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PROTOTWIN-PET: A Deep Learning and GPU-Based Workflow for Dose Verification in Proton Therapy With PET PROTOTWIN-PET:基于深度学习和gpu的PET质子治疗剂量验证工作流程
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-20 DOI: 10.1109/TRPMS.2025.3531536
Pablo Cabrales;Víctor V. Onecha;David Izquierdo-García;Luis Mario Fraile;José Manuel Udías;Joaquín L. Herraiz
In proton therapy (PT), accurate dose delivery verification is critical for detecting treatment plan deviations. This can be achieved by imaging activated positron emitters with a positron emission tomography (PET) acquisition and converting the data into a delivered dose image. This work presents PROTOTWIN-PET (PROTOn therapy digital TWIN models for dose verification with PET), a patient-specific, deep learning (DL) and GPU-based workflow for 3-D dose verification. The proposed workflow generates a dataset of simulated, realistic 3-D PET and dose pairs that reflect possible clinical deviations in patient positioning and physical parameters. Using this dataset, a DL model is trained to estimate the delivered dose from the PET image, incorporating a deviation-predicting branch (DPB) to estimate patient positioning deviations. PROTOTWIN-PET is demonstrated on a two-field oropharyngeal cancer treatment plan, estimating the delivered dose in milliseconds with an average mean relative error of 0.6% and near-perfect gamma passing rates (3 mm, 3%). Positioning deviations are estimated on average within a tenth of a millimeter and degree. PROTOTWIN-PET can be implemented within the one-day interval between the plan CT acquisition and the first treatment session, potentially enabling timely treatment plan adjustments and maximizing the precision of PT. PROTOTWIN-PET is available at github.com/pcabrales/prototwin-pet.git.
在质子治疗(PT)中,准确的剂量传递验证对于检测治疗计划偏差至关重要。这可以通过使用正电子发射断层扫描(PET)采集对激活的正电子发射体进行成像并将数据转换为交付的剂量图像来实现。这项工作提出了PROTOTWIN-PET(用于PET剂量验证的质子治疗数字TWIN模型),这是一种针对患者的、基于深度学习(DL)和gpu的3d剂量验证工作流程。所提出的工作流程生成一个模拟的、真实的3-D PET和剂量对的数据集,这些数据集反映了患者体位和身体参数可能的临床偏差。使用该数据集,训练DL模型来估计PET图像中的放射剂量,并结合偏差预测分支(DPB)来估计患者的定位偏差。PROTOTWIN-PET在双场口咽癌治疗方案中得到验证,以毫秒为单位估计剂量,平均相对误差为0.6%,伽玛通过率接近完美(3 mm, 3%)。定位偏差估计平均在十分之一毫米和度以内。PROTOTWIN-PET可以在计划CT采集和第一次治疗之间的一天间隔内实施,有可能及时调整治疗计划并最大化PT的精度。PROTOTWIN-PET可在github.com/pcabrales/prototwin-pet.git上获得。
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引用次数: 0
A Statistical Reconstruction Algorithm for Positronium Lifetime Imaging Using Time-of-Flight Positron Emission Tomography 正电子飞行时间发射断层成像的统计重建算法
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-17 DOI: 10.1109/TRPMS.2025.3531225
Hsin-Hsiung Huang;Zheyuan Zhu;Slun Booppasiri;Zhuo Chen;Shuo Pang;Chien-Min Kao
Positron emission tomography (PET) is an important modality for diagnosing diseases, such as cancer and Alzheimer’s disease, capable of revealing the uptake of radiolabeled molecules that target specific pathological markers of the diseases. Recently, positronium lifetime imaging (PLI) that adds to traditional PET the ability to explore properties of the tissue microenvironment beyond tracer uptake has been demonstrated with time-of-flight (TOF) PET and the use of nonpure positron emitters. However, achieving accurate reconstruction of lifetime images from data acquired by systems having a finite TOF resolution still presents a challenge. This article focuses on the 2-D PLI, introducing a maximum-likelihood estimation (MLE) method that employs an exponentially modified Gaussian (EMG) probability distribution that describes the positronium lifetime data produced by TOF PET. We evaluate the performance of our EMG-based MLE method against approaches using exponential likelihood functions and penalized surrogate methods. Results from computer-simulated data reveal that the proposed EMG-MLE method can yield quantitatively accurate lifetime images. We also demonstrate that the proposed MLE formulation can be extended to handle PLI data containing multiple positron populations.
