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arXiv 2210.04584physics.med-ph
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基于蒙特卡罗模拟的质子治疗验证中束内PET图像分析方法的比较

Analysis methods for in-beam PET images in proton therapy treatment verification: a comparison based on Monte Carlo simulations

M. Moglioni, A. C. Kraan, A. Berti, P. Carra, P. Cerello, M. Ciocca, V. Ferrero, E. Fiorina, E. Mazzoni, M. Morrocchi, F. Pennazio, A. Retico, V. Rosso, G. Spor… 展开作者

M. Moglioni, A. C. Kraan, A. Berti, P. Carra, P. Cerello, M. Ciocca, V. Ferrero, E. Fiorina, E. Mazzoni, M. Morrocchi, F. Pennazio, A. Retico, V. Rosso, G. Sportelli, V. Vitolo, G. Bisogni

摘要:

背景和目的:束内正电子发射断层成像(PET)是质子治疗中可用于体内非侵入性治疗监测的模式之一。可以比较在各种治疗会话期间获得的PET分布,以便识别具有解剖学变化的区域。本工作的目的是在质子治疗验证的分次间PET图像比较的背景下测试和比较不同的分析方法。研究方法:在我们的研究中,我们使用FLUKA Monte Carlo代码和人工生成的CT扫描来模拟质子治疗过程中不同阶段的束内PET分布。我们比较了Beam-Eye-View方法、Most-Likely-Shift方法、基于体素的形态学方法和伽马评估方法,以比较治疗开始时和治疗几周后的PET图像。将结果与CT扫描进行比较。结果和结论:如果有很多统计数据可用,则三维方法(如VBM和伽马)优于二维方法(如MLS和BEV),因为这些方法允许识别具有异常活动的区域。VBM方法的缺点是需要大量的MC模拟。伽马分析的缺点是,在公差标准上不存在临床适应症。在计算时间方面,BEV和MLS方法是优选的。我们建议同时使用这四种方法,以便最好地确定活动变化的位置和原因。

英文摘要:

Background and purpose: In-beam Positron Emission Tomography (PET) is one of the modalities that can be used for in-vivo non-invasive treatment monitoring in proton therapy. PET distributions obtained during various treatment sessions can be compared in order to identify regions that have anatomical changes. The purpose of this work is to test and compare different analysis methods in the context of inter-fractional PET image comparison for proton treatment verification. Methods: For our study we used the FLUKA Monte Carlo code and artificially generated CT scans to simulate in-beam PET distributions at different stages during proton therapy treatment. We compared the Beam-Eye-View method, the Most-Likely-Shift method, the Voxel-Based-Morphology method and the gamma evaluation method to compare PET images at the start of treatment, and after a few weeks of treatment. The results were compared to the CT scan. Results and conclusions: Three-dimensional methods like VBM and gamma are preferred above two-dimensional methods like MLS and BEV if much statistics is available, since the these methods allow to identify the regions with anomalous activity. The VBM approach has as disadvantage that a larger number of MC simulations is needed. The gamma analysis has the disadvantage that no clinical indication exist on tolerance criteria. In terms of calculation time, the BEV and MLS method are preferred. We recommend to use the four methods together, in order to best identify the location and cause of the activity changes.

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。

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