Evidence map›Paper›PMID 30713000›Full record

ArticleMedical dosimetry : official journal of the American Association of Medical Dosimetrists

Dose evaluation of MRI-based synthetic CT generated using a machine learning method for prostate cancer radiotherapy.

Ghazal Shafai-Erfani, Tonghe Wang, Yang Lei, Sibo Tian, Pretesh Patel, Ashesh B Jani, Walter J Curran, Tian Liu, Xiaofeng Yang

Open access · greenAbstract read
In one paragraph

Article in Medical dosimetry : official journal of the American Association of Medical Dosimetrists. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
9.3field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. MRI classification using semantic random forest with auto-context model.Quantitative imaging in medicine and surgery · 2021
    Article
  9. Article
  10. 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
  11. Review
  12. 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
  13. Article
  14. Review
  15. Article
  16. 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

9 authors at 1 institution in 1 country.

Ghazal Shafai-ErfaniDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Tonghe WangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Yang LeiDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Sibo TianDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Pretesh PatelDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Ashesh B JaniDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Walter J CurranDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Tian LiuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.
Xiaofeng YangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA. Electronic address: xyang43@emory.edu.
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

Magnetic resonance imaging (MRI)-only radiotherapy treatment planning is attractive since MRI provides superior soft tissue contrast over computed tomographies (CTs), without the ionizing radiation exposure. However, it requires the generation of a synthetic CT (SCT) from MRIs for patient setup and dose calculation. In this study, we aim to investigate the accuracy of dose calculation in prostate cancer radiotherapy using SCTs generated from MRIs using our learning-based method. We retrospectively investigated a total of 17 treatment plans from 10 patients, each having both planning CTs (pCT) and MRIs acquired before treatment. The SCT was registered to the pCT for generating SCT-based treatment plans. The original pCT-based plans served as ground truth. Clinically-relevant dose volume histogram (DVH) metrics were extracted from both ground truth and SCT-based plans for comparison and evaluation. Gamma analysis was performed for the comparison of absorbed dose distributions between SCT- and pCT-based plans of each patient. Gamma analysis of dose distribution on pCT and SCT within 1%/1 mm at 10% dose threshold showed greater than 99% pass rate. The average differences in DVH metrics for planning target volumes (PTVs) were less than 1%, and similar metrics for organs at risk (OAR) were not statistically different. The SCT images created from MR images using our proposed machine learning method are accurate for dose calculation in prostate cancer radiation treatment planning. This study also demonstrates the great potential for MRI to completely replace CT scans in the process of simulation and treatment planning. However, MR images are needed to further analyze geometric distortion effects. Digitally reconstructed radiograph (DRR) can be generated within our method, and their accuracy in patient setup needs further analysis.

Indexed as

Machine LearningRadiotherapy, Intensity-ModulatedHumansMagnetic Resonance ImagingMaleOrgans at RiskProstatic NeoplasmsRadiotherapy DosageRadiotherapy Planning, Computer-AssistedRetrospective StudiesTomography, X-Ray ComputedMRISCTTreatment planning

Identifiers

PMID30713000
PMCPMC6669118
OpenAlexW2914697801

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.