正电子发射断层扫描(PET)是诊断疾病(如癌症和阿尔茨海默病)的重要方式,能够揭示针对疾病特定病理标记的放射性标记分子的摄取。最近,正电子寿命成像(PLI)通过飞行时间(TOF) PET和非纯正电子发射器的使用,证明了在传统PET的基础上,正电子寿命成像(PLI)增加了探索示踪剂摄取之外组织微环境特性的能力。然而,从具有有限TOF分辨率的系统获取的数据中实现准确的生命周期图像重建仍然是一个挑战。本文的重点是二维PLI,介绍了一种最大似然估计(MLE)方法,该方法采用指数修正高斯(EMG)概率分布来描述TOF PET产生的正电子寿命数据。我们评估了基于肌电图的MLE方法与使用指数似然函数和惩罚代理方法的方法的性能。计算机模拟数据的结果表明,所提出的肌电- mle方法可以产生定量准确的寿命图像。我们还证明了所提出的MLE公式可以扩展到处理包含多个正电子居群的PLI数据。
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引用次数: 0
Pseudo-MRI-Guided PET Image Reconstruction Method Based on a Diffusion Probabilistic Model 基于扩散概率模型的伪mri引导PET图像重建方法
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-16 DOI: 10.1109/TRPMS.2025.3528728
Weijie Gan;Huidong Xie;Carl von Gall;Günther Platsch;Michael T. Jurkiewicz;Andrea Andrade;Udunna C. Anazodo;Ulugbek S. Kamilov;Hongyu An;Jorge Cabello
Anatomically guided positron emission tomography (PET) reconstruction using magnetic resonance imaging (MRI) information has been shown to have the potential to improve PET image quality. However, these improvements are limited to PET scans with paired MRI information. In this work, we employed a diffusion probabilistic model (DPM) to infer T1-weighted-MRI (deep-MRI) images from FDG-PET brain images. We then use the DPM-generated T1w-MRI to guide the PET reconstruction. The model was trained with brain FDG scans, and tested in datasets containing multiple levels of counts. Deep-MRI images appeared somewhat degraded and in some cases showed inaccuracies compared to the acquired MRI images. Regarding PET image quality, volume of interest analysis in different brain regions showed that both PET reconstructed images using the acquired and the deep-MRI images improved image quality compared to ordered subset expected maximum (OSEM). Same conclusions were found analysing the decimated datasets. A subjective evaluation performed by two physicians confirmed that OSEM scored consistently worse than the MRI-guided PET images and no significant differences were observed between the MRI-guided PET images. This proof of concept shows that it is possible to infer DPM-based MRI imagery to guide the PET reconstruction, enabling the possibility of changing reconstruction parameters, such as the strength of the prior on anatomically guided PET reconstruction in the absence of MRI.
