Evidence map›Paper›PMID 40645191›Full record

ArticleJournal of applied clinical medical physics2025

Technical development and In Silico implementation of SyntheticMR in head and neck adaptive radiation therapy: A prospective R-IDEAL stage 0/1 technology development report.

Lucas McCullum, Samuel L Mulder, Natalie A West, Robert Aghoghovbia, Alaa Mohamed Shawky Ali, Hayden Scott, Travis C Salzillo, Yao Ding, Alex Dresner, Ergys Subashi and 4 more

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Lucas McCullumUTHealth Houston Graduate School of Biomedical Sciences, UT MD Anderson Cancer Center, Houston, USA.ORCID https://orcid.org/0000-0001-9788-7987
Samuel L MulderUTHealth Houston Graduate School of Biomedical Sciences, UT MD Anderson Cancer Center, Houston, USA.ORCID https://orcid.org/0000-0001-5185-4805
Natalie A WestUTHealth Houston Graduate School of Biomedical Sciences, UT MD Anderson Cancer Center, Houston, USA.ORCID https://orcid.org/0009-0007-0211-8845
Robert AghoghovbiaMorehouse School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0009-0008-2944-4584
Alaa Mohamed Shawky AliDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0001-7472-3701
Hayden ScottUTHealth Houston Graduate School of Biomedical Sciences, UT MD Anderson Cancer Center, Houston, USA.ORCID https://orcid.org/0000-0003-1066-1999
Travis C SalzilloDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0001-6271-9879
Yao DingDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-0559-5846
Alex DresnerPhilips Healthcare MR Oncology, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-0469-6012
Ergys SubashiDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0001-5168-6928
Dan MaDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0003-1664-9579
R Jason StaffordDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-4091-8417
Ken-Pin HwangDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-8196-3794
Clifton D FullerDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-5264-3994

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSyntheticMR has the capability of generating quantitative relaxometry maps and synthetic contrast-weighted MRI images in rapid acquisition times. Recently, it has gained attention in the diagnostic community, however, no studies have investigated its feasibility on the MR-Simulation or MR-Linac systems, especially as part of the head and neck adaptive radiation oncology workflow. PURPOSE: Demonstrating its feasibility will facilitate rapid quantitative biomarker extraction, which can be leveraged to guide adaptive radiation therapy decision making.

methodsTwo phantoms, two healthy volunteers, and one patient were scanned using SyntheticMR on the MR-Simulation and MR-Linac devices with scan times between 4 to 6 min. The correlation between measured and reference quantitative T1, T2, and PD values were determined across clinical ranges in the phantom. Distortion was also studied. Contours of head and neck organs-at-risk (OAR) were drawn and applied to extract T1, T2, and PD. These values were plotted against each other, clusters were computed, and their separability significance was determined to evaluate SyntheticMR for differentiating tumor and normal tissue.

resultsThe Lin's Concordance Correlation Coefficient between the measured and phantom reference values was above 0.97 for both the MR-Sim and MR-Linac. No significant levels of distortion were measured. The mean bias between the measured and phantom reference values across repeated scans was below 6% for T1, 11% for T2, and 6% for PD for both the MR-Sim and MR-Linac. For T1 versus T2 and T1 versus PD, the GTV contour exhibited perfect purity against neighboring OARs, while being 0.7 for T2 versus PD. All cluster significance levels between the GTV and the nearest OAR, the tongue, using the SigClust method was p < 0.001.

conclusionsThe technical feasibility of SyntheticMR was confirmed. Application of this technique to the head and neck adaptive radiation therapy workflow can enrich the current quantitative biomarker landscape.

Indexed as

Computer SimulationHead and Neck NeoplasmsImage Processing, Computer-AssistedMagnetic Resonance ImagingOrgans at RiskPhantoms, ImagingRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedHumansProspective StudiesRadiotherapy DosageAdaptive RMRIMR‐LinacQuantitative imagingRadiation therapyRadiotherapySyMRISyntheticMR

Identifiers

PMID40645191
PMCPMC12257339

What OpenQuestion holds

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LicenceCC BY
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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.