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Application of low-dose CT in image-guided radiotherapy based on CT-linac 低剂量 CT 在基于 CT-linac 的图像引导放射治疗中的应用
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-24 DOI: 10.1016/j.jrras.2024.101034

Background

Image-guided radiation therapy (IGRT) involves online medical imaging systems. CT-guided imaging systems not only have high image quality but also allow for direct dose calculation for radiation treatment planning, making it an ideal image guidance method. However, the imaging dose from CT images may pose additional risks to patients. Therefore, the aim of this study was to evaluate the substitutability of using low-dose CT images for IGRT.

Materials and methods

The CIRS-062 phantom, Catphan 604 phantom, CT dose index phantom were used to obtain the conversion curves of the CT values to the relative electron density (RED), image quality, and imaging dose of the low-dose CT, respectively. Catphan 604 phantom and clinical cases were used to analyze the feasibility of low-dose CT for dose calculation.

Results

No significant differences were observed in the conversion curves of CT values to RED between low-dose and standard-dose CT scans. In terms of image quality, the geometric distortion of low-dose CT was 0.1 mm, which was the same as that of standard-dose CT. The spatial resolution of the images was 0.42–0.45 lp/mm, which was slightly better than that of standard-dose CT (0.40–0.44 lp/mm). The image uniformity was 98.4%–99.0%, slightly worse than that of standard-dose CT (99.4%–99.5%), but still met the clinical requirements. The imaging dose was 2.96–4.62 mGy, significantly lower than that of standard-dose CT (9.71–26.68 mGy), especially for head CT protocol. In terms of dose calculation, the γ passing rates were not lower than 98% for either the Catphan 604 phantom or the clinical cases.

Conclusion

Low-dose CT can significantly reduce the imaging dose without a significant loss of image quality and can be directly used for dose calculation in radiation treatment planning, providing a safer and more effective image guidance method for IGRT.

背景图像引导放射治疗(IGRT)涉及在线医学成像系统。CT 引导的成像系统不仅图像质量高,而且可以直接计算剂量来制定放射治疗计划,是一种理想的图像引导方法。然而,CT 图像的成像剂量可能会给患者带来额外的风险。因此,本研究旨在评估在 IGRT 中使用低剂量 CT 图像的可替代性。材料与方法使用 CIRS-062 假体、Catphan 604 假体、CT 剂量指数假体分别获得 CT 值与低剂量 CT 的相对电子密度(RED)、图像质量和成像剂量的转换曲线。结果 低剂量和标准剂量 CT 扫描的 CT 值到相对电子密度(RED)的转换曲线无明显差异。在图像质量方面,低剂量 CT 的几何失真为 0.1 毫米,与标准剂量 CT 相同。图像的空间分辨率为 0.42-0.45 lp/mm,略高于标准剂量 CT(0.40-0.44 lp/mm)。图像均匀度为 98.4%-99.0%,略低于标准剂量 CT(99.4%-99.5%),但仍符合临床要求。成像剂量为 2.96-4.62 mGy,明显低于标准剂量 CT(9.71-26.68 mGy),尤其是头部 CT 方案。结论低剂量 CT 可在不明显降低图像质量的情况下显著降低成像剂量,并可直接用于放射治疗计划中的剂量计算,为 IGRT 提供了一种更安全、更有效的图像引导方法。
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引用次数: 0
Analysis of potential waste materials of protection capacity against ionizing radiation using innovative methods 利用创新方法分析潜在的电离辐射防护能力废物材料
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-23 DOI: 10.1016/j.jrras.2024.101030