解剖引导正电子发射断层扫描(PET)重建利用磁共振成像(MRI)信息已被证明有潜力提高PET图像质量。然而,这些改进仅限于PET扫描与配对MRI信息。在这项工作中,我们采用扩散概率模型(DPM)从FDG-PET脑图像推断t1加权mri (deep-MRI)图像。然后我们使用dpm生成的T1w-MRI来指导PET重建。该模型通过大脑FDG扫描进行训练,并在包含多个计数水平的数据集中进行测试。与获得的MRI图像相比,深度MRI图像出现了一定程度的退化,在某些情况下显示不准确。在PET图像质量方面,不同脑区的兴趣体积分析表明,与有序子集期望最大值(OSEM)相比,使用获取的PET图像和深度mri图像重建的PET图像都提高了图像质量。同样的结论也在分析被删减的数据集时被发现。由两位医生进行的主观评估证实,OSEM评分始终低于mri引导的PET图像,并且在mri引导的PET图像之间没有观察到显着差异。这一概念证明表明,可以推断基于dpm的MRI图像来指导PET重建,从而有可能改变重建参数,例如在没有MRI的情况下,解剖引导的PET重建的先验强度。
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引用次数: 0
Experimental Validation of ANNA: Analog Neural Network ASIC for Event Positioning in Monolithic Scintillation Detectors ANNA:模拟神经网络ASIC在单片闪烁探测器事件定位中的实验验证
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-16 DOI: 10.1109/TRPMS.2025.3530774
S. Di Giacomo;M. Ronchi;M. Amadori;G. Borghi;M. Carminati;C. Fiorini
machine learning (ML) accelerators represent an attractive area of research, offering the potential to streamline algorithmic complexity and handle massively parallel in-memory computations, with substantial improvements in energy efficiency and speed related to data transmission and processing. Analog computing can further boost ML acceleration due to its superior computational density compared to digital platforms and its ability to deal with analog data acquired from sensors. The analog approach to edge computing can be beneficial for signal processing in long-axial field-of-view (LA-FOV) scintillation detectors used in nuclear medical tomographic imaging (PET and SPECT). In such scenarios, the deployment of analog computations in close proximity to the sensors would significantly diminish the volume of data that must be digitized and transmitted, and ML reconstruction algorithms, such as neural networks (NNs), could enhance the image reconstruction process. We present an ASIC fabricated in 0.35- $mathrm { {mu }text {m}}$ CMOS technology implementing an analog NN featuring 64 inputs, two hidden layers of 20 neurons each, and two outputs. It is intended for use in the reconstruction of the 2-D position of interaction of gamma photons inside a monolithic scintillator crystal readout by a matrix of silicon photomultipliers (SiPMs) for PET/SPECT applications. This chip can interact directly with analog signals originating from the photosensors, and is able to provide the predicted interaction coordinates of the gamma-ray at its output. The vector-matrix multiplications for inference are executed in the charge domain using programmable switched capacitors (SC) organized in crossbar arrays. Experimental measurements of this first proof-of-concept prototype ASIC are reported, demonstrating the correct functionality of the NN circuit. With an energy efficiency of $50~{mathrm {GOPS/W}}$ and power consumption of $17~{mathrm {mW}}$ per inference, the achieved results are promising for the integration of the ASIC with the photodetector front-end for in situ analog computing.
