Evidence map›Paper›PMID 40128537›Full record

ArticleScientific reports2025

A deep learning model based on Mamba for automatic segmentation in cervical cancer brachytherapy.

Lele Zang, Jing Liu, Huiqi Zhang, Shitao Zhu, Mingxuan Zhu, Yuqin Wang, Yaxin Kang, Jihong Chen, Qin Xu

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. HAR-Net: Automatic delineation of clinical target volumes for cervical cancer guided by hierarchical anatomical refinement.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  3. Systematic review of artificial intelligence in brachytherapy.Journal of contemporary brachytherapy · 2026
    Review
  4. Review
  5. Review
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.

Lele Zang *Department of Gynecology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, 350011, Fujian, China.
Jing Liu *Department of Gynecology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, 350011, Fujian, China.
Huiqi Zhang *Department of Radiation Oncology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, 350011, Fujian, China.
Shitao ZhuCollege of Computer and Data Science, Fuzhou University, Fuzhou, 350116, China.
Mingxuan ZhuDepartment of Radiation Oncology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, 350011, Fujian, China.
Yuqin WangDepartment of Radiation Oncology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, 350011, Fujian, China.
Yaxin KangDepartment of Radiation Oncology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, 350011, Fujian, China.
Jihong ChenDepartment of Radiation Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, China. whuhandaxue@163.com.
Qin XuDepartment of Gynecology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, 350011, Fujian, China. xuqin@fjmu.edu.cn.

Funding

Fujian Province Science and Technology Innovation Joint Fund Project 2023Y9449Joint Funds for the innovation of science and Technology, Fujian province 2021Y9190Joint Funds for the innovation of science and Technology,Fujian province 2023Y9451Natural Science Foundation of Fujian Province 2023J011250Natural Science Foundation of Fujian Province 2024J011556
6 · The paper itself

Abstract

This study developed and evaluated an automatic segmentation model based on the Mamba framework (AM-UNet) for rapid and precise delineation of high-risk clinical target volume (HRCTV) and organs at risk (OARs) in cervical cancer brachytherapy. Using 694 CT scans from 179 cervical cancer patients, the performance of five models (AM-UNet, UNet, DeepLab V3, UNETR and nnU-Net) was compared. The models were assessed using the Dice similarity coefficient (DSC), 95% Hausdorff distance (HD95), and dose-volume index (DVI). AM-UNet achieved mean DSCs of 0.862, 0.937, 0.823, and 0.725 for HRCTV, bladder, rectum, and sigmoid, respectively. Subjective evaluations showed 93.07% of AM-UNet predicted HRCTV were rated as clinically acceptable or needing minor adjustments, with no unacceptable cases. Dosimetric differences between AM-UNet-generated and manually delineated contours were within 1%, highlighting its potential for improving clinical workflows in brachytherapy.

Indexed as

BrachytherapyDeep LearningRadiotherapy Planning, Computer-AssistedUterine Cervical NeoplasmsAdultAgedFemaleHumansMiddle AgedOrgans at RiskRadiotherapy DosageTomography, X-Ray ComputedAuto-segmentationBrachytherapyCervical cancerComputedDeep learning

Identifiers

PMID40128537
PMCPMC11933318

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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.