Evidence map›Paper›PMID 38326655›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2024

TMTV-Net: fully automated total metabolic tumor volume segmentation in lymphoma PET/CT images - a multi-center generalizability analysis.

Fereshteh Yousefirizi, Ivan S Klyuzhin, Joo Hyun O, Sara Harsini, Xin Tie, Isaac Shiri, Muheon Shin, Changhee Lee, Steve Y Cho, Tyler J Bradshaw and 7 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  9. CNN-based detection of pediatric lymphoma on whole body [American journal of nuclear medicine and molecular imaging · 2026
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  17. Deep Learning for Longitudinal Gross Tumor Volume Segmentation in MRI-Guided Adaptive Radiotherapy for Head and Neck Cancer.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
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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

17 authors.

Fereshteh YousefiriziDepartment of Integrative Oncology, BC Cancer Research Institute, 675 West 10Th Avenue, Vancouver, BC, V5Z 1L3, Canada. frizi@bccrc.ca.ORCID 0000-0001-5261-6163
Ivan S KlyuzhinDepartment of Integrative Oncology, BC Cancer Research Institute, 675 West 10Th Avenue, Vancouver, BC, V5Z 1L3, Canada.ORCID 0000-0003-0141-7628
Joo Hyun OCollege of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
Sara HarsiniBC Cancer, Vancouver, BC, Canada.ORCID 0000-0001-6196-6982
Xin TieDepartment of Radiology, University of WI-Madison, Madison, WI, USA.
Isaac ShiriDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, Geneva, Switzerland.ORCID 0000-0002-5735-0736
Muheon ShinDepartment of Radiology, University of WI-Madison, Madison, WI, USA.
Changhee LeeDepartment of Radiology, University of WI-Madison, Madison, WI, USA.
Steve Y ChoDepartment of Radiology, University of WI-Madison, Madison, WI, USA.ORCID 0000-0003-2724-7778
Tyler J BradshawDepartment of Radiology, University of WI-Madison, Madison, WI, USA.ORCID 0000-0001-9549-7002
Habib ZaidiDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, Geneva, Switzerland.ORCID 0000-0001-7559-5297
François BénardBC Cancer, Vancouver, BC, Canada.ORCID 0000-0001-7995-3581
Laurie H SehnBC Cancer, Vancouver, BC, Canada.ORCID 0000-0003-1860-9765
Kerry J SavageBC Cancer, Vancouver, BC, Canada.ORCID 0000-0002-5835-9863
Christian SteidlBC Cancer, Vancouver, BC, Canada.ORCID 0000-0001-9842-9750
Carlos F UribeDepartment of Integrative Oncology, BC Cancer Research Institute, 675 West 10Th Avenue, Vancouver, BC, V5Z 1L3, Canada.ORCID 0000-0003-3127-7478
Arman RahmimDepartment of Integrative Oncology, BC Cancer Research Institute, 675 West 10Th Avenue, Vancouver, BC, V5Z 1L3, Canada.ORCID 0000-0002-9980-2403

Funding

CIHR PJT-173231Natural Sciences and Engineering Research Council of Canada RGPIN-2019-06467
6 · The paper itself

Abstract

purposeTotal metabolic tumor volume (TMTV) segmentation has significant value enabling quantitative imaging biomarkers for lymphoma management. In this work, we tackle the challenging task of automated tumor delineation in lymphoma from PET/CT scans using a cascaded approach.

methodsOur study included 1418 2-[

resultsOur cascaded soft-voting guided approach resulted in performance with an average DSC of 0.68 ± 0.12 for the internal test data from developmental dataset, and an average DSC of 0.66 ± 0.18 on the multi-site external data (n = 518), significantly outperforming (p < 0.001) state-of-the-art (SOTA) approaches including nnU-Net and SWIN UNETR. While TTA yielded enhanced performance gains for some of the comparator methods, its impact on our cascaded approach was found to be negligible (DSC: 0.66 ± 0.16). Our approach reliably quantified TMTV, with a correlation of 0.89 with the ground truth (p < 0.001). Furthermore, in terms of visual assessment, concordance between quantitative evaluations and clinician feedback was observed in the majority of cases. The average relative error (ARE) and the absolute error (AE) in TMTV prediction on external multi-centric dataset were ARE = 0.43 ± 0.54 and AE = 157.32 ± 378.12 (mL) for all the external test data (n = 518), and ARE = 0.30 ± 0.22 and AE = 82.05 ± 99.78 (mL) when the 10% outliers (n = 53) were excluded.

conclusionTMTV-Net demonstrates strong performance and generalizability in TMTV segmentation across multi-site external datasets, encompassing various lymphoma subtypes. A negligible reduction of 2% in overall performance during testing on external data highlights robust model generalizability across different centers and cancer types, likely attributable to its training with resampled inputs. Our model is publicly available, allowing easy multi-site evaluation and generalizability analysis on datasets from different institutions.

Indexed as

Image Processing, Computer-AssistedLymphomaPositron Emission Tomography Computed TomographyTumor BurdenAutomationFemaleFluorodeoxyglucose F18HumansMaleFluorodeoxyglucose F183D U-NetDeep learningLymphomaPET/CTTotal metabolic tumor volume, Generalizability, Artificial intelligence

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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.