机器学习(ML)加速器代表了一个有吸引力的研究领域,它提供了简化算法复杂性和处理大规模并行内存计算的潜力,并大幅提高了与数据传输和处理相关的能源效率和速度。与数字平台相比,模拟计算具有更高的计算密度,并且能够处理从传感器获取的模拟数据,因此可以进一步提高机器学习的速度。边缘计算的模拟方法可用于核医学断层成像(PET和SPECT)中使用的长轴视场(LA-FOV)闪烁探测器的信号处理。在这种情况下,在靠近传感器的地方部署模拟计算将大大减少必须数字化和传输的数据量,神经网络(nn)等机器学习重建算法可以增强图像重建过程。我们提出了一个以0.35- $ mathm {{mu}text {m}}$ CMOS技术制造的ASIC,实现了一个具有64个输入、两个隐藏层(每个隐藏层有20个神经元)和两个输出的模拟神经网络。它旨在用于重建单片闪烁体晶体读出内γ光子相互作用的二维位置,通过硅光电倍增管(SiPMs)矩阵用于PET/SPECT应用。该芯片可以直接与来自光传感器的模拟信号相互作用,并且能够在其输出处提供预测的伽马射线相互作用坐标。在电荷域中,利用可编程开关电容器(SC)在交叉棒阵列中进行矢量矩阵乘法推理。报告了第一个概念验证原型ASIC的实验测量,展示了神经网络电路的正确功能。该结果的能量效率为$50~{ mathm {GOPS/W}}$,每个推理的功耗为$17~{ mathm {mW}}$,有望将ASIC与光电探测器前端集成在一起进行原位模拟计算。
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引用次数: 0
Semi-Supervised MVCT Enhancement Using Diffusion Model Refined With KVCT Priors 利用KVCT先验改进扩散模型的半监督MVCT增强
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-15 DOI: 10.1109/TRPMS.2025.3529582
Mengxun Zheng;Long Tang;Peiwen Liang;Shuang Jin;Xiaotong Xu;Zhe Su;Hua Zhang
Megavoltage computed tomography (MVCT) on the tomotherapy system has been widely used as a tomographic imaging modality for image-guided radiotherapy. However, the quality of MVCT images is often compromised by poor tissue contrast and significant noise. Conventional networks designed to enhance CT quality typically require the clean ground-truth images, which are not feasible for MVCT. In this study, we introduce a semi-supervised framework named Semi-Diff, which leverages the denoising diffusion probabilistic model and the prior information sourced from kilovoltage computed tomography (KVCT) to address challenges in MVCT enhancement. Specifically, employing a discriminative prior learning method, we first learn a mapping function to estimate MVCT noise and perform state matching. With this state matching dictionary, we then represent the MVCT image as a sample from an intermediate posterior distribution within the diffusion Markov chain, which enables the reverse conditional sampling process of the diffusion model to start directly from the noisy MVCT images. To fully explore the prior information from the plan KVCT images of the same patients, we introduce a novel diffusion base network called RefNet, whose dynamic feature aggregation module can extract and align the relevant features from reference KVCT image to enhance image restoration performance. Quantitative evaluations using simulated digital phantom data show that the proposed Semi-Diff model achieves the average FSIM score of 0.954, PSNR score of 33.22 dB, and RMSE value of 0.023, demonstrating improvements of approximately 2.16% in FSIM, 0.59% in PSNR, and a reduction of 3.58% in RMSE compared to the best-performing baseline method. Results from physical phantom and patient data further validate the model’s superior performance in noise suppression and structural preservation.
巨压计算机断层扫描(MVCT)在断层治疗系统上作为一种断层成像方式已被广泛应用于图像引导放射治疗。然而,MVCT图像的质量往往受到组织对比度差和显著噪声的影响。用于提高CT质量的传统网络通常需要干净的真地图像,这对于MVCT来说是不可行的。在这项研究中,我们引入了一个名为Semi-Diff的半监督框架,它利用去噪扩散概率模型和来自千伏计算机断层扫描(KVCT)的先验信息来解决MVCT增强中的挑战。具体而言,我们采用判别先验学习方法,首先学习映射函数来估计MVCT噪声并进行状态匹配。利用该状态匹配字典,我们将MVCT图像表示为扩散马尔可夫链内中间后验分布的样本,这使得扩散模型的反向条件采样过程可以直接从带噪声的MVCT图像开始。为了充分挖掘相同患者的计划KVCT图像中的先验信息,我们引入了一种新的扩散基网络RefNet,其动态特征聚合模块可以从参考KVCT图像中提取和对齐相关特征,以提高图像恢复性能。利用模拟数字幻影数据进行的定量评估表明,所提出的半差分模型的FSIM平均得分为0.954,PSNR得分为33.22 dB, RMSE值为0.023,与最佳基准方法相比,FSIM提高了约2.16%,PSNR提高了0.59%,RMSE降低了3.58%。物理模型和患者数据的结果进一步验证了该模型在噪声抑制和结构保存方面的优越性能。
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引用次数: 0
Score-Based Generative Null-Space Shuttle for the Field-of-View of STCT Expansion STCT视场扩展中基于分数的生成零空间穿梭
