Evidence map›Paper›PMID 30524027›Full record

ArticlePhysics in medicine and biology2019

MRI-based attenuation correction for brain PET/MRI based on anatomic signature and machine learning.

Xiaofeng Yang, Tonghe Wang, Yang Lei, Kristin Higgins, Tian Liu, Hyunsuk Shim, Walter J Curran, Hui Mao, Jonathon A Nye

Open access · greenAbstract read
In one paragraph

Article in Physics in medicine and biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.7field-weighted citation impact, top 3% of its field
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

22 citing papers in PubMed, 50 citations in OpenAlex.

  1. On Hallucinations in Artificial Intelligence-Generated Content for Nuclear Medicine Imaging (the DREAM Report).Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
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  7. Hybrid total-body pet scanners-current status and future perspectives.European journal of nuclear medicine and molecular imaging · 2022
    Review
  8. Review
  9. Article
  10. MRI classification using semantic random forest with auto-context model.Quantitative imaging in medicine and surgery · 2021
    Article
  11. A review of deep learning based methods for medical image multi-organ segmentation.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2021
    Review
  12. Article
  13. Review
  14. Machine learning in quantitative PET: A review of attenuation correction and low-count image reconstruction methods.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2020
    Review
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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

9 authors at 1 institution in 1 country.

Xiaofeng YangDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Tonghe WangDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Yang LeiDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Kristin HigginsDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Tian LiuDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Hyunsuk ShimDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Walter J CurranDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Hui MaoDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, GA, United States of America.
Jonathon A NyeDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, GA, United States of America.
Emory University · US

Funding

Multiparametric MRI-guided Prostate HDR Brachytherapy with Focal Tumor BoostR01CA215718 · NCI · EMORY UNIVERSITY · PI YANG, XIAOFENG · 2018 to 2022
$1.8M
NCI NIH HHS R01 CA215718
6 · The paper itself

Abstract

Deriving accurate attenuation maps for PET/MRI remains a challenging problem because MRI voxel intensities are not related to properties of photon attenuation and bone/air interfaces have similarly low signal. This work presents a learning-based method to derive patient-specific computed tomography (CT) maps from routine T1-weighted MRI in their native space for attenuation correction of brain PET. We developed a machine-learning-based method using a sequence of alternating random forests under the framework of an iterative refinement model. Anatomical feature selection is included in both training and predication stages to achieve optimal performance. To evaluate its accuracy, we retrospectively investigated 17 patients, each of which has been scanned by PET/CT and MR for brain. The PET images were corrected for attenuation on CT images as ground truth, as well as on pseudo CT (PCT) images generated from MR images. The PCT images showed mean average error of 66.1  ±  8.5 HU, average correlation coefficient of 0.974  ±  0.018 and average Dice similarity coefficient (DSC) larger than 0.85 for air, bone and soft tissue. The side-by-side image comparisons and joint histograms demonstrated very good agreement of PET images after correction by PCT and CT. The mean differences of voxel values in selected VOIs were less than 4%, the mean absolute difference of all active area is around 2.5%, and the mean linear correlation coefficient is 0.989  ±  0.017 between PET images corrected by CT and PCT. This work demonstrates a novel learning-based approach to automatically generate CT images from routine T1-weighted MR images based on a random forest regression with patch-based anatomical signatures to effectively capture the relationship between the CT and MR images. Reconstructed PET images using the PCT exhibit errors well below accepted test/retest reliability of PET/CT indicating high quantitative equivalence.

Indexed as

Machine LearningAdultAgedAged, 80 and overBrain NeoplasmsFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingPositron-Emission TomographyReproducibility of ResultsRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID30524027
PMCPMC7773209
OpenAlexW2904950251

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.