In this paper, we investigated different cement mortars for gamma-rays shielding. Six composite mortars were prepared by replacing fine aggregate (sand) with 0, 20, 40, 60 and 100% of cathode ray tube (CRT) glass. The composites represented by CM-CRT-0 (without CRT), CM-CRT-20, CM-CRT-40, CM-CRT-60, CM-CRT-80, and CM-CRT-100 (without sand). The mass attenuation coefficient, or MAC, of these materials has been determined experimentally at a wide range of energy ranges. At 0.060 MeV and 0.662 MeV, the samples with highest CRT concentrations had the greatest MAC values. However, at energies above 1 MeV, the opposite trend between MAC and CRT content is observed. The prepared composites' linear attenuation coefficient was also determined with the results showing that the CM-CRT-100 sample, that with the greatest concentration of CRT, is characterized at all tested energies by the optimum shielding capabilities. The half value layer (HVL) values are observed to increase with energy, with the lowest occurring at 0.060 MeV, and continuously increasing until 1.333 MeV. For example, the HVL of CM-CRT-20 is 0.616, 3.815, 5.063, and 5.408 cm at 0.060, 0.662, 1.173, and 1.333 MeV, respectively, while that of CM-CRT-60 is 0.303, 3.661, 4.972, and 5.321 cm, respectively. At 0.060 MeV, the CM-CRT-60, CM-CRT-80, and CM-CRT-100 samples have radiation absorption rate, or RAR values of close to 100%. At elevated energies like 1.173 MeV, the RAR values range between 49.24% for CM-CRT-0 to 50.93% for CM-CRT-100.

本文研究了不同的水泥砂浆对伽马射线的屏蔽作用。我们用 0、20、40、60 和 100%的阴极射线管(CRT)玻璃替代细骨料(砂),制备了六种复合砂浆。这些复合材料分别为 CM-CRT-0(不含显像管)、CM-CRT-20、CM-CRT-40、CM-CRT-60、CM-CRT-80 和 CM-CRT-100(不含砂)。这些材料的质量衰减系数(或 MAC)是在多种能量范围内通过实验测定的。在 0.060 MeV 和 0.662 MeV 时,CRT 浓度最高的样品具有最大的 MAC 值。然而,在能量高于 1 MeV 时,MAC 与 CRT 含量之间的趋势正好相反。还测定了制备的复合材料的线性衰减系数,结果表明,CM-CRT-100 样品(CRT 浓度最高)在所有测试能量下都具有最佳屏蔽能力。半值层(HVL)值随能量的增加而增加,最低值出现在 0.060 兆电子伏,然后持续增加,直到 1.333 兆电子伏。例如,在 0.060、0.662、1.173 和 1.333 MeV 时,CM-CRT-20 的半值层分别为 0.616、3.815、5.063 和 5.408 厘米,而 CM-CRT-60 的半值层分别为 0.303、3.661、4.972 和 5.321 厘米。在 0.060 MeV 时,CM-CRT-60、CM-CRT-80 和 CM-CRT-100 样品的辐射吸收率或 RAR 值接近 100%。在 1.173 MeV 等高能量下,CM-CRT-0 的辐射吸收率为 49.24%,CM-CRT-100 为 50.93%。
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引用次数: 0
Influence of sodium oxide substitution on structural and gamma-ray radiation shielding properties of sodium borosilicate glass 氧化钠替代物对硼硅酸钠玻璃结构和伽马射线辐射屏蔽性能的影响
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-22 DOI: 10.1016/j.jrras.2024.101033

In this paper, borosilicate glasses with varying concentrations of sodium oxide were synthesized using the melt-quenching method. The amorphous nature of the glasses under investigation, with a composition of (20 + x)Na2O-(60-x)B2O3–20SiO2 (where x = 0, 3, 5, 7, 8, 10, 13, 15, 17, and 20 mol%), was confirmed through X-ray diffraction (XRD) analysis. Fourier-transform infrared (FT-IR) spectroscopy was employed to analyze the glasses and revealed an increase in the concentration of non-bridging oxygen atoms (NBO) with increasing amounts of Na2O. The N4 parameter, which represents the fraction of NBOs, was calculated and found to decrease from 74% to 52% as the concentration of Na2O increased. The density of the glasses increased from 2.391 g/cm3 to 2.744 g/cm3 when B2O3 was replaced with Na2O, while the molar volume decreased from 27.68 cm3/mol to 23.56 cm3/mol. Theoretically, theoretical calculations were performed using newly developed computer software called Phys-PSD to assess their shielding properties, including attenuation coefficients, half value layer, and buildup factors. The calculations were conducted in the energy range of 0.015–15 MeV. The results indicated that the synthesized glasses exhibited promising potential as radiation shields.

