Novel Radiomic Feature for Survival Prediction of Lung Cancer Patients using Low-Dose CBCT Images
Indian Institute of Technology Kharagpur（印度理工学院卡拉格普尔分校）；Tata Medical Center（塔塔医学中心）；Arden Cancer Centre（雅顿癌症中心）；University Hospitals Coventry and Warwickshire（考文垂与沃里克郡大学医院）
Prediction of survivability in a patient for tumor progression is useful to estimate the effectiveness of a treatment protocol. In our work, we present a model to take into account the heterogeneous nature of a tumor to predict survival. The tumor heterogeneity is measured in terms of its mass by combining information regarding the radiodensity obtained in images with the gross tumor volume (GTV). We propose a novel feature called Tumor Mass within a GTV (TMG), that improves the prediction of survivability, compared to existing models which use GTV. Weekly variation in TMG of a patient is computed from the image data and also estimated from a cell survivability model. The parameters obtained from the cell survivability model are indicatives of changes in TMG over the treatment period. We use these parameters along with other patient metadata to perform survival analysis and regression. Cox's Proportional Hazard survival regression was performed using these data. Significant improvement in the average concordance index from 0.47 to 0.64 was observed when TMG is used in the model instead of GTV. The experiments show that there is a difference in the treatment response in responsive and non-responsive patients and that the proposed method can be used to predict patient survivability.
Purpose: To develop a radiomics filtering technique for characterizing spatial-encoded regional pulmonary ventilation information on lung CT. Methods: The lung volume was segmented on 46 CT images, and a 3D sliding window kernel was implemented across the lung volume to capture the spatial-encoded image information. Fifty-three radiomic features were extracted within the kernel, resulting in a 4th order tensor object. As such, each voxel coordinate of the original lung was represented as a 53-dimensional feature vector, such that radiomic features could be viewed as feature maps within the lun…
Towards Interpretable AI in Personalized Medicine: A Radiological-Biological Radiomics Dictionary Connecting Semantic Lung-RADS and imaging Radiomics Features; Dictionary LC 1.0
Purpose: CBCT-based adaptive radiotherapy requires daily images for accurate dose calculations. This study investigates the feasibility of applying a single convolutional network to facilitate CBCT-to-CT synthesis for head-and-neck, lung, and breast cancer patients. Methods: Ninety-nine patients diagnosed with head-and-neck, lung or breast cancer undergoing radiotherapy with CBCT-based position verification were included in this study. CBCTs were registered to planning CTs according to clinical procedures. Three cycle-consistent generative adversarial networks (cycle-GANs) were trained in an u…
Magnetic resonance delta radiomics to track radiation response in lung tumors receiving stereotactic MRI-guided radiotherapy
Mass General Brigham（麻省总医院布里格姆医疗系统）；Harvard Medical School（哈佛医学院）；Dana-Farber Cancer Institute（丹娜-法伯癌症研究所）；Harvard T.H. Chan School of Public Health（哈佛大学陈曾熙公共卫生学院）；Maastricht University（马斯特里赫特大学）
Indian Institute of Technology Kharagpur（印度理工学院卡拉克普尔分校）；Tata Medical Center, Kolkata（塔塔医疗中心（加尔各答））；Arden Cancer Centre（阿登癌症中心）；Department of Computer Science and Engineering（计算机科学与工程系）；Department of Radiation Oncology（放射肿瘤学系）；Department of Nuclear Medicine（核医学系）；Department of Medical Physics（医学物理系）
We report a model to predict patient's radiological response to curative radiation therapy (RT) for non-small-cell lung cancer (NSCLC). Cone-Beam Computed Tomography images acquired weekly during the six-week course of RT were contoured with the Gross Tumor Volume (GTV) by senior radiation oncologists for 53 patients (7 images per patient). Deformable registration of the images yielded six deformation fields for each pair of consecutive images per patient. Jacobian of a field provides a measure of local expansion/contraction and is used in our model. Delineations were compared post-registratio…
Training Set Augmentation and Biology-Aware Harmonization Improve Radiomic Models for Lung Cancer Prediction in Indeterminate Nodules
