Evidence map›Paper›PMID 39120487›Full record

ArticleJournal of applied clinical medical physics2024

Deep learning based clinical target volumes contouring for prostate cancer: Easy and efficient application.

Feng Wen, Zhebin Chen, Xin Wang, Meng Dou, Jialuo Yang, Yu Yao, Yali Shen

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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4 · The record

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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

7 authors.

Feng WenDepartment of Radiation Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Zhebin ChenChengdu Institute of Computer Application, Chinese Academy of Sciences, Sichuan, Chengdu, China.
Xin WangDepartment of Radiation Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Meng DouChengdu Institute of Computer Application, Chinese Academy of Sciences, Sichuan, Chengdu, China.
Jialuo YangDepartment of Medicine Oncology, Shifang people's Hospital, Shifang, China.
Yu YaoChengdu Institute of Computer Application, Chinese Academy of Sciences, Sichuan, Chengdu, China.
Yali ShenDepartment of Radiation Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.

Funding

National Natural Science Foundation of China 81802445Science & Technology Department of Sichuan Province 2022NSFSC1564
6 · The paper itself

Abstract

backgroundRadiotherapy has been crucial in prostate cancer treatment. However, manual segmentation is labor intensive and highly variable among radiation oncologists. In this study, a deep learning based automated contouring model is constructed for clinical target volumes (CTVs) of intact and postoperative prostate cancer.

methodsComputed tomography (CT) data sets of 197 prostate cancer patients were collected. Two auto-delineation models were built for radical radiotherapy and postoperative radiotherapy of prostate cancer respectively, and each model included CTVn for pelvic lymph nodes and CTVp for prostate tumors or prostate tumor beds.

resultsIn the radical radiotherapy model, the volumetric dice (VD) coefficient of CTVn calculated by AI, was higher than that of the one delineated by the junior physicians (0.85 vs. 0.82, p = 0.018); In the postoperative radiotherapy model, the quantitative parameter of CTVn and CTVp, counted by AI, was better than that of the junior physicians. The median delineation time for AI was 0.23 min in the postoperative model and 0.26 min in the radical model, which were significantly shorter than those of the physicians (50.40 and 45.43 min, respectively, p < 0.001). The correction time of the senior physician for AI was much shorter compared with that for the junior physicians in both models (p < 0.001).

conclusionUsing deep learning and attention mechanism, a highly consistent and time-saving contouring model was built for CTVs of pelvic lymph nodes and prostate tumors or prostate tumor beds for prostate cancer, which also might be a good approach to train junior radiation oncologists.

Indexed as

Deep LearningProstatic NeoplasmsRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedTomography, X-Ray ComputedAgedAlgorithmsHumansImage Processing, Computer-AssistedMaleMiddle AgedOrgans at RiskPrognosisdeep learningefficientlymph node contouringprostate cancerprostate target delineation

Identifiers

PMID39120487
PMCPMC11466469

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LicenceCC BY
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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.