本文采用熔淬法合成了不同氧化钠浓度的硼硅玻璃。通过 X 射线衍射 (XRD) 分析确认了所研究的玻璃的无定形性质,其组成为 (20 + x)Na2O-(60-x)B2O3-20SiO2 (其中 x = 0、3、5、7、8、10、13、15、17 和 20 摩尔%)。傅立叶变换红外(FT-IR)光谱分析显示,随着 Na2O 含量的增加,非桥接氧原子(NBO)的浓度也在增加。通过计算发现,随着 Na2O 浓度的增加,代表非桥接氧原子比例的 N4 参数从 74% 降至 52%。当 Na2O 取代 B2O3 时,玻璃的密度从 2.391 g/cm3 增加到 2.744 g/cm3,而摩尔体积则从 27.68 cm3/mol 减少到 23.56 cm3/mol。理论上,我们使用新开发的名为 Phys-PSD 的计算机软件进行了理论计算,以评估它们的屏蔽特性,包括衰减系数、半值层和堆积因子。计算的能量范围为 0.015-15 MeV。结果表明,合成的玻璃具有很好的辐射屏蔽潜力。
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引用次数: 0
Photoneutron production mechanisms, their characteristics, and shielding strategies in high-energy linac environment: A review 高能直列加速器环境中的光中子产生机制、特征和屏蔽策略:综述
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-18 DOI: 10.1016/j.jrras.2024.101031

Radiotherapy, a mainstay cancer treatment for patients worldwide, utilizes medical linear accelerators (linacs) with photon energies ranging from 4 MV to 25 MV. However, concerns arise at higher energies (>6 MV, particularly >10 MV). These high-energy photons interact with high-atomic number materials in the linac head and collimation system, generating unwanted neutrons through (γ,n) reactions. This neutron contamination, present in both photon and electron beams, is a significant issue. Neutrons, with their high Linear Energy Transfer (LET), are more effective at causing clustered DNA damage (single and double-strand breaks). These neutrons not only impact shielding requirements in treatment rooms but also increase out-of-field radiation doses for patients receiving high-energy photon therapy. Therefore, for radiotherapy treatments exceeding 6 MV, additional precautions become crucial, including enhanced door shielding and optimized treatment planning. This review discusses in detail the multifaceted aspects of neutron production and shielding requirements during radiotherapy.

放疗是全球癌症患者的主要治疗手段,它使用光子能量从 4 MV 到 25 MV 不等的医用直线加速器(linacs)。然而,在更高能量(6 MV,尤其是 10 MV)时,问题就出现了。这些高能光子与直列加速器头部和准直系统中的高原子序数材料相互作用,通过(γ,n)反应产生不需要的中子。这种中子污染在光子束和电子束中都存在,是一个重要问题。中子的线性能量转移(LET)很高,能更有效地造成成簇的 DNA 损伤(单链和双链断裂)。这些中子不仅会影响治疗室的屏蔽要求,还会增加接受高能光子治疗的患者的场外辐射剂量。因此,对于超过 6 MV 的放射治疗,额外的预防措施变得至关重要,包括加强门屏蔽和优化治疗计划。本综述将详细讨论放疗期间中子产生和屏蔽要求的多方面问题。
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引用次数: 0
Management of sports injury treatment and radiological data analysis based on enhanced MRI image retrieval using autoencoder-based deep learning 基于自动编码器深度学习的增强型核磁共振成像图像检索的运动损伤治疗管理和放射学数据分析
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-16 DOI: 10.1016/j.jrras.2024.101022

Background

The retrieval of magnetic resonance imaging (MRI) data holds paramount importance in clinical settings and sports medicine due to the limitations of conventional methods, such as slow speed, low accuracy, and limited learning capabilities. Enhancing this retrieval process is critical for advancing sports injury diagnostics and treatment outcomes. Overcoming these challenges is vital for improving healthcare practices and sports medicine methodologies.

Method

This study investigates the utilization of autoencoders in deep learning to efficiently retrieve MRI data from databases for sports injury diagnosis and treatment, with a focus on the model's ability to be trained with a small amount of labeled data. This research aims to enhance the MRI data retrieval process by leveraging autoencoders, showcasing the potential of deep learning technologies in sports injury diagnostics without the necessity of extensive labeled datasets for training.

Results

Findings have showcased the remarkable benefits of this approach for MRI data retrieval tasks, achieving an average accuracy of 99.09%. This signifies the exceptional performance of the technique within this specific domain, demonstrating its effectiveness and reliability in extracting MRI data.

Conclusions

This innovative methodology can enhance the management of archival data and diagnostic capabilities of medical images in sports injury contexts, offering an efficient and dependable solution for MRI data retrieval. It not only facilitates rapid clinical diagnosis and sports medicine research but also proposes a convenient approach for medical image file management.