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-13 DOI: 10.1109/TRPMS.2025.3528953
Haixia Xie;Haijun Yu;Song Ni;Chuandong Tan;Genyuan Zhang;Zihao Wang;Meina Zhan;Fenglin Liu
Micro computed tomography (Micro-CT) is widely used across various fields for high-resolution imaging. Recently, our previous work developed a source translation-based computed tomography (STCT) model to achieve high-resolution imaging for large objects. However, when the sample size exceeds the field-of-view (FOV) of STCT, the traditional algorithms cannot recover the invisible null-space information from incomplete projection data. To address this issue, we propose the score-based generative null-space shuttles (SGNS) algorithm, which employs score-based generative models to learn prior information and restores missing null-space information through a null-space shuttle approach during the sampling process. To ensure consistency in the generated results, the measured data are introduced as ground truth information during the sampling phase. The numerical and physical experiments demonstrate our algorithm can effectively eliminate artifacts caused by insufficient projection data and recover more detailed image information. In addition, by using range-null space hallucination maps, we demonstrate the proposed algorithm can reliably and stably reconstruct cross-sectional images of objects beyond the FOV.
微计算机断层扫描(Micro- ct)广泛应用于各个领域的高分辨率成像。最近,我们之前的工作开发了一种基于源平移的计算机断层扫描(STCT)模型,以实现大型物体的高分辨率成像。然而,当样本量超过STCT的视场(FOV)时,传统算法无法从不完全投影数据中恢复不可见的零空间信息。为了解决这个问题,我们提出了基于分数的生成零空间穿梭(SGNS)算法,该算法使用基于分数的生成模型来学习先验信息,并在采样过程中通过零空间穿梭方法恢复缺失的零空间信息。为了确保生成结果的一致性,在采样阶段将测量数据作为地真值信息引入。数值和物理实验表明,该算法能有效消除投影数据不足造成的伪影,恢复更详细的图像信息。此外,通过使用距离-零空间幻觉映射,我们证明了该算法可以可靠且稳定地重建视场外物体的横截面图像。
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引用次数: 0
Individual and Simultaneous Imaging of ⁹⁹mTc and ¹⁷⁷Lu With a Preclinical Broad Energy-Spectrum CZT-Based SPECT 基于cz的临床前广谱SPECT (SPECT)对⁹mTc和¹⁷Lu的个体和同时成像
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-09 DOI: 10.1109/TRPMS.2025.3527874
Pedro M. C. C. Encarnação;Pedro M. M. Correia;Baharak Mehrdel;Isabella Bredwell;João F. C. A. Veloso;Javier Caravaca;Youngho Seo
Radiopharmaceutical therapy has demonstrated a high efficacy in the treatment of various tumor types. One of the radionuclides already used in the clinic is 177Lu, a beta emitter that also emits several photons imageable with single photon emission computed tomography (SPECT). Quantitative imaging of 177Lu is critical for developing new radiopharmaceuticals. Energy resolution is an important factor when imaging multiple photon emissions. Solid-state detectors offer a superior performance over scintillators, that are commonly used in commercially available preclinical SPECT scanners. This study demonstrates the feasibility of 99mTc and 177Lu quantitative imaging in mouse phantoms, individually and simultaneously, with a SPECT prototype built with four CdZnTe (CZT) detector heads and a custom-designed and energy-optimized parallel-hole tungsten collimator. With a custom implementation of the one-step late (OSL) image reconstruction algorithm, the system is capable of imaging energies from ~70 to 250 keV. Above 250 keV, images were significantly affected by septal penetration, consistent with the collimator design. A recovery coefficient within 25% was obtained for activities as low as 2 kBq/mL for 99mTc and 45% for 177Lu. Compared to a commercial NaI-based preclinical SPECT (VECTor4/CT), our prototype showed a superior energy resolution (<5% at 140 keV), a similar uniformity with a high-compact design.
