Evidence map›Paper›PMID 41186921›Full record

ArticleMedical physics2025

Deep learning-based synthetic-CT-free photon dose calculation in MR-guided radiotherapy: A proof-of-concept study.

Fan Xiao, Domagoj Radonic, Niklas Wahl, Nikolaos Delopoulos, Adrian Thummerer, Stefanie Corradini, Claus Belka, George Dedes, Christopher Kurz, Guillaume Landry

Abstract read
In one paragraph

Article in Medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

10 authors.

Fan XiaoDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Domagoj RadonicDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Niklas WahlDepartment of Medical Physics in Radiation Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Nikolaos DelopoulosDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Adrian ThummererDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Stefanie CorradiniDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Claus BelkaDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
George DedesDepartment of Medical Physics, Faculty of Physics, Ludwig-Maximilians-Universität München, Munich, Germany.
Christopher KurzDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Guillaume LandryDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.

Funding

China Scholarship Council 202308440107Deutsche Forschungsgemeinschaft 469106425
6 · The paper itself

Abstract

backgroundIn magnetic resonance imaging (MRI)-guided online adaptive radiotherapy, MRI lacks tissue attenuation information necessary for accurate dose calculations. Although deep learning (DL)-based synthetic computed tomography (CT) generation models have been developed to obtain CT density information from MRI, they usually do not meet the requirement of real-time plan adaptation. PURPOSE: We propose a DL-based photon dose calculation method directly on 0.35 T MRI to skip synthetic CT generation and show its feasibility for prostate patient cases.

methodsThe 0.35 T planning MRI and deformed planning CT (registered to the planning MRI) of 34 prostate cancer patients treated with a 0.35 T magnetic resonance-linear accelerator (MR-Linac) were collected. The air cavities (ACs) in the abdominopelvic area of the deformed CT images were corrected based on manual AC contouring on the MRI. Monte Carlo (MC) dose simulations under a 0.35 T magnetic field were performed on the corrected CT images. All photon beams were simulated using a uniform field size of

resultsThe test results for all photon beams from the proposed models demonstrated a mean

conclusionsThe proposed method showed that DL-based dose calculation directly on MRI is feasible for prostate cases, which has the potential to simplify the procedure for MRI-only workflows and can be beneficial for real-time plan adaptation.

Indexed as

Deep LearningMagnetic Resonance ImagingPhotonsRadiation DosageRadiotherapy, Image-GuidedRadiotherapy Planning, Computer-AssistedHumansMaleMonte Carlo MethodProof of Concept StudyProstatic NeoplasmsRadiotherapy DosageTomography, X-Ray Computeddeep learningdose calculationLSTMMRIonline MR‐guided photon therapy

Identifiers

PMID41186921
PMCPMC12584934

What Socratic holds

Textmetadata
LicenceCC BY
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.