背景磁共振成像(MRI)数据检索在临床和运动医学中至关重要,因为传统方法存在速度慢、准确性低和学习能力有限等局限性。加强这一检索过程对于提高运动损伤诊断和治疗效果至关重要。本研究调查了在深度学习中利用自动编码器从数据库中高效检索核磁共振成像数据用于运动损伤诊断和治疗的情况,重点关注模型使用少量标记数据进行训练的能力。这项研究旨在利用自动编码器增强核磁共振成像数据检索过程,展示深度学习技术在运动损伤诊断中的潜力,而无需使用大量标记数据集进行训练。结果研究结果表明,这种方法在核磁共振成像数据检索任务中具有显著优势,平均准确率达到 99.09%。结论这种创新方法可以增强运动损伤背景下的档案数据管理和医学影像诊断能力,为核磁共振成像数据检索提供高效可靠的解决方案。它不仅有助于快速临床诊断和运动医学研究,还为医学图像文件管理提供了一种便捷的方法。
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引用次数: 0
Theoretical investigation of unsteady MHD flow of Casson hybrid nanofluid in porous medium: Applications of thermal radiations and nanoparticle 卡森混合纳米流体在多孔介质中的非稳态 MHD 流动的理论研究:热辐射和纳米粒子的应用
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-16 DOI: 10.1016/j.jrras.2024.101029

In this research, we investigated the unsteady magnetohydrodynamic (MHD) convective flow of Casson hybrid nanofluids over an oscillating plate, considering the effects of a porous medium and thermal radiation. These hybrid nanofluids, composed of multiple nanoparticles dispersed in a base fluid, offer advantages over single nanoparticle suspensions, including improved heat transfer properties and enhanced thermal conductivity. The study focused on Ag–Au/blood hybrid nanofluids across an oscillating plate. The drug-carrying fluid can navigate complex vascular structures effectively by using hybrid nanofluids e.g., silver and gold nanoparticles in blood. Also, by employing external magnetic fields to guide and concentrate the drug-carrying nanofluid to the target area. The Casson fluid, known for its elasticity behavior, is a non-Newtonian fluid with diverse applications in industrial and engineering sectors. Mathematically, we incorporated the Casson fluid model to express blood flow, accounting for convection, thermal radiation, and porous medium effects. By transforming the governing partial differential equations into dimensionless form using dimensionless parameters, we employed the Laplace transform method to find the exact solutions for velocity and temperature. Graphical analysis revealed that fluid velocity decreases with increasing magnetic field parameter but increases with Darcy parameter, Casson fluid parameter, Grashof number, nanoparticle concentration, and unsteady parameter. Additionally, the hybrid nanofluid temperature rises proportionally with the radiation parameter, nanoparticle volume fraction, and unsteady parameter.

在这项研究中,我们考虑到多孔介质和热辐射的影响,研究了卡松混合纳米流体在摆动板上的非稳态磁流体动力学(MHD)对流。这些混合纳米流体由分散在基础流体中的多个纳米粒子组成,与单个纳米粒子悬浮液相比具有更多优势,包括改进的传热性能和更强的导热性。这项研究的重点是银-金/血液混合纳米流体穿过摆动板。通过使用混合纳米流体(如血液中的银纳米粒子和金纳米粒子),载药流体可有效导航复杂的血管结构。此外,还可利用外部磁场将载药纳米流体引导并集中到目标区域。卡松流体因其弹性行为而闻名,是一种非牛顿流体,在工业和工程领域有着广泛的应用。在数学上,我们采用卡松流体模型来表达血液流动,并考虑了对流、热辐射和多孔介质效应。通过使用无量纲参数将控制偏微分方程转换为无量纲形式,我们采用拉普拉斯变换法找到了速度和温度的精确解。图形分析表明,流体速度随磁场参数的增加而减小,但随达西参数、卡森流体参数、格拉肖夫数、纳米粒子浓度和不稳定参数的增加而增大。此外,混合纳米流体的温度随辐射参数、纳米粒子体积分数和不稳定参数的增加而成正比上升。
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引用次数: 0
Optical coherence tomography image recognition of diabetic retinopathy based on deep transfer learning 基于深度迁移学习的糖尿病视网膜病变光学相干断层扫描图像识别
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-16 DOI: 10.1016/j.jrras.2024.101026

Objective

Diabetic retinopathy (DR) poses a significant challenge as a leading cause of vision impairment among diabetic individuals. Previous endeavors in optical coherence tomography (OCT) image segmentation using conventional deep learning methodologies have exhibited limitations in achieving robust generalization. Our study endeavors to explore the application of deep transfer learning models on OCT images for DR identification, juxtaposing their performance against conventional deep learning approaches.

