Comparison of User-Directed and Automatic Mapping of the Planned Isocenter to Treatment Space for Prostate IGRT

Image-guided radiotherapy (IGRT), adaptive radiotherapy (ART), and online reoptimization rely on accurate mapping of the radiation beam isocenter(s) from planning to treatment space. This mapping involves rigid and/or nonrigid registration of planning (pCT) and intratreatment (tCT) CT images. The pu...

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Main Authors: Zijie Xu, Ronald Chen, Andrew Wang, Andrea Kress, Mark Foskey, An Qin, Timothy Cullip, Gregg Tracton, Sha Chang, Joel Tepper, Di Yan, Edward Chaney
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Biomedical Imaging
Online Access:http://dx.doi.org/10.1155/2013/892152
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author Zijie Xu
Ronald Chen
Andrew Wang
Andrea Kress
Mark Foskey
An Qin
Timothy Cullip
Gregg Tracton
Sha Chang
Joel Tepper
Di Yan
Edward Chaney
author_facet Zijie Xu
Ronald Chen
Andrew Wang
Andrea Kress
Mark Foskey
An Qin
Timothy Cullip
Gregg Tracton
Sha Chang
Joel Tepper
Di Yan
Edward Chaney
author_sort Zijie Xu
collection DOAJ
description Image-guided radiotherapy (IGRT), adaptive radiotherapy (ART), and online reoptimization rely on accurate mapping of the radiation beam isocenter(s) from planning to treatment space. This mapping involves rigid and/or nonrigid registration of planning (pCT) and intratreatment (tCT) CT images. The purpose of this study was to retrospectively compare a fully automatic approach, including a non-rigid step, against a user-directed rigid method implemented in a clinical IGRT protocol for prostate cancer. Isocenters resulting from automatic and clinical mappings were compared to reference isocenters carefully determined in each tCT. Comparison was based on displacements from the reference isocenters and prostate dose-volume histograms (DVHs). Ten patients with a total of 243 tCTs were investigated. Fully automatic registration was found to be as accurate as the clinical protocol but more precise for all patients. The average of the unsigned x, y, and z offsets and the standard deviations (σ) of the signed offsets computed over all images were (avg. ±  σ (mm)): 1.1 ± 1.4, 1.8 ± 2.3, 2.5 ± 3.5 for the clinical protocol and 0.6 ± 0.8, 1.1 ± 1.5 and 1.1 ± 1.4 for the automatic method. No failures or outliers from automatic mapping were observed, while 8 outliers occurred for the clinical protocol.
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spelling doaj-art-9560c53d8e5d49a58cded539fed6f6582025-02-03T00:59:51ZengWileyInternational Journal of Biomedical Imaging1687-41881687-41962013-01-01201310.1155/2013/892152892152Comparison of User-Directed and Automatic Mapping of the Planned Isocenter to Treatment Space for Prostate IGRTZijie Xu0Ronald Chen1Andrew Wang2Andrea Kress3Mark Foskey4An Qin5Timothy Cullip6Gregg Tracton7Sha Chang8Joel Tepper9Di Yan10Edward Chaney11Department of Radiation Oncology, CB 7512, University of North Carolina, Chapel Hill, NC 27599 7512, USADepartment of Radiation Oncology, CB 7512, University of North Carolina, Chapel Hill, NC 27599 7512, USADepartment of Radiation Oncology, CB 7512, University of North Carolina, Chapel Hill, NC 27599 7512, USADepartment of Radiation Oncology, CB 7512, University of North Carolina, Chapel Hill, NC 27599 7512, USADepartment of Radiation Oncology, CB 7512, University of North Carolina, Chapel Hill, NC 27599 7512, USADepartment of Radiation Oncology, William Beaumont Hospital, Royal Oak, MI, USADepartment of Radiation Oncology, CB 7512, University of North Carolina, Chapel Hill, NC 27599 7512, USADepartment of Radiation Oncology, CB 7512, University of North Carolina, Chapel Hill, NC 27599 7512, USADepartment of Radiation Oncology, CB 7512, University of North Carolina, Chapel Hill, NC 27599 7512, USADepartment of Radiation Oncology, William Beaumont Hospital, Royal Oak, MI, USADepartment of Radiation Oncology, William Beaumont Hospital, Royal Oak, MI, USADepartment of Radiation Oncology, CB 7512, University of North Carolina, Chapel Hill, NC 27599 7512, USAImage-guided radiotherapy (IGRT), adaptive radiotherapy (ART), and online reoptimization rely on accurate mapping of the radiation beam isocenter(s) from planning to treatment space. This mapping involves rigid and/or nonrigid registration of planning (pCT) and intratreatment (tCT) CT images. The purpose of this study was to retrospectively compare a fully automatic approach, including a non-rigid step, against a user-directed rigid method implemented in a clinical IGRT protocol for prostate cancer. Isocenters resulting from automatic and clinical mappings were compared to reference isocenters carefully determined in each tCT. Comparison was based on displacements from the reference isocenters and prostate dose-volume histograms (DVHs). Ten patients with a total of 243 tCTs were investigated. Fully automatic registration was found to be as accurate as the clinical protocol but more precise for all patients. The average of the unsigned x, y, and z offsets and the standard deviations (σ) of the signed offsets computed over all images were (avg. ±  σ (mm)): 1.1 ± 1.4, 1.8 ± 2.3, 2.5 ± 3.5 for the clinical protocol and 0.6 ± 0.8, 1.1 ± 1.5 and 1.1 ± 1.4 for the automatic method. No failures or outliers from automatic mapping were observed, while 8 outliers occurred for the clinical protocol.http://dx.doi.org/10.1155/2013/892152
spellingShingle Zijie Xu
Ronald Chen
Andrew Wang
Andrea Kress
Mark Foskey
An Qin
Timothy Cullip
Gregg Tracton
Sha Chang
Joel Tepper
Di Yan
Edward Chaney
Comparison of User-Directed and Automatic Mapping of the Planned Isocenter to Treatment Space for Prostate IGRT
International Journal of Biomedical Imaging
title Comparison of User-Directed and Automatic Mapping of the Planned Isocenter to Treatment Space for Prostate IGRT
title_full Comparison of User-Directed and Automatic Mapping of the Planned Isocenter to Treatment Space for Prostate IGRT
title_fullStr Comparison of User-Directed and Automatic Mapping of the Planned Isocenter to Treatment Space for Prostate IGRT
title_full_unstemmed Comparison of User-Directed and Automatic Mapping of the Planned Isocenter to Treatment Space for Prostate IGRT
title_short Comparison of User-Directed and Automatic Mapping of the Planned Isocenter to Treatment Space for Prostate IGRT
title_sort comparison of user directed and automatic mapping of the planned isocenter to treatment space for prostate igrt
url http://dx.doi.org/10.1155/2013/892152
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