Evidence map›Paper›PMID 41917034›Full record

Observational studyNature communications2026

A prospective multicenter trial of deep learning auto-segmentation for organs at risk in thoracic radiotherapy.

Gengmin Niu, Yong Guan, Yifan Zhang, Yongchun Song, Meng Yan, Songfeng Li, Tao Liu, Sheng Huang, Jingru Chen, Xiaofeng Wang and 18 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05787522 (Prospective, Multicenter, Randomized Evaluation of the Performance and Clinical Applicability of AI-Assisted Radiotherapy Contouring Software for Thoracic Organs at Risk), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05787522 completednot on this map

Prospective, Multicenter, Randomized Evaluation of the Performance and Clinical Applicability of AI-Assisted Radiotherapy Contouring Software for Thoracic Organs at Risk

TypeobservationalSponsorTianjin Medical University Cancer Institute and HospitalRan2022 to 2024Enrolled500ConditionsLung Cancer, Breast Cancer, Esophageal Cancer
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

28 authors.

Gengmin Niu *Department of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.ORCID 0009-0001-6301-3330
Yong Guan *Department of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Yifan Zhang *Department of Oncology, Institute of Integrative Oncology, Tianjin Union Medical Center, Nankai University School of Medicine, Tianjin, China.
Yongchun Song *Department of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Meng YanDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Songfeng LiSchool of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, China.
Tao LiuPerception Vision Medical Technology (PVmed), Guangzhou, China.
Sheng HuangDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Jingru ChenDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Xiaofeng WangDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Wencheng ZhangDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.ORCID 0000-0003-3730-5361
Maobin MengDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Yeman LiuDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.ORCID 0009-0007-8041-8667
Junjie ChenDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Yintao FuDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Donghe ZhaoDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Jing HuangInstitute of Radiation Oncology, Cancer Center, Hubei Key Laboratory of Precision Radiation Oncology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Kunyu YangInstitute of Radiation Oncology, Cancer Center, Hubei Key Laboratory of Precision Radiation Oncology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0000-0002-2575-4736
Jianzhong CaoDepartment of Radiation Oncology, The Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Hongqin YuanDepartment of Radiation Oncology, The Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Shuanshuan GuoDepartment of Radiation Oncology, The Cancer Center of The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong, China.
Xiaofeng PeiDepartment of Thoracic Oncology, The Cancer Center of The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong, China.
Dongmei WuSchool of Pharmacy, Faculty of Medicine, Macau University of Science and Technology, Macau, China.
Yang NanSchool of Pharmacy, Faculty of Medicine, Macau University of Science and Technology, Macau, China.
Ziye YanPerception Vision Medical Technology (PVmed), Guangzhou, China.
Yao LuSchool of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, China.
Lujun ZhaoDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Zhiyong YuanDepartment of Radiation Oncology, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, China. zyuan@tmu.edu.cn.ORCID 0000-0002-4745-6895

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82473240
6 · The paper itself

Abstract

Widespread clinical implementation of rapidly evolving auto-segmentation tools remains constrained by a scarcity of high-quality prospective evidence. Here we show the results of a prospective, multicenter, observational trial (NCT05787522) evaluating the clinical performance of a deep learning model (iCurveE) for artificial intelligence (AI)-assisted delineation of organs at risk (OARs) in thoracic and breast cancer radiotherapy. Computed tomography images from 500 patients across five centers are annotated by 37 physicians using manual, AI-generated, and AI-assisted methods. Eleven thoracic OARs are evaluated based on the primary endpoints of volumetric Dice similarity coefficient (vDSC) and contouring time, alongside secondary metrics including 95% Hausdorff Distance (HD95). We prospectively annotate 2,483 OAR sets (27,043 OARs): 993 manual, 497 AI-generated, and 993 AI-assisted. AI-assisted delineation achieves significantly better vDSC (mean, 0.902) and HD95 (mean, 5.20 mm) than manual delineation (mean vDSC, 0.857; mean HD95, 8.01 mm; p < 0.0001) while improving time efficiency by 81.63% (median: 10.0 vs. 55.0 min; p < 0.0001). AI-assisted delineation reduces performance variability across centers and physicians with varying expertise. This study validates the clinical applicability of AI-assisted delineation in improving delineation performance and promoting healthcare equity.

Indexed as

Breast NeoplasmsDeep LearningOrgans at RiskRadiotherapy Planning, Computer-AssistedThoracic NeoplasmsArtificial IntelligenceFemaleHumansProspective StudiesTomography, X-Ray Computed

Identifiers

PMID41917034
PMCPMC13199442

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Registered trials

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.