Methods

Our investigation involved a cohort of 103 DR patients admitted to the ophthalmology department of our institution spanning from January 2023 to January 2024. Through a randomized allocation process, these patients were partitioned into distinct training and validation sets at a ratio of 7:3. Two convolution models, VGG19 and DenseNet, were constructed and transfer learning was carried out. The recognition effect of the traditional model and transfer model is compared and verified.

Results

Our findings demonstrate that both the VGG19 and DenseNet prediction models exhibit notable segmentation performance following transfer learning compared to their non-transfer learning counterparts. Post-transfer learning, the VGG model achieved accuracy, precision, recall, and F1-score values of 0.890, 0.924, 0.950, and 0.867, respectively, while the DenseNet model achieved corresponding values of 0.897, 0.900, 0.931, and 0.859. Furthermore, in the test set, the area under the curve (AUC) improved significantly for both models post-transfer learning, with the VGG model showcasing an AUC of 0.9118 and the DenseNet model exhibiting an AUC of 0.951.

Conclusion

The neural network model leveraging deep transfer learning demonstrates a notable enhancement in the recognition capability of DR based on OCT images. Furthermore, it effectively streamlines the workflow of ophthalmologists, thus warranting further promotion and adoption in clinical practice.

目标糖尿病视网膜病变(DR)是导致糖尿病患者视力受损的主要原因,是一项重大挑战。以往使用传统深度学习方法进行光学相干断层扫描(OCT)图像分割的努力在实现稳健泛化方面表现出局限性。我们的研究致力于探索在 OCT 图像上应用深度迁移学习模型进行 DR 识别,并将其性能与传统深度学习方法进行对比。方法我们的调查涉及本院眼科在 2023 年 1 月至 2024 年 1 月期间收治的 103 名 DR 患者。通过随机分配过程,这些患者按 7:3 的比例被分成不同的训练集和验证集。构建了 VGG19 和 DenseNet 两种卷积模型,并进行了迁移学习。结果我们的研究结果表明,VGG19 和 DenseNet 预测模型在进行迁移学习后,与未进行迁移学习的模型相比,具有显著的分割性能。经过迁移学习后,VGG 模型的准确度、精确度、召回率和 F1 分数分别达到了 0.890、0.924、0.950 和 0.867,而 DenseNet 模型则分别达到了 0.897、0.900、0.931 和 0.859。此外,在测试集中,两种模型在迁移学习后的曲线下面积(AUC)都有显著提高,VGG 模型的 AUC 为 0.9118,DenseNet 模型的 AUC 为 0.951。此外,它还有效简化了眼科医生的工作流程,因此值得在临床实践中进一步推广和采用。
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引用次数: 0
Investigating how obesity alters cardiac geometry through echocardiography analysis 通过超声心动图分析研究肥胖如何改变心脏几何形状
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-15 DOI: 10.1016/j.jrras.2024.101032

Objectives

The rising prevalence of obesity throughout the world is a major contributor to numerous chronic diseases, including heart disease. This study aimed to explore the relationship between obesity and cardiac geometry using echocardiography.

Methods

A retrospective cohort study was conducted from January 2022 to December 2022 at the Cardiology Department in King Abdulaziz University Hospital in Jeddah, Saudi Arabia. This study included 224 patients, who were referred for echocardiographic examinations. The inclusion criteria of the study were patients of both sexes older than 20 without cardiac disease. The patients were classified into four main groups based on their BMI: underweight, normal weight, overweight, and obese. The echocardiogram scanning was performed according to the protocol of the King Abdulaziz University Hospital echocardiography exam.

Result

A total of 224 patients were included in this study. The results demonstrated a significant increased thickness in the interventricular septal and left ventricular posterior wall between the different body mass index groups, with the obese group having thickened measurements (p < 0.001 and 0.007 respectively). The left atrial diameter was statistically significantly higher in the obese group compared to the non-obese group (p-value = 0.019).

