datasets. In this retrospective study, DeepMedic, no-new-Unet (nn-Unet), and NVIDIA-net (nv-Net) were trained and tested using manual segmentations from preoperative MRI of glioblastoma (GBM) and low-grade gliomas (LGG) from the BraTS 2021 dataset (1251 in total), in addition to 275 GBM and 205 LGG acquired clinically across 12 hospitals worldwide. Data was split into 80% training, 5% validation, and 15% internal test data. An additional external test-set of 158 GBM and 69 LGG was used to assess generalisability to other hospitals' data. All models' median Dice similarity coefficient (DSC) for both test sets were within, or higher than, previously reported human inter-rater agreement (range of 0.74-0.85). For both test sets, nn-Unet achieved the highest DSC (internal = 0.86, external = 0.93) and the lowest Hausdorff distances (10.07, 13.87 mm, respectively) for all tumor classes (p < 0.001). By applying Sparsified training, missing MRI sequences did not statistically affect the performance. nn-Unet achieves accurate segmentations in clinical settings even in the presence of incomplete MRI datasets. This facilitates future clinical adoption of automated glioma segmentation, which could help inform treatment planning and glioma monitoring.

Indexed as

Brain NeoplasmsDeep LearningGlioblastomaGliomaAlgorithmsHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingRetrospective Studies

Identifiers

PMID37919354
PMCPMC10622563

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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.