arXivDaily arXiv每日学术速递 周一至周五更新
arXiv周末暂无论文更新,休息一下吧,周末愉快~~
arXiv 2203.03576physics.med-phcs.LG
收藏

从计算机断层成像到磁共振的自动治疗计划的域适应

Domain Adaptation of Automated Treatment Planning from Computed Tomography to Magnetic Resonance

University of Toronto(多伦多大学);Techna Institute, University Health Network(大学健康网络泰克纳研究所);Princess Margaret Cancer Center(玛格丽特公主癌症中心);Peter Munk Cardiac Center, University Health Network(大学健康网络彼得·蒙克心脏中心);Joint Department of Medical Imaging, University Health Network(大学健康网络医学影像联合部);Vector Institute(矢量研究所)

Aly Khalifa, Jeff Winter, Inmaculada Navarro, Chris McIntosh, Thomas G. Purdie

摘要:

目的:基于机器学习(ML)的放射治疗(RT)计划解决了传统逆向计划的迭代和耗时性质。鉴于仅磁共振(MR)治疗计划工作流程的重要性日益增加,我们试图确定在计算机断层成像(CT)成像上训练的基于ML的治疗计划模型是否可以通过域自适应应用于MR。方法:在这项研究中,收集了55例前列腺癌患者在MR直线加速器治疗后的MR和CT图像。使用RayStation 8B中的市售模型,在CT和MR成像上为每例患者生成基于ML的计划。使用机构剂量体积评价标准比较了基于MR和CT的计划的剂量分布和接受率。MR和CT计划之间的剂量学差异进一步分解为设置、队列和成像域组件。结果如下:MR计划是高度可接受的,与96.3%的CT计划相比,满足93.1%的所有评价标准,除了膀胱壁、阴茎球、小肠和大肠以及一个直肠壁标准之外,所有评价标准的剂量等效(p<0.05)。改变输入成像模式(域组件)仅占MR和CT计划之间观察到的剂量差异的一半左右。ML训练集和MR直线加速器队列(队列组件)之间的解剖学差异也是一个重要因素。重要性:我们能够使用CT训练的ML模型创建高度可接受的基于MR的治疗计划进行治疗计划,尽管观察到与基于CT的计划的临床显著剂量偏差。

英文摘要:

Objective: Machine learning (ML) based radiation treatment (RT) planning addresses the iterative and time-consuming nature of conventional inverse planning. Given the rising importance of Magnetic resonance (MR) only treatment planning workflows, we sought to determine if an ML based treatment planning model, trained on computed tomography (CT) imaging, could be applied to MR through domain adaptation. Methods: In this study, MR and CT imaging was collected from 55 prostate cancer patients treated on an MR linear accelerator. ML based plans were generated for each patient on both CT and MR imaging using a commercially available model in RayStation 8B. The dose distributions and acceptance rates of MR and CT based plans were compared using institutional dose-volume evaluation criteria. The dosimetric differences between MR and CT plans were further decomposed into setup, cohort, and imaging domain components. Results: MR plans were highly acceptable, meeting 93.1% of all evaluation criteria compared to 96.3% of CT plans, with dose equivalence for all evaluation criteria except for the bladder wall, penile bulb, small and large bowel, and one rectum wall criteria (p<0.05). Changing the input imaging modality (domain component) only accounted for about half of the dosimetric differences observed between MR and CT plans. Anatomical differences between the ML training set and the MR linac cohort (cohort component) were also a significant contributor. Significance: We were able to create highly acceptable MR based treatment plans using a CT-trained ML model for treatment planning, although clinically significant dose deviations from the CT based plans were observed.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

↑