Conclusion

A strong relationship was demonstrated between obesity and changes in cardiac geometry. While left ventricular function remained unaffected in this study, these findings reinforce the concern that obesity poses a significant threat to cardiac health. These changes in cardiac geometry can be detected by echocardiography, which is an essential part of cardiological practice. Early intervention through lifestyle modifications is crucial to mitigate the adverse effects of obesity on the heart.

目的全世界肥胖症发病率的上升是包括心脏病在内的多种慢性疾病的主要诱因。本研究旨在利用超声心动图探讨肥胖与心脏几何形状之间的关系。方法 2022 年 1 月至 2022 年 12 月,沙特阿拉伯吉达市阿卜杜勒阿齐兹国王大学医院心脏病科开展了一项回顾性队列研究。这项研究包括 224 名转诊接受超声心动图检查的患者。研究的纳入标准是 20 岁以上无心脏病的男女患者。根据体重指数将患者分为四大类:体重不足、体重正常、超重和肥胖。超声心动图扫描按照阿卜杜勒-阿齐兹国王大学医院超声心动图检查方案进行。结果显示,不同体重指数组的室间隔和左心室后壁厚度明显增加,其中肥胖组的测量值更厚(p 分别为 0.001 和 0.007)。与非肥胖组相比,肥胖组的左心房直径在统计学上明显更高(p 值 = 0.019)。虽然左心室功能在本研究中未受影响,但这些发现加强了人们对肥胖对心脏健康构成重大威胁的担忧。心脏几何学的这些变化可以通过超声心动图检查出来,而超声心动图是心脏病学实践的重要组成部分。通过改变生活方式进行早期干预对于减轻肥胖对心脏的不良影响至关重要。
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引用次数: 0
A CNN-based dose prediction method for brachytherapy treatment planning of patients with cervical cancer 基于 CNN 的宫颈癌近距离放射治疗规划剂量预测方法
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-13 DOI: 10.1016/j.jrras.2024.101013
Lang Yu , Wenjun Zhang , Jie Zhang , Qi Chen , Lu Bai , Nan Liu , Tingtian Pang , Bo Yang , Jie Qiu

Purpose

Brachytherapy (BT) plays a crucial role in cervical cancer treatment. This study aimed to develop a 3D dose prediction model for cervical BT using Convolutional Neural Network (CNN).

Methods

In this study, we introduced a dose prediction model guided to generate dose distributions with explicit anatomical mask guidance. The model encompassed 224 clinical cases, including 190 for training-validation and 34 for testing. For performance evaluation, DVH metrics and 3D Gamma analysis were employed. The results were compared with those obtained using a 3D U-net model.

Results

DVH metrics for the test set, including HRCTV D90, HRCTV D95, HRCTV D100, bladder D2CC, sigmoid D2CC, rectum D2CC, and intestine D2CC, yielded values of 5.44 ± 0.91, 5.05 ± 0.88, 3.34 ± 0.79, 4.39 ± 1.53, 3.24 ± 1.31, 3.03 ± 1.87, and 2.71 ± 1.79, respectively. The DVH metrics of dose differences between the predicted dose distribution and the ground-truth plan were 0.63 ± 0.63, 0.60 ± 0.61, 0.53 ± 0.61, 1.21 ± 0.85, 0.71 ± 0.61, 1.16 ± 1.09, and 0.86 ± 0.58, respectively. The 3D gamma passing rates for the 3%/3 mm criteria of HRCTV, bladder, sigmoid, rectum, and intestine were 0.95 ± 0.04, 0.99 ± 0.02, 1.00 ± 0.02, 1.00 ± 0.01, and 1.00 ± 0.00, respectively.

Conclusion

The 3D BT dose prediction system, based on a 3D anatomical mask-guided deep learning network, could accurately generate 3D dose distributions, offering decision support for automatic clinical BT treatment planning.

