Evidence map›Paper›PMID 38424612›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2024

Automated segmentation of lesions and organs at risk on [

Elmira Yazdani, Najme Karamzadeh-Ziarati, Seyyed Saeid Cheshmi, Mahdi Sadeghi, Parham Geramifar, Habibeh Vosoughi, Mahmood Kazemi Jahromi, Saeed Reza Kheradpisheh

Open access · goldAbstract read
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
11.7field-weighted citation impact, top 1% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Swin UNETR-based prediction of [BMC medical imaging · 2026
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  14. Physical and engineering sciences in medicine · 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

8 authors at 4 institutions in 1 country.

Elmira YazdaniMedical Physics Department, School of Medicine, Iran University of Medical Sciences, Tehran, 14155-6183, Iran.
Najme Karamzadeh-Ziarati *Research Center for Nuclear Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Seyyed Saeid Cheshmi *Department of Computer and Data Sciences, Faculty of Mathematical Sciences, Shahid Beheshti University, Tehran, Iran.
Mahdi Sadeghi *Medical Physics Department, School of Medicine, Iran University of Medical Sciences, Tehran, 14155-6183, Iran. sadeghi.m@iums.ac.ir.ORCID http://orcid.org/0000-0001-5055-4544
Parham Geramifar *Research Center for Nuclear Medicine, Tehran University of Medical Sciences, Tehran, Iran. pgeramifar@tums.ac.ir.
Habibeh VosoughiResearch Center for Nuclear Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Mahmood Kazemi JahromiMedical Physics Department, School of Medicine, Iran University of Medical Sciences, Tehran, 14155-6183, Iran.
Saeed Reza Kheradpisheh *Department of Computer and Data Sciences, Faculty of Mathematical Sciences, Shahid Beheshti University, Tehran, Iran. kheradpisheh@ut.ac.ir.
Iran University of Medical Sciences · IRShahid Beheshti University · IRTehran University of Medical Sciences · IRImam Reza International University · IR

Funding

Iran University of Medical Sciences 24417
6 · The paper itself

Abstract

backgroundProstate-specific membrane antigen (PSMA) PET/CT imaging is widely used for quantitative image analysis, especially in radioligand therapy (RLT) for metastatic castration-resistant prostate cancer (mCRPC). Unknown features influencing PSMA biodistribution can be explored by analyzing segmented organs at risk (OAR) and lesions. Manual segmentation is time-consuming and labor-intensive, so automated segmentation methods are desirable. Training deep-learning segmentation models is challenging due to the scarcity of high-quality annotated images. Addressing this, we developed shifted windows UNEt TRansformers (Swin UNETR) for fully automated segmentation. Within a self-supervised framework, the model's encoder was pre-trained on unlabeled data. The entire model was fine-tuned, including its decoder, using labeled data.

methodsIn this work, 752 whole-body [

resultsThe model generates high-quality OARs and lesion segmentation in lesion-positive cases, including mCRPC. The results show that self-supervised pre-training significantly improved the average dice similarity coefficient (DSC) for all classes by about 3%. Compared to nnU-Net, a well-established model in medical image segmentation, our approach outperformed with a 5% higher DSC. This improvement was attributed to our model's combined use of self-supervised pre-training and supervised fine-tuning, specifically when applied to PET/CT input. Our best model had the lowest DSC for lesions at 0.68 and the highest for liver at 0.95.

conclusionsWe developed a state-of-the-art neural network using self-supervised pre-training on whole-body [

Indexed as

Positron Emission Tomography Computed TomographyProstatic Neoplasms, Castration-ResistantGallium RadioisotopesHumansImage Processing, Computer-AssistedMaleOrgans at RiskSupervised Machine LearningTissue DistributionGallium RadioisotopesPSMA-11Deep-learningLesion detectionNeural networkPET/CTProstate cancerPSMASegmentationSelf-supervised learningSwin UNETR

Identifiers

PMID38424612
PMCPMC10903052
OpenAlexW4392293823

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.