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Personalized auto-segmentation for magnetic resonance imaging-guided adaptive radiotherapy of prostate cancer

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机构: [1]Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Natl Clin Res Ctr Canc, Canc Hosp, Beijing, Peoples R China [2]Chinese Acad Med Sci, Natl Canc Ctr, Natl Clin Res Ctr Canc, Hebei Canc Hosp, Langfang, Peoples R China
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关键词: magnetic resonance imaging-guided adaptive radiotherapy personalized segmentation prostate cancer

摘要:
Purpose Fast and accurate delineation of organs on treatment-fraction images is critical in magnetic resonance imaging-guided adaptive radiotherapy (MRIgART). This study proposes a personalized auto-segmentation (AS) framework to assist online delineation of prostate cancer using MRIgART. Methods Image data from 26 patients diagnosed with prostate cancer and treated using hypofractionated MRIgART (5 fractions per patient) were collected retrospectively. Daily pretreatment T2-weighted MRI was performed using a 1.5-T MRI system integrated into a Unity MR-linac. First-fraction image and contour data from 16 patients (80 image-sets) were used to train the population AS model, and the remaining 10 patients composed the test set. The proposed personalized AS framework contained two main steps. First, a convolutional neural network was employed to train the population model using the training set. Second, for each test patient, the population model was progressively fine-tuned with manually checked delineations of the patient's current and previous fractions to obtain a personalized model that was applied to the next fraction. Results Compared with the population model, the personalized models substantially improved the mean Dice similarity coefficient from 0.79 to 0.93 for the prostate clinical target volume (CTV), 0.91 to 0.97 for the bladder, 0.82 to 0.92 for the rectum, and 0.91 to 0.93 for the femoral heads, respectively. Conclusions The proposed method can achieve accurate segmentation and potentially shorten the overall online delineation time of MRIgART.

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基金编号: 11975313 12175312 12005302 Z201100006820058 2020-I2M-CT-B-073

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 核医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 核医学
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出版当年[2022]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2024]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2024版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者:
第一作者机构: [1]Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Natl Clin Res Ctr Canc, Canc Hosp, Beijing, Peoples R China [2]Chinese Acad Med Sci, Natl Canc Ctr, Natl Clin Res Ctr Canc, Hebei Canc Hosp, Langfang, Peoples R China
通讯作者:
通讯机构: [1]Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Natl Clin Res Ctr Canc, Canc Hosp, Beijing, Peoples R China [*1]Chinese Acad Med Sci & Peking Union Med Coll, Dept Radiat Oncol, Natl Canc Ctr, Natl Clin Res Ctr,Canc Hosp, Beijing 100021, Peoples R China
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