Department of Radiation Oncology, University of Virginia School of Medicine（弗吉尼亚大学医学院放射肿瘤学系）；Department of Physics, University of Virginia（弗吉尼亚大学物理系）；Department of Physics, Massachusetts Institute of Technology（麻省理工学院物理系）；Department of Biomedical Engineering, Northwestern University（西北大学生物医学工程系）；Department of Radiation Oncology, University of Virginia（弗吉尼亚大学放射肿瘤学系）；Old Dominion University（旧 Dominion 大学）
Università degli Studi di Milano（米兰大学）；ASST Grande Ospedale Metropolitano Niguarda（ASST 大都会大医院尼瓜达）；INFN Sezione di Milano（意大利国家核物理研究院米兰分部）
Purpose: to optimize a pipeline of clinical data gathering and CT images processing implemented during the COVID-19 pandemic crisis and to develop artificial intelligence model for different of viral pneumonia. Methods: 1028 chest CT image of patients with positive swab were segmented automatically for lung extraction. A Gaussian model developed in Python language was applied to calculate quantitative metrics (QM) describing well-aerated and ill portions of the lungs from the histogram distribution of lung CT numbers in both lungs of each image and in four geometrical subdivision. Furthermore,…
University of Tokyo Hospital（东京大学医院）；Kyushu University（九州大学）
Cone-beam computed tomography (CBCT) offers advantages over conventional fan-beam CT in that it requires a shorter time and less exposure to obtain images. CBCT has found a wide variety of applications in patient positioning for image-guided radiation therapy, extracting radiomic information for designing patient-specific treatment, and computing fractional dose distributions for adaptive radiation therapy. However, CBCT images suffer from low soft-tissue contrast, noise, and artifacts compared to conventional fan-beam CT images. Therefore, it is essential to improve the image quality of CBCT.…
Sarcoidosis is a rare, multi-systemic, inflammatory disease, primarily affecting the lungs. High-resolution computed tomography (CT) scans are used to clinically characterize pulmonary sarcoidosis. In the medical imaging field, there is growing recognition to switch from visual examination of CT images to more rapid, objective assessments of the abnormalities. In this work, we explore the usefulness of various objective measures of spatial heterogeneity---fractal dimension, Moran's I, and Geary's C ---for distinguishing between abnormal sarcoidosis and normal lung parenchyma. CT data for N=58 …
University of British Columbia（不列颠哥伦比亚大学）；BC Cancer Research Institute（不列颠哥伦比亚癌症研究所）；Geneva University Hospital（日内瓦大学医院）
Radiomics features extract quantitative information from medical images, towards the derivation of biomarkers for clinical tasks, such as diagnosis, prognosis, or treatment response assessment. Different image discretization parameters (e.g. bin number or size), convolutional filters, segmentation perturbation, or multi-modality fusion levels can be used to generate radiomics features and ultimately signatures. Commonly, only one set of parameters is used; resulting in only one value or flavour for a given RF. We propose tensor radiomics (TR) where tensors of features calculated with multiple …
Purpose: 4D CBCT is a beneficial tool for the treatment of movable tumors, because it can help us to understand where the tumors are actually located and have a precise treatment plan. However, there is a limitation that general CBCT images cannot perfectly help the sophisticated registration. On the other hand, SymmetryTM 4D IGRT system of Elekta can offer the 4D CBCT registration option. In this study, we intend to evaluate the usefulness of SymmetryTM. Method and Materials: Planning CT images of the CIRS moving lung phantom were acquired from 4D MDCT. And they are sorted as 10 phases from 0…
Objective: Dynamic cone-beam CT (CBCT) imaging is highly desired in image-guided radiation therapy to provide volumetric images with high spatial and temporal resolutions to enable applications including tumor motion tracking/prediction and intra-delivery dose calculation/accumulation. However, the dynamic CBCT reconstruction is a substantially challenging spatiotemporal inverse problem, due to the extremely limited projection sample available for each CBCT reconstruction (one projection for one CBCT volume). Approach: We developed a simultaneous spatial and temporal implicit neural representa…
Robust Semi-Supervised CT Radiomics for Lung Cancer Prognosis: Cost-Effective Learning with Limited Labels and SHAP Interpretation