目的 近距离放射治疗(BT)在宫颈癌治疗中起着至关重要的作用。本研究旨在利用卷积神经网络(CNN)为宫颈癌近距离放射治疗开发一种三维剂量预测模型。该模型包含 224 个临床病例,其中 190 个用于训练验证,34 个用于测试。性能评估采用了 DVH 指标和 3D 伽玛分析。结果测试集(包括 HRCTV D90、HRCTV D95、HRCTV D100、膀胱 D2CC、乙状结肠 D2CC、直肠 D2CC 和肠道 D2CC)的 DVH 指标值分别为 5.44 ± 0.91、5.05 ± 0.88、3.34 ± 0.79、4.39 ± 1.53、3.24 ± 1.31、3.03 ± 1.87 和 2.71 ± 1.79。预测剂量分布与地面实况平面图之间的剂量差 DVH 指标分别为 0.63 ± 0.63、0.60 ± 0.61、0.53 ± 0.61、1.21 ± 0.85、0.71 ± 0.61、1.16 ± 1.09 和 0.86 ± 0.58。结论基于三维解剖面罩引导的深度学习网络的三维 BT 剂量预测系统可以准确生成三维剂量分布,为临床 BT 治疗的自动规划提供决策支持。
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引用次数: 0
Hybrid deep features computed from spatial images and bit plane-based pattern maps for the classification of chest X-ray images 利用空间图像和基于位平面的模式图计算出的混合深度特征对胸部 X 光图像进行分类
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-10 DOI: 10.1016/j.jrras.2024.101024
Deepamoni Mahanta, Deepika Hazarika, Vijay Kumar Nath

Chest X-ray images are known to be extremely helpful in the investigation of a numerous pulmonary conditions such as COVID-19 and pneumonia. Many affected individuals may be protected from such pulmonary conditions through early identification. Unfortunately, COVID-19 can be misdiagnosed as pneumonia, which can rapidly worsen and lead to death. The sensitivity of RT-PCR-based COVID-19 detection is also not satisfactory. Herein, a deep-learning (DL) model for predicting three distinct classes, i.e., COVID-19, pneumonia, and normal, is presented, which achieves good classification performance. Three separate publicly available datasets and an additional dataset with their merged form were used to confirm the efficacy of the proposed model. The DL-based techniques compute features from original raw input spatial images and do not directly provide much information on extremely fine image details, which is quite important for biomedical image analysis. As the individual image bit planes (BPs) carry extremely-fine-to-coarse image information and the effective handcrafted pattern maps created from these BPs may incorporate important discriminating information, the deep features computed from such handcrafted pattern maps may provide complementary information regarding the deep features computed using raw spatial input images. Therefore, we propose a blend of deep features computed with raw spatial images and deep features computed using the proposed local bit plane-based pattern maps to predict the three classes. It is demonstrated that the blend of such features supplies improved discrimination potential and is complementary to the sole features. We incorporated multiscale information computed in each BPs along with interscale details to generate the final bit plane-based pattern maps. The proposed model achieved an average accuracy of 100%, 99.9%, 98.8%, and 98.8% for datasets 1,2, and 3 and their combined form, respectively, outperforming the existing methods.

众所周知,胸部 X 光图像对许多肺部疾病(如 COVID-19 和肺炎)的检查非常有帮助。通过早期识别,许多患者可以免受此类肺部疾病的困扰。不幸的是,COVID-19 可能会被误诊为肺炎,从而迅速恶化并导致死亡。基于 RT-PCR 的 COVID-19 检测灵敏度也不尽如人意。本文介绍了一种用于预测 COVID-19、肺炎和正常三个不同类别的深度学习(DL)模型,该模型实现了良好的分类性能。为了证实所提模型的有效性,我们使用了三个独立的公开数据集和一个合并数据集。基于 DL 的技术是从原始输入空间图像中计算特征,并不能直接提供很多关于极其精细的图像细节的信息,而这些信息对于生物医学图像分析是相当重要的。由于单个图像位平面(BP)携带着从极细到极粗的图像信息,而根据这些位平面创建的有效手工模式图可能包含重要的判别信息,因此根据这些手工模式图计算的深度特征可以为使用原始空间输入图像计算的深度特征提供补充信息。因此,我们建议混合使用原始空间图像计算的深度特征和使用建议的基于局部位平面的模式图计算的深度特征来预测三个类别。结果表明,这些特征的混合具有更好的辨别潜力,是对单一特征的补充。我们将每个 BPs 中计算的多尺度信息与尺度间细节相结合,生成最终的基于位平面的模式图。对于数据集 1、2 和 3 及其组合形式,所提出模型的平均准确率分别达到了 100%、99.9%、98.8% 和 98.8%,优于现有方法。
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引用次数: 0
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Journal of Radiation Research and Applied Sciences
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