放射性药物治疗在治疗各种类型的肿瘤中显示出很高的疗效。其中一种已经用于临床的放射性核素是177Lu,它是一种β发射器,也能发射出几个光子,可以用单光子发射计算机断层扫描(SPECT)成像。177Lu的定量成像对于开发新的放射性药物至关重要。能量分辨率是成像多光子发射时的一个重要因素。固态探测器提供了优于闪烁体的性能,闪烁体通常用于商用临床前SPECT扫描仪。本研究证明了99mTc和177Lu定量成像小鼠幻影的可行性,分别和同时,用四个CdZnTe (CZT)探测器头和一个定制的和能量优化的平行孔钨准直器构建SPECT原型。通过自定义实现的一步后期(OSL)图像重建算法,该系统能够成像能量从~70到250 keV。在250 keV以上,图像受到隔膜穿透的显著影响,这与准直器的设计一致。活度为99mTc为2 kBq/mL, 177Lu为45%,回收率在25%以内。与商用的基于ai的临床前SPECT (VECTor4/CT)相比,我们的原型显示出更高的能量分辨率(在140 keV下<5%),具有相似的均匀性和高紧凑设计。
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引用次数: 0
Performance Evaluation of New PET/CT DigitMI 930 新型PET/CT digitmi930性能评价
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-09 DOI: 10.1109/TRPMS.2025.3526659
Bo Zhang;Bingxuan Li;Lei Fang;Xiaoyun Zhou;Ang Li;Xuan Zhang;Yang Liu;Zhuo Wang;Chien-Min Kao;Yuqing Liu;Xiaohua Zhu;Lin Wan;Peng Xiao;Xun Chen;Hidehiro Iida;Juhani Knuuti;Qingguo Xie
The study evaluates the performance of the DigitMI 930 positron emission tomography (PET)/CT system, featuring detector modules with an 1:1:1 coupling of the scintillation crystal, the photosensor, and the electronic readout channel, in adherence to the NEMA NU 2-2018 standard. Moreover, brain and whole-body images were used to assess image quality. The radial, tangential, and axial resolutions at a radial offset of 1 cm were 3.9, 3.9, and 3.7 mm, respectively. The average sensitivity was measured at 16.2 cps/kBq. The peak noise-equivalent count rate was calculated as 412.5 kcps at 34.5 kBq/mL. At an activity concentration of 5.3 kBq/mL, the scatter fraction was 37.5%, and the time-of-flight (TOF) resolution was 248.6 ps. The contrast recovery coefficient ranged from 70.6% to 87.7% with TOF reconstruction. Despite increased noise in shorter whole-body scans, critical lesions remained identifiable at 20-s durations per bed position. The DigitMI 930 PET/CT system demonstrates a strong overall performance, particularly noteworthy for its low spatial resolution to crystal size ratio in comparison to other clinical PET systems. Moreover, the clinical studies indicate that the DigitMI 930 PET/CT system is capable of generating high-quality clinical images with high sensitivity for detecting small lesions, even at low injection doses or short scanning times.
