Evidence map›Paper›PMID 41194508›Full record

ArticleJournal of applied clinical medical physics2025

Validating clinical feasibility of MRCAT and deep learning-based synthetic CT images for cervical cancer patient.

Dohyeon Yoo, Hojin Kim, Sangjoon Park, Hyeok Choi, Se Young Kim, Jin Sung Kim, Yong Bae Kim

Abstract readValidation Study
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

7 authors.

Dohyeon YooDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine & Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-1790-0297
Hojin KimDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine & Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Sangjoon ParkDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine & Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Hyeok ChoiDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine & Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Se Young KimDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine & Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Jin Sung KimDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine & Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Yong Bae KimDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine & Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.

Funding

Korean government (MSIT) NRF-2021R1A2C2005824National Research Foundation of Korea (NRF)
6 · The paper itself

Abstract

backgroundVarious methods have been developed to generate synthetic computed tomography (CT) images from magnetic resonance (MR) images, including segmentation-based approach with MR calculating attenuation (MRCAT) and deep learning (DL)-based approach. PURPOSE: In this study, we aimed to validate the conventional radiotherapy (RT) planning process with MRCAT and DL-based synthetic CT images for five patients with cervical cancer.

methodsDL-based synthetic CT images of the five patients were inferred using a network trained with 40 pairs of CT and deformed, normalized T2-weighted MR scans; MRCAT images were obtained from mDixon sequences for the tested cases only. On the synthetic CT images, the contouring process for organs-at-risk (OARs) was automatically performed with minor adjustments, while two experienced radiation oncologists defined target volumes. Simultaneous integrated boost plans (2.2/2.0/1.8 Gy with 25 fractions) were produced from a commercial treatment planning system (TPS) TomoTherapy.

resultsThe plans with two synthetic CT images were compared with those based on genuine CT images for the five test cases. High geometric similarity was confirmed for the planning target volume (PTV), with average dice similarity coefficient (DSC) of 0.844 for the DL-based and 0.829 for the MRCAT images. The mean percentage difference in gross tumor volume (GTV) was 20.71

conclusionMRCAT and DL-based synthetic CT images demonstrated clinical applicability, achieving plan quality similar to that of plans based on genuine planning CT images.

Indexed as

Deep LearningImage Processing, Computer-AssistedMagnetic Resonance ImagingRadiotherapy Planning, Computer-AssistedTomography, X-Ray ComputedUterine Cervical NeoplasmsAlgorithmsFeasibility StudiesFemaleHumansOrgans at RiskRadiotherapy DosageRadiotherapy, Intensity-Modulatedcervical cancerdeep‐learningMRCATMR imagessynthetic CT image

Identifiers

PMID41194508
PMCPMC12589824

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