Evidence map›Paper›PMID 35533237›Full record

ArticleMedical physics2022

MRI-based prostate and dominant lesion segmentation using cascaded scoring convolutional neural network.

Zachary A Eidex, Tonghe Wang, Yang Lei, Marian Axente, Oladunni O Akin-Akintayo, Olayinka A Abiodun Ojo, Akinyemi A Akintayo, Justin Roper, Jeffery D Bradley, Tian Liu and 2 more

Abstract read
In one paragraph

Article in Medical physics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Deep learning in MRI-guided radiation therapy: A systematic review.Journal of applied clinical medical physics · 2024
    Pooled it
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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

12 authors.

Zachary A EidexDepartment of Radiation Oncology, Emory University, Atlanta, Georgia, USA.
Tonghe WangDepartment of Radiation Oncology, Emory University, Atlanta, Georgia, USA.
Yang LeiDepartment of Radiation Oncology, Emory University, Atlanta, Georgia, USA.
Marian AxenteDepartment of Radiation Oncology, Emory University, Atlanta, Georgia, USA.
Oladunni O Akin-AkintayoDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, USA.
Olayinka A Abiodun OjoDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, USA.
Akinyemi A AkintayoDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, USA.
Justin RoperDepartment of Radiation Oncology, Emory University, Atlanta, Georgia, USA.
Jeffery D BradleyDepartment of Radiation Oncology, Emory University, Atlanta, Georgia, USA.
Tian LiuDepartment of Radiation Oncology, Emory University, Atlanta, Georgia, USA.
David M SchusterWinship Cancer Institute, Emory University, Atlanta, Georgia, USA.
Xiaofeng YangDepartment of Radiation Oncology, Emory University, Atlanta, Georgia, USA.

Funding

Prostate Cancer Biomarker and Imaging Validation Alliance: Emory University, University of Alabama Birmingham, and University of Texas SouthwesternU01CA113913 · NCI · EMORY UNIVERSITY · PI Martin G. Sanda · 2005 to 2026
$16.4M
uPAR Targeted in Vivo Molecular Magnetic Resonance Imaging of....P50CA128301 · NCI · EMORY UNIVERSITY · PI MELTZER, CAROLYN C · 2008 to 2012
$6.8M
Multiparametric MRI-guided Prostate HDR Brachytherapy with Focal Tumor BoostR01CA215718 · NCI · EMORY UNIVERSITY · PI YANG, XIAOFENG · 2018 to 2022
$1.8M
NCI NIH HHS P50 CA128301NCI NIH HHS R01 CA215718NCI NIH HHS U01 CA113913the National Cancer Institute of the National Institutes of Health P50CA128301the National Cancer Institute of the National Institutes of Health R01CA215718the National Cancer Institute of the National Institutes of Health U01CA113913
6 · The paper itself

Abstract

purposeDose escalation to dominant intraprostatic lesions (DILs) is a novel treatment strategy to improve the treatment outcome of prostate radiation therapy. Treatment planning requires accurate and fast delineation of the prostate and DILs. In this study, a 3D cascaded scoring convolutional neural network is proposed to automatically segment the prostate and DILs from MRI. METHODS AND MATERIALS: The proposed cascaded scoring convolutional neural network performs end-to-end segmentation by locating a region-of-interest (ROI), identifying the object within the ROI, and defining the target. A scoring strategy, which is learned to judge the segmentation quality of DIL, is integrated into cascaded convolutional neural network to solve the challenge of segmenting the irregular shapes of the DIL. To evaluate the proposed method, 77 patients who underwent MRI and PET/CT were retrospectively investigated. The prostate and DIL ground truth contours were delineated by experienced radiologists. The proposed method was evaluated with fivefold cross-validation and holdout testing.

resultsThe average centroid distance, volume difference, and Dice similarity coefficient (DSC) value for prostate/DIL are 4.3 ± 7.5/3.73 ± 3.78 mm, 4.5 ± 7.9/0.41 ± 0.59 cc, and 89.6 ± 8.9/84.3 ± 11.9%, respectively. Comparable results were obtained in the holdout test. Similar or superior segmentation outcomes were seen when compared the results of the proposed method to those of competing segmentation approaches.

conclusionsThe proposed automatic segmentation method can accurately and simultaneously segment both the prostate and DILs. The intended future use for this algorithm is focal boost prostate radiation therapy.

Indexed as

Positron Emission Tomography Computed TomographyProstateHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleNeural Networks, ComputerRetrospective Studiesdeep learningMRIprostate and dominant lesion segmentation

Identifiers

PMID35533237
PMCPMC9388615

What Socratic holds

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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.