Evidence map›Paper›PMID 41817947›Full record

ArticleEJNMMI physics2026

An international study of factors affecting variability of dosimetry calculations, part 5: impact of segmentation methods.

Sara Kurkowska, Yuni K Dewaraja, Eric C Frey, Julia Brosch-Lenz, John Sunderland, Carlos Uribe

Abstract read
In one paragraph

Article in EJNMMI physics, 2026. 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. 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

6 authors.

Sara KurkowskaDepartment of Nuclear Medicine, Pomeranian Medical University, Szczecin, Poland.
Yuni K DewarajaDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Eric C FreyRapid, LLC, Baltimore, MD, USA.
Julia Brosch-LenzInstitute of Nuclear Medicine, Glen Burnie, MD, USA.
John Sunderland *Department of Radiology, University of Iowa, Iowa City, IA, USA.
Carlos Uribe *Department of Integrative Oncology, BC Cancer Research Institute, Vancouver, BC, Canada. curibe@bccrc.ca.ORCID http://orcid.org/0000-0003-3127-7478

Funding

Radiobioeffect Modeling of αRPTP01CA272222 · NCI · JOHNS HOPKINS UNIVERSITY · PI Ana Ponce Kiess · 2023 to 2026
$12.8M
Bringing Capacity for Theranostic Dosimetry Planning to the Nuclear Medicine ClinicR01CA240706 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DEWARAJA, YUNI K · 2020 to 2024
$3.0M
Cloud/Subscription based, Customer-Responsive Dosimetry Tool for alpha-Particle EmittersR44CA291420 · NCI · RADIOPHARMACEUTICAL IMAGING AND DOSIMETRY, LLC · PI FREY, ERIC C., GHALY, MICHAEL · 2024 to 2025
$1.6M
Enhancing radioligand therapy for prostate cancer with biomarker and dosimetry guided personalizationR01CA289631 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DEWARAJA, YUNI K · 2024 to 2025
$1.3M
Natural Sciences and Engineering Research Council RGPIN-2021-02965NCI NIH HHS P01CA272222NCI NIH HHS R01CA240706NCI NIH HHS R01CA24077NCI NIH HHS R01CA289631NCI NIH HHS R44CA291420
6 · The paper itself

Abstract

backgroundIndividualized radiopharmaceutical therapies guided by patient-specific absorbed dose assessments using imaging have the potential to improve both efficacy and safety. Understanding sources of variability in absorbed dose calculations is critical for standardization. The Society of Nuclear Medicine and Molecular Imaging Dosimetry Task Force launched the

methodsAnonymized datasets from two patients treated with

resultsVariability in absorbed dose (measured as QCD difference between absorbed doses from participant-generated segmentations and those from reference segmentations) for kidneys was less than 5% in simple cases and 10.6% for more challenging scenarios (i.e. presence of intraparenchymal cysts, cortical defects). Lesion segmentation exhibited higher variability, with absorbed dose variability reaching up to 22.4%.

conclusionsSegmentation significantly contributes to variability in absorbed dose estimates, particularly for lesions and for kidneys with anatomical complexities. Standardizing segmentation protocols and providing training on advanced segmentation methods are essential to reduce variability.

Indexed as

177LuDosimetryRadiopharmaceutical therapiesSegmentationSPECT/CT

Identifiers

PMID41817947
PMCPMC13096261

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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.