Evidence map›Paper›PMID 40653785›Full record

ArticleJournal of applied clinical medical physics2025

A semi-automated workflow for cohort-wise preparation of radiotherapy data for dose-response modeling, including autosegmentation of organs at risk.

Louise Mövik, Anna Bäck, Kerstin Gunnarsson, Christian Jamtheim Gustafsson, Andreas Hallqvist, Niclas Pettersson

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Louise MövikMedical Radiation Sciences, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0003-0880-5041
Anna BäckMedical Radiation Sciences, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Kerstin GunnarssonDepartment of Oncology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Christian Jamtheim GustafssonRadiation Physics, Department of Hematology, Oncology, and Radiation Physics, Skåne University Hospital, Lund, Sweden.
Andreas HallqvistDepartment of Oncology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Niclas PetterssonMedical Radiation Sciences, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

The Swedish state under the agreement between the Swedish government and the country councils, the ALF-agreements ALFGBG-880231The Swedish state under the agreement between the Swedish government and the country councils, the ALF-agreements ALFGBG-960875Varian Medical Systems, the King Gustaf V Jubilee Clinic Cancer Research Foundation 2019/258Varian Medical Systems, the King Gustaf V Jubilee Clinic Cancer Research Foundation 2021/366Varian Medical Systems, the King Gustaf V Jubilee Clinic Cancer Research Foundation 2022/431
6 · The paper itself

Abstract

backgroundPreparing retrospective dose data for risk modeling using large study cohorts can be time consuming as it often requires patient-wise manual interventions. This is especially the case when considering organs at risk (OARs) not systematically delineated historically. Therefore, we aimed to develop and test a semi-automated workflow for cohort-wise preparation of radiotherapy data from the oncology information system (OIS), including OAR autosegmentation, for risk modeling purposes.

methodsA semi-automated workflow, including cohort-wise data extraction from a clinical OIS, cleanup, autosegmentation, quality controls (QCs), and data injection into a research OIS was iteratively developed using 106 patient cases. We evaluated two deep learning (DL)-based methods and compared with four atlas-based methods for autosegmentation of the proximal bronchial tree (PBT), the heart, and the esophagus that were possible to integrate into the workflow. One method was an in-house DL-based model using OARs manually contoured by experts for 100 cases. Geometric and dosimetric agreements with manually contoured OARs were evaluated for 20 independent cases. The final workflow was tested on 50 independent cases.

resultsThe DL-based methods were better than the atlas-based at segmenting the PBT (mean Dice similarity coefficient (DSC) 0.81-0.83 versus 0.59-0.80) and the esophagus (mean DSC 0.76-0.77 versus 0.39-0.46). The methods performed similarly for the heart (mean DSC 0.90-0.95 (DL-based) and 0.84-0.90 (atlas-based)). Our in-house autosegmentation model had the highest mean DSC for all OARs. The final version of the workflow successfully prepared data for 80% of the test cases without case-specific manual interventions.

conclusionsThe semi-automated workflow enabled efficient cohort-wise preparation of OIS data for risk modeling purposes. Our in-house DL-based segmentation model outperformed the other methods.

Indexed as

Deep LearningLung NeoplasmsOrgans at RiskRadiotherapy Planning, Computer-AssistedWorkflowAlgorithmsDose-Response Relationship, RadiationHumansRadiotherapy DosageRadiotherapy, Intensity-ModulatedRetrospective Studiesautomationautosegmentationlarge‐scale studiesmodeling

Identifiers

PMID40653785
PMCPMC12256672

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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.