{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:03:10Z","timestamp":1785322990094,"version":"3.55.0"},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"49","license":[{"start":{"date-parts":[[2024,12,8]],"date-time":"2024-12-08T00:00:00Z","timestamp":1733616000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Kultur\u00e1lis \u00e9s Innov\u00e1ci\u00f3s Miniszt\u00e9rium","award":["2022-2.1.1-NL-2022-00010"],"award-info":[{"award-number":["2022-2.1.1-NL-2022-00010"]}]},{"name":"T\u00e9mater\u00fcleti Kiv\u00e1l\u00f3s\u00e1gi Program","award":["TKP2021EGA-44"],"award-info":[{"award-number":["TKP2021EGA-44"]}]}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,12,8]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    Daganatos betegek sug\u00e1rter\u00e1pi\u00e1s kezel\u00e9s\u00e9nek els\u0151\n                    l\u00e9p\u00e9se a besug\u00e1rz\u00e1stervez\u00e9s, melynek sor\u00e1n CT-k\u00e9psorozatokon kell a\n                    c\u00e9lt\u00e9rfogatot (daganatot) \u00e9s a v\u00e9dend\u0151 szerveket k\u00f6rberajzolni. Ezt a folyamatot\n                    kont\u00faroz\u00e1snak vagy szegment\u00e1l\u00e1snak h\u00edvjuk. A rajzol\u00e1s jellemz\u0151en k\u00e9t\n                    dimenzi\u00f3ban, axi\u00e1lis CT-szeleteken t\u00f6rt\u00e9nik, de a tervez\u00e9s sor\u00e1n a d\u00f3ziseloszl\u00e1s\n                    sz\u00e1mol\u00e1sa \u00e9s a terv ki\u00e9rt\u00e9kel\u00e9se m\u00e1r h\u00e1romdimenzi\u00f3s. Hagyom\u00e1nyos m\u00f3don\n                    manu\u00e1lisan v\u00e9gezt\u00e9k a szeletenk\u00e9nti kont\u00faroz\u00e1st, de az ut\u00f3bbi id\u0151ben m\u00e1r\n                    automatikus szervkont\u00faroz\u00f3 szoftverek is el\u00e9rhet\u0151v\u00e9 v\u00e1ltak, melyek gyorsabb\u00e1 \u00e9s\n                    megb\u00edzhat\u00f3bb\u00e1 teszik ezt a folyamatot.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Mesters\u00e9ges\n                    intelligenci\u00e1n alapul\u00f3 algoritmust haszn\u00e1l\u00f3 szervkont\u00faroz\u00f3 szoftverek\n                    min\u0151s\u00e9g\u00e9nek \u00f6sszehasonl\u00edt\u00e1sa \u00e9s azoknak a szerveknek a meghat\u00e1roz\u00e1sa, amelyeket\n                    a jelenlegi algoritmusok a legjobb egyez\u0151s\u00e9ggel tudnak k\u00f6rberajzolni, illetve\n                    azoknak a szerveknek az azonos\u00edt\u00e1sa, amelyekn\u00e9l a szegment\u00e1l\u00e1sban nagy elt\u00e9r\u00e9sek\n                    vannak a k\u00fcl\u00f6nb\u00f6z\u0151 szoftverek k\u00f6z\u00f6tt.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    N\u00e9gy anat\u00f3miai\n                    r\u00e9gi\u00f3ban, 93 beteg CT-sorozat\u00e1n h\u00e1rom kont\u00faroz\u00f3szoftverrel (MVision, ART-Plan,\n                    Limbus) berajzolt v\u00e9dend\u0151 szerveket hasonl\u00edtottunk \u00f6ssze. Az MVision-kont\u00farokat\n                    v\u00e1lasztottuk referenci\u00e1nak, \u00e9s a t\u00e9rfogatok nagys\u00e1ga, a t\u00f6megk\u00f6z\u00e9ppontok\n                    helyzete, valamint a t\u00e9rbeli egyez\u00e9st jellemz\u0151 hasonl\u00f3s\u00e1gi \u00e9s konformalit\u00e1si\n                    indexek haszn\u00e1lat\u00e1val v\u00e9gezt\u00fck el az \u00f6sszehasonl\u00edt\u00e1st az MVision-hez k\u00e9pest. A\n                    t\u00e9rbeli egyez\u0151s\u00e9g szempontj\u00e1b\u00f3l sorrendet \u00e1ll\u00edtottunk \u00f6ssze, meghat\u00e1rozva a\n                    legkisebb \u00e9s a legnagyobb elt\u00e9r\u00e9seket mutat\u00f3 szerveket.