scholarly journals Evaluation of Deformable Image Registration Methods for Dose Monitoring in Head and Neck Radiotherapy

2015 ◽  
Vol 2015 ◽  
pp. 1-16 ◽  
Author(s):  
Bastien Rigaud ◽  
Antoine Simon ◽  
Joël Castelli ◽  
Maxime Gobeli ◽  
Juan-David Ospina Arango ◽  
...  

In the context of head and neck cancer (HNC) adaptive radiation therapy (ART), the two purposes of the study were to compare the performance of multiple deformable image registration (DIR) methods and to quantify their impact for dose accumulation, in healthy structures. Fifteen HNC patients had a planning computed tomography (CT0) and weekly CTs during the 7 weeks of intensity-modulated radiation therapy (IMRT). Ten DIR approaches using different registration methods (demons or B-spline free form deformation (FFD)), preprocessing, and similarity metrics were tested. Two observers identified 14 landmarks (LM) on each CT-scan to compute LM registration error. The cumulated doses estimated by each method were compared. The two most effective DIR methods were the demons and the FFD, with both the mutual information (MI) metric and the filtered CTs. The corresponding LM registration accuracy (precision) was 2.44 mm (1.30 mm) and 2.54 mm (1.33 mm), respectively. The corresponding LM estimated cumulated dose accuracy (dose precision) was 0.85 Gy (0.93 Gy) and 0.88 Gy (0.95 Gy), respectively. The mean uncertainty (difference between maximal and minimal dose considering all the 10 methods) to estimate the cumulated mean dose to the parotid gland (PG) was 4.03 Gy (SD = 2.27 Gy, range: 1.06–8.91 Gy).

2019 ◽  
Vol 46 (10) ◽  
pp. 4346-4355
Author(s):  
Juan Diego Azcona ◽  
Carlos Huesa‐Berral ◽  
Marta Moreno‐Jiménez ◽  
Benigno Barbés ◽  
José Javier Aristu ◽  
...  

2015 ◽  
Vol 115 ◽  
pp. S488-S489 ◽  
Author(s):  
B. Rigaud ◽  
A. Simon ◽  
J. Castelli ◽  
M. Gobeli ◽  
J.D. Ospina Arango ◽  
...  

2017 ◽  
Vol 16 (3) ◽  
pp. 373-381 ◽  
Author(s):  
Sara Broggi ◽  
Elisa Scalco ◽  
Maria Luisa Belli ◽  
Gerlinde Logghe ◽  
Dirk Verellen ◽  
...  

Purpose: To validate and compare the deformable image registration and parotid contour propagation process for head and neck magnetic resonance imaging in patients treated with radiotherapy using 3 different approaches—the commercial MIM, the open-source Elastix software, and an optimized version of it. Materials and Methods: Twelve patients with head and neck cancer previously treated with radiotherapy were considered. Deformable image registration and parotid contour propagation were evaluated by considering the magnetic resonance images acquired before and after the end of the treatment. Deformable image registration, based on free-form deformation method, and contour propagation available on MIM were compared to Elastix. Two different contour propagation approaches were implemented for Elastix software, a conventional one (DIR_Trx) and an optimized homemade version, based on mesh deformation (DIR_Mesh). The accuracy of these 3 approaches was estimated by comparing propagated to manual contours in terms of average symmetric distance, maximum symmetric distance, Dice similarity coefficient, sensitivity, and inclusiveness. Results: A good agreement was generally found between the manual contours and the propagated ones, without differences among the 3 methods; in few critical cases with complex deformations, DIR_Mesh proved to be more accurate, having the lowest values of average symmetric distance and maximum symmetric distance and the highest value of Dice similarity coefficient, although nonsignificant. The average propagation errors with respect to the reference contours are lower than the voxel diagonal (2 mm), and Dice similarity coefficient is around 0.8 for all 3 methods. Conclusion: The 3 free-form deformation approaches were not significantly different in terms of deformable image registration accuracy and can be safely adopted for the registration and parotid contour propagation during radiotherapy on magnetic resonance imaging. More optimized approaches (as DIR_Mesh) could be preferable for critical deformations.


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