University of British Columbia（不列颠哥伦比亚大学）；BC Cancer Research Institute（BC癌症研究所）；TECVICO Corp.（TECVICO公司）；Amirkabir University of Technology（阿米尔卡比尔理工大学）；Nooshirvani University of Technology（努什拉尼理工大学）；Guilan University of Medical Sciences（吉兰医科大学）；Motamed Cancer Institute（莫塔梅德癌症研究所）；Hamadan University of Medical Sciences（哈马丹医科大学）
Purpose To develop and demonstrate a novel tumor shell feature for predicting distant failure in non-small cell lung cancer (NSCLC) and cervical cancer (CC) patients. Patients and Methods The shell predictive model was constructed using pretreatment positron emission tomography (PET) images from 48 NSCLC patients received stereotactic body radiation therapy (SBRT) and 52 CC patients underwent external beam radiation therapy and concurrent chemotherapy followed with high-dose-rate intracavitary brachytherapy. A shell feature, consisting of outer voxels around the tumor boundary, was extracted f…
Feature-oriented Deep Learning Framework for Pulmonary Cone-beam CT (CBCT) Enhancement with Multi-task Customized Perceptual Loss
The Hong Kong Polytechnic University（香港理工大学）；Sun Yat-Sen University（中山大学）；Fourth Military Medical University（中国人民解放军空军军医大学）；Xijing Hospital（西京医院）；Queen Mary Hospital（玛丽医院）；Guangzhou University of Chinese Medicine（广州中医药大学）；Soochow University（苏州大学）
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive surgical technique for the diagnosis and treatment of early-stage lung cancer. During VATS, large lung deformation occurs as a result of a change of patient position and a pneumothorax (lung deflation), which hinders the intraoperative localization of pulmonary nodules. Modeling lung deformation during VATS for surgical navigation is desirable, but the mechanisms causing such deformation are yet not well-understood. In this study, we estimate, quantify and analyze the lung deformation occurring after a change of patient positi…
Patient respiratory signal associated with the cone beam CT (CBCT) projections is important for lung cancer radiotherapy. In contrast to monitoring an external surrogate of respiration, such signal can be extracted directly from the CBCT projections. In this paper, we propose a novel local principle component analysis (LPCA) method to extract the respiratory signal by distinguishing the respiration motion-induced content change from the gantry rotation-induced content change in the CBCT projections. The LPCA method is evaluated by comparing with three state-of-the-art projection-based methods,…
Real-time CBCT Imaging and Motion Tracking via a Single Arbitrarily-angled X-ray Projection by a Joint Dynamic Reconstruction and Motion Estimation (DREME) Framework
UT Southwestern Medical Center（德克萨斯大学西南医学中心）；Southern Medical University（南方医科大学）
Objective: Accurately classifying the malignancy of lesions detected in a screening scan is critical for reducing false positives. Radiomics holds great potential to differentiate malignant from benign tumors by extracting and analyzing a large number of quantitative image features. Since not all radiomic features contribute to an effective classifying model, selecting an optimal feature subset is critical. Methods: This work proposes a new multi-objective based feature selection (MO-FS) algorithm that considers sensitivity and specificity simultaneously as the objective functions during featu…
Purpose: Cone-beam CT (CBCT) projection images provide anatomical data in real-time over several respiratory cycles, forming a comprehensive picture of tumor movement. We developed and validated a method which uses these projections to determine the trajectory of and dose to highly mobile tumors during each fraction of treatment. Methods: CBCT images of a respiration phantom were acquired, the trajectory of which mimicked a lung tumor with high amplitude (up to 2.5 cm) and hysteresis. A template-matching algorithm was used to identify the location of a steel BB in each CBCT projection, and a G…
Quantitative metrics in lung computed tomography (CT) images have been widely used, often without a clear connection with physiology. This work proposes a patient-independent model for the estimation of well-aerated volume of lungs in CT images (WAVE). A Gaussian fit, with mean (Mu.f) and width (Sigma.f) values, was applied to the lower CT histogram data points of the lung to provide the estimation of the well-aerated lung volume (WAVE.f). Independence from CT reconstruction parameters and respiratory cycle was analysed using healthy lung CT images and 4DCT acquisitions. The Gaussian metrics a…