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A legjobb egyez\u0151s\u00e9get mutat\u00f3 szervek sorrendje:\n                    t\u00fcd\u0151, agy, m\u00e1j, l\u00e9p, gyomor, sz\u00edv, szemek, \u00e1llkapocscsont, ves\u00e9k,\n                    gerinccsatorna, eml\u0151k \u00e9s h\u00fagyh\u00f3lyag. A legnagyobb elt\u00e9r\u00e9seket a kis t\u00e9rfogat\u00fa\n                    szervekn\u00e9l kaptuk: pajzsmirigy, l\u00e1t\u00f3ideg-keresztez\u0151d\u00e9s, bal el\u00fcls\u0151 lesz\u00e1ll\u00f3\n                    koszor\u00fa\u00e9r \u00e9s agyalapi mirigy. Jelent\u0151s k\u00fcl\u00f6nbs\u00e9geket tal\u00e1ltunk a prosztat\u00e1n\u00e1l, a\n                    l\u00e9gcs\u0151re vonatkoz\u00f3 nagy elt\u00e9r\u00e9sek pedig az anat\u00f3miai hat\u00e1rok elt\u00e9r\u0151\n                    \u00e9rtelmez\u00e9s\u00e9b\u0151l ad\u00f3dtak.\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    Olyan szervekn\u00e9l,\n                    melyekn\u00e9l a sz\u00f6vets\u0171r\u0171s\u00e9g jelent\u0151sen elt\u00e9r a k\u00f6rnyezet\u00fckh\u00f6z k\u00e9pest (leveg\u0151\u2013l\u00e1gy\n                    sz\u00f6vet, csont\u2013l\u00e1gy sz\u00f6vet) a szoftverek megfelel\u0151 min\u0151s\u00e9gben tudj\u00e1k meghat\u00e1rozni\n                    az adott szervet. A nagyobb t\u00e9rfogat\u00fa szervekn\u00e9l kisebb, m\u00edg a kisebb\n                    t\u00e9rfogat\u00faakn\u00e1l relat\u00edve nagy k\u00fcl\u00f6nbs\u00e9geket tal\u00e1ltunk a szoftverek \u00e1ltal rajzolt\n                    kont\u00farok k\u00f6z\u00f6tt.\n                    <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>\n                    A v\u00e9dend\u0151 szervek nagy\n                    r\u00e9sz\u00e9n\u00e9l a jelenlegi szoftverek j\u00f3 egyez\u0151s\u00e9ggel hat\u00e1rozt\u00e1k meg a kont\u00farokat.\n                    Nagy k\u00fcl\u00f6nbs\u00e9gek, melyek sz\u00e1mottev\u0151 manu\u00e1lis korrig\u00e1l\u00e1st ig\u00e9nyelnek, csak a kis\n                    t\u00e9rfogat\u00fa szervekn\u00e9l jelentkeztek. Orv Hetil. 2024; 165(49): 1934\u20131944.\n                  <\/jats:p>","DOI":"10.1556\/650.2024.33180","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T01:52:18Z","timestamp":1733709138000},"page":"1934-1944","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":5,"title":["Mesters\u00e9ges intelligenci\u00e1n alapul\u00f3 szervkont\u00faroz\u00f3 szoftverek alkalmaz\u00e1sa \u00e9s eredm\u00e9nyeinek \u00f6sszehasonl\u00edt\u00e1sa sug\u00e1rter\u00e1pi\u00e1s besug\u00e1rz\u00e1stervez\u00e9s sor\u00e1n"],"prefix":"10.1556","volume":"165","author":[{"given":"Gergely","family":"Bungyi","sequence":"first","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Sug\u00e1rter\u00e1pi\u00e1s K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"P\u00f3cza","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Sug\u00e1rter\u00e1pi\u00e1s K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gnes","family":"Zongor","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Sug\u00e1rter\u00e1pi\u00e1s K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"Tak\u00e1csi-Nagy","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Sug\u00e1rter\u00e1pi\u00e1s K\u00f6zpont Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Onkol\u00f3giai Tansz\u00e9k Budapest Magyarorsz\u00e1g"},{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet \u00e9s Nemzeti Tumorbiol\u00f3giai Laborat\u00f3rium Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor","family":"Major","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Sug\u00e1rter\u00e1pi\u00e1s K\u00f6zpont Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Onkol\u00f3giai Tansz\u00e9k Budapest Magyarorsz\u00e1g"},{"name":"Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet \u00e9s Nemzeti Tumorbiol\u00f3giai Laborat\u00f3rium Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Huynh E, Hosny A, Guthier C, et al. 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