Evidence map›Paper›PMID 39300922›Full record

ArticleCancer medicine2024

Automatic segmentation of esophageal cancer, metastatic lymph nodes and their adjacent structures in CTA images based on the UperNet Swin network.

Runyuan Wang, Xingcai Chen, Xiaoqin Zhang, Ping He, Jinfeng Ma, Huilin Cui, Ximei Cao, Yongjian Nian, Ximing Xu, Wei Wu and 1 more

Abstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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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3 · Its place in the literature

Who cites it

9 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

11 authors.

Runyuan WangDepartment of Digital Medicine, College of Biomedical Engineering and Medical Imaging, Army Medical University (Third Military Medical University), Chongqing, China.ORCID https://orcid.org/0000-0001-5908-6601
Xingcai ChenDepartment of Digital Medicine, College of Biomedical Engineering and Medical Imaging, Army Medical University (Third Military Medical University), Chongqing, China.
Xiaoqin ZhangDepartment of Digital Medicine, College of Biomedical Engineering and Medical Imaging, Army Medical University (Third Military Medical University), Chongqing, China.
Ping HeDepartment of Cardiac Surgery, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Jinfeng MaDepartment of General Surgery, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, China.
Huilin CuiDepartment of Histology and Embryology, Shanxi Medical University, Taiyuan, China.
Ximei CaoDepartment of Histology and Embryology, Shanxi Medical University, Taiyuan, China.
Yongjian NianDepartment of Digital Medicine, College of Biomedical Engineering and Medical Imaging, Army Medical University (Third Military Medical University), Chongqing, China.
Ximing XuMinistry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Wei WuDepartment of Thoracic Surgery, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Yi WuDepartment of Digital Medicine, College of Biomedical Engineering and Medical Imaging, Army Medical University (Third Military Medical University), Chongqing, China.

Funding

Basic Research (Free Exploration) Project of Shanxi Province 2021011079-2Chongqing Science and Technology Talent Project CQYC201905037Health Project of National Clinical Research Center for Child Health and Disorders (Children's Hospital of Chongqing Medical University, Chongqing, China) NCRCCHD-2022-HP-01National Natural Science Foundation of China under Grant 31971113Science-Health Joint Medical Scientific Research Project of Chongqing 2022ZDXM018University Funded Science and Technology Innovation Capacity Improvement Project 2019XYY14
6 · The paper itself

Abstract

objectiveTo create a deep-learning automatic segmentation model for esophageal cancer (EC), metastatic lymph nodes (MLNs) and their adjacent structures using the UperNet Swin network and computed tomography angiography (CTA) images and to improve the effectiveness and precision of EC automatic segmentation and TN stage diagnosis.

methodsAttention U-Net, UperNet Swin, UNet++ and UNet were used to train the EC segmentation model to automatically segment the EC, esophagus, pericardium, aorta and MLN from CTA images of 182 patients with postoperative pathologically proven EC. The Dice similarity coefficient (DSC), sensitivity, and positive predictive value (PPV) were used to assess their segmentation effectiveness. The volume of EC was calculated using the segmentation results, and the outcomes and times of automatic and human segmentation were compared. All statistical analyses were completed using SPSS 25.0 software.

resultsAmong the four EC autosegmentation models, the UperNet Swin had the best autosegmentation results with a DSC of 0.7820 and the highest values of EC sensitivity and PPV. The esophagus, pericardium, aorta and MLN had DSCs of 0.7298, 0.9664, 0.9496 and 0.5091. The DSCs of the UperNet Swin were 0.6164, 0.7842, 0.8190, and 0.7259 for T1-4 EC. The volume of EC and its adjacent structures between the ground truth and UperNet Swin model were not significantly different.

conclusionsThe UperNet Swin showed excellent efficiency in autosegmentation and volume measurement of EC, MLN and its adjacent structures in different T stage, which can help to T and N stage diagnose EC and will save clinicians time and energy.

Indexed as

Computed Tomography AngiographyDeep LearningEsophageal NeoplasmsLymphatic MetastasisLymph NodesAdultAgedFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedNeoplasm Staging3D reconstructionautomatic segmentationcomputed tomography angiography (CTA)deep learningesophageal cancer

Identifiers

PMID39300922
PMCPMC11413407

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LicenceCC BY
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Registered trials

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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.