Evidence map›Paper›PMID 38453408›Full record

ArticleAJNR. American journal of neuroradiology2024

Synthesizing Contrast-Enhanced MR Images from Noncontrast MR Images Using Deep Learning.

Gowtham Murugesan, Fang F Yu, Michael Achilleos, John DeBevits, Sahil Nalawade, Chandan Ganesh, Ben Wagner, Ananth J Madhuranthakam, Joseph A Maldjian

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

9 authors.

Gowtham MurugesanDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.
Fang F YuDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas frankf.yu@utsouthwestern.edu.ORCID 0000-0001-9913-1331
Michael AchilleosDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-4034-4460
John DeBevitsDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-0339-6912
Sahil NalawadeDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-5440-8357
Chandan GaneshDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0001-8853-3036
Ben WagnerDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-2835-986X
Ananth J MadhuranthakamDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-5524-7962
Joseph A MaldjianDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-6384-1072

Funding

Quantitative Non-Contrast Perfusion using Arterial Spin Labeling for Assessment of Cancer Therapy ResponseU01CA207091 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MADHURANTHAKAM, ANANTH J, MALDJIAN, JOSEPH A · 2017 to 2022
$3.1M
Virtual Biopsy with Tissue-level Accuracy in GliomaR01CA260705 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MALDJIAN, JOSEPH A · 2021 to 2025
$3.1M
NCI NIH HHS R01 CA260705NCI NIH HHS U01 CA207091
6 · The paper itself

Abstract

background and purposeRecent developments in deep learning methods offer a potential solution to the need for alternative imaging methods due to concerns about the toxicity of gadolinium-based contrast agents. The purpose of the study was to synthesize virtual gadolinium contrast-enhanced T1-weighted MR images from noncontrast multiparametric MR images in patients with primary brain tumors by using deep learning. MATERIALS AND

methodsWe trained and validated a deep learning network by using MR images from 335 subjects in the Brain Tumor Segmentation Challenge 2019 training data set. A held out set of 125 subjects from the Brain Tumor Segmentation Challenge 2019 validation data set was used to test the generalization of the model. A residual inception DenseNet network, called T1c-ET, was developed and trained to simultaneously synthesize virtual contrast-enhanced T1-weighted (vT1c) images and segment the enhancing portions of the tumor. Three expert neuroradiologists independently scored the synthesized vT1c images by using a 3-point Likert scale, evaluating image quality and contrast enhancement against ground truth T1c images (1 = poor, 2 = good, 3 = excellent).

resultsThe synthesized vT1c images achieved structural similarity index, peak signal-to-noise ratio, and normalized mean square error scores of 0.91, 64.35, and 0.03, respectively. There was moderate interobserver agreement between the 3 raters, regarding the algorithm's performance in predicting contrast enhancement, with a Fleiss kappa value of 0.61. Our model was able to accurately predict contrast enhancement in 88.8% of the cases (scores of 2 to 3 on the 3-point scale).

conclusionsWe developed a novel deep learning architecture to synthesize virtual postcontrast enhancement by using only conventional noncontrast brain MR images. Our results demonstrate the potential of deep learning methods to reduce the need for gadolinium contrast in the evaluation of primary brain tumors.

Indexed as

Brain NeoplasmsDeep LearningBrainContrast MediaGadoliniumHumansMagnetic Resonance ImagingContrast MediaGadolinium

Identifiers

PMID38453408
PMCPMC11286124

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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.