该研究评估了DigitMI 930正电子发射断层扫描(PET)/CT系统的性能,该系统具有闪烁晶体、光电传感器和电子读出通道1:1:1耦合的探测器模块,符合NEMA NU 2-2018标准。此外,使用脑和全身图像来评估图像质量。在径向偏移1 cm时,径向、切向和轴向分辨率分别为3.9、3.9和3.7 mm。平均灵敏度为16.2 cps/kBq。在34.5 kBq/mL时,峰值噪声等效计数率为412.5 kcps。在活性浓度为5.3 kBq/mL时,散射分数为37.5%,TOF分辨率为248.6 ps, TOF重建的对比恢复系数为70.6% ~ 87.7%。尽管在较短的全身扫描中噪音增加,但在每个床位持续20秒的时间内仍然可以识别出关键病变。DigitMI 930 PET/CT系统表现出强大的整体性能,特别是与其他临床PET系统相比,其低空间分辨率与晶体尺寸比值得注意。此外,临床研究表明,即使在低注射剂量或短扫描时间下,DigitMI 930 PET/CT系统也能产生高质量的临床图像,对检测小病变具有高灵敏度。
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引用次数: 0
D3Net: A Distribution-Driven Deep Network for Radiotherapy Dose Prediction D3Net:一种分布驱动的放疗剂量预测深度网络
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-03 DOI: 10.1109/TRPMS.2025.3525732
Lu Wen;Jianghong Xiao;Zhenghao Feng;Xiao Chen;Jiliu Zhou;Xingchen Peng;Yan Wang
Radiotherapy is a primary treatment for cancers to apply sufficient radiation dose to the planning target volume (PTV) while minimizing dose hazards to the organs at risk (OARs). Recently, convolutional neural network (CNN) has automated radiotherapy plan making by directly predicting the dose distribution maps. However, existing CNN-based methods ignore two critical dose distribution characteristics, i.e., 1) the spatial distribution of different dose values and 2) dose differences in the interior and exterior PTV, resulting in suboptimal predictions. In this article, we propose a distribution-driven deep network, named D3Net, to achieve automatic dose prediction by simultaneously considering its spatial distribution and dose differences. Concretely, D3Net is constructed by a traditional CNN framework embedded with a transformer encoder to extract both local and global dosimetric information. To investigate the spatial distribution of different dose values, we present an innovative discrete multidose constraint to measure multiple dose values in the predicted dose map with discrete dose masks. Besides, we design a PTV-guided triplet constraint to utilize the explicit geometry of PTV to refine dose feature representations in the interior and exterior PTV, thus facilitating the dose differences. The proposed method is validated on the two clinical datasets, achieving $| {{Delta }{D}}_{98} |$ values of 1.87 Gy for rectum (REC) cancer and 1.08 Gy for cervical cancer. The experimental results surpass those of other state-of-the-art (SOTA) methods, verifying that the predicted dose distribution of our method is more closed to the clinically approved one.
放射治疗是治疗癌症的主要方法,目的是在计划靶体积(PTV)上施加足够的辐射剂量,同时尽量减少对危险器官(OARs)的剂量危害。近年来,卷积神经网络(CNN)通过直接预测剂量分布图实现了放疗计划的自动制定。然而,现有的基于cnn的方法忽略了两个关键的剂量分布特征,即1)不同剂量值的空间分布和2)内外PTV的剂量差异,导致预测不理想。在本文中,我们提出了一个分布驱动的深度网络,命名为D3Net,同时考虑其空间分布和剂量差异来实现自动剂量预测。具体而言,D3Net是由嵌入变压器编码器的传统CNN框架构建的,以提取局部和全局剂量学信息。为了研究不同剂量值的空间分布,我们提出了一种创新的离散多剂量约束,用离散剂量掩模测量预测剂量图中的多个剂量值。此外,我们设计了一个PTV引导的三重约束,利用PTV的显式几何形状来细化PTV内外的剂量特征表示,从而方便了剂量差异。在两个临床数据集上验证了所提出的方法,直肠(REC)癌的$| {{Delta}{D}}_{98} |$值为1.87 Gy,宫颈癌为1.08 Gy。实验结果超过了其他先进的SOTA方法,验证了我们的方法预测剂量分布更接近临床批准的剂量分布。
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引用次数: 0
IEEE Transactions on Radiation and Plasma Medical Sciences Information for Authors IEEE辐射与等离子体医学科学汇刊作者信息
IF 4.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-02 DOI: 10.1109/TRPMS.2024.3519397
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IEEE Transactions on Radiation and Plasma Medical Sciences
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