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
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.
基金:
National Natural Science Foundation of China [11975313, 12175312, 12005302]; Beijing Nova Program [Z201100006820058]; CAMS Innovation Fund for Medical Sciences [2020-I2M-CT-B-073]
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
推荐引用方式(GB/T 7714):
Chen Xinyuan,Ma Xiangyu,Yan Xuena,et al.Personalized auto-segmentation for magnetic resonance imaging-guided adaptive radiotherapy of prostate cancer[J].MEDICAL PHYSICS.2022,49(8):4971-4979.doi:10.1002/mp.15793.
APA:
Chen, Xinyuan,Ma, Xiangyu,Yan, Xuena,Luo, Fei,Yang, Siran...&Men, Kuo.(2022).Personalized auto-segmentation for magnetic resonance imaging-guided adaptive radiotherapy of prostate cancer.MEDICAL PHYSICS,49,(8)
MLA:
Chen, Xinyuan,et al."Personalized auto-segmentation for magnetic resonance imaging-guided adaptive radiotherapy of prostate cancer".MEDICAL PHYSICS 49..8(2022):4971-4979