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Learning a Filtered Backprojection Reconstruction Method for Photoacoustic Computed Tomography with Hemispherical Measurement Geometries. 学习用于半球形测量几何的光声计算机断层扫描的过滤后投影重建方法。
Pub Date : 2024-12-02
Panpan Chen, Seonyeong Park, Refik Mert Cam, Hsuan-Kai Huang, Alexander A Oraevsky, Umberto Villa, Mark A Anastasio

In certain three-dimensional (3D) applications of photoacoustic computed tomography (PACT), including textit{in vivo} breast imaging, hemispherical measurement apertures that enclose the object within their convex hull are employed for data acquisition. Data acquired with such measurement geometries are referred to as textit{half-scan} data, as only half of a complete spherical measurement aperture is employed. Although previous studies have demonstrated that half-scan data can uniquely and stably reconstruct the sought-after object, no closed-form reconstruction formula for use with half-scan data has been reported. To address this, a semi-analytic reconstruction method in the form of filtered backprojection (FBP), referred to as the half-scan FBP method, is developed in this work. Because the explicit form of the filtering operation in the half-scan FBP method is not currently known, a learning-based method is proposed to approximate it. The proposed method is systematically investigated by use of virtual imaging studies of 3D breast PACT that employ ensembles of numerical breast phantoms and a physics-based model of the data acquisition process. The method is subsequently applied to experimental data acquired in an textit{in vivo} breast PACT study. The results confirm that the half-scan FBP method can accurately reconstruct 3D images from half-scan data. Importantly, because the sought-after inverse mapping is well-posed, the reconstruction method remains accurate even when applied to data that differ considerably from those employed to learn the filtering operation.

在光声计算机断层扫描(PACT)的某些三维(3D)应用中,包括textit{体内}乳房成像,采用将物体包裹在其凸壳内的半球形测量孔进行数据采集。用这种测量几何形状获得的数据被称为textit{半扫描}数据,因为只使用了完整球面测量孔径的一半。虽然以前的研究表明,半扫描数据可以唯一和稳定地重建所追求的目标,但没有关于半扫描数据使用的封闭形式重建公式的报道。为了解决这一问题,本文提出了一种滤波反投影(FBP)形式的半解析重建方法,即半扫描FBP方法。由于半扫描FBP方法中滤波操作的显式形式目前尚不清楚,因此提出了一种基于学习的近似方法。所提出的方法通过使用三维乳房PACT的虚拟成像研究进行了系统的研究,该研究采用了数字乳房幻影的集合和基于物理的数据采集过程模型。该方法随后应用于textit{体内}乳腺PACT研究中获得的实验数据。结果表明,半扫描FBP方法可以准确地从半扫描数据中重建三维图像。重要的是,由于广受欢迎的逆映射是适定的,因此即使应用于与用于学习过滤操作的数据有很大不同的数据,重建方法仍然是准确的。
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引用次数: 0
Precision in the Face of Noise - Lessons from Kahneman, Siboney, and Sunstein for Radiation Oncology. 面对噪音的精确性——卡尼曼、西伯尼和桑斯坦对放射肿瘤学的启示。
Pub Date : 2024-12-02
Kareem A Wahid, Clifton D Fuller, David Fuentes
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引用次数: 0
MAFcounter: An efficient tool for counting the occurrences of k-mers in MAF files. MAFcounter:一个计算在MAF文件中k-mers出现次数的有效工具。
Pub Date : 2024-11-29
Michail Patsakis, Kimonas Provatas, Ioannis Mouratidis, Ilias Georgakopoulos-Soares

Motivation: With the rapid expansion of large-scale biological datasets, DNA and protein sequence alignments have become essential for comparative genomics and proteomics. These alignments facilitate the exploration of sequence similarity patterns, providing valuable insights into sequence conservation, evolutionary relationships and for functional analyses. Typically, sequence alignments are stored in formats such as the Multiple Alignment Format (MAF). Counting k-mer occurrences is a crucial task in many computational biology applications, but currently, there is no algorithm designed for k-mer counting in alignment files.

Results: We have developed MAFcounter, the first k-mer counter dedicated to alignment files. MAFcounter is multithreaded, fast, and memory efficient, enabling k-mer counting in DNA and protein sequence alignment files.

Availability: The MAFcounter package and its Python bindings are released under GPL license as a multi-platform application and are available at: https://github.com/Georgakopoulos-Soares-lab/MAFcounter.

动机:随着大规模生物数据集的快速扩展,DNA和蛋白质序列比对已经成为比较基因组学和蛋白质组学的必要条件。这些比对促进了序列相似性模式的探索,为序列保护、进化关系和功能分析提供了有价值的见解。通常,序列对齐以多重对齐格式(Multiple Alignment Format, MAF)等格式存储。在许多计算生物学应用中,计算k-mer的出现次数是一项至关重要的任务,但目前,还没有为排列文件中的k-mer计数设计的算法。结果:研制出了国内第一个用于比对文件的k-mer计数器MAFcounter。MAFcounter是多线程的、快速的、内存高效的,能够在DNA和蛋白质序列比对文件中进行k-mer计数。可用性:MAFcounter包及其Python绑定是在GPL许可下作为多平台应用程序发布的,可以在https://github.com/Georgakopoulos-Soares-lab/MAFcounter上获得。
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引用次数: 0
Overview of the Head and Neck Tumor Segmentation for Magnetic Resonance Guided Applications (HNTS-MRG) 2024 Challenge. 磁共振引导应用头颈部肿瘤分割概述(HNTS-MRG) 2024挑战。
Pub Date : 2024-11-28
Kareem A Wahid, Cem Dede, Dina M El-Habashy, Serageldin Kamel, Michael K Rooney, Yomna Khamis, Moamen R A Abdelaal, Sara Ahmed, Kelsey L Corrigan, Enoch Chang, Stephanie O Dudzinski, Travis C Salzillo, Brigid A McDonald, Samuel L Mulder, Lucas McCullum, Qusai Alakayleh, Carlos Sjogreen, Renjie He, Abdallah S R Mohamed, Stephen Y Lai, John P Christodouleas, Andrew J Schaefer, Mohamed A Naser, Clifton D Fuller

Magnetic resonance (MR)-guided radiation therapy (RT) is enhancing head and neck cancer (HNC) treatment through superior soft tissue contrast and longitudinal imaging capabilities. However, manual tumor segmentation remains a significant challenge, spurring interest in artificial intelligence (AI)-driven automation. To accelerate innovation in this field, we present the Head and Neck Tumor Segmentation for MR-Guided Applications (HNTS-MRG) 2024 Challenge, a satellite event of the 27th International Conference on Medical Image Computing and Computer Assisted Intervention. This challenge addresses the scarcity of large, publicly available AI-ready adaptive RT datasets in HNC and explores the potential of incorporating multi-timepoint data to enhance RT auto-segmentation performance. Participants tackled two HNC segmentation tasks: automatic delineation of primary gross tumor volume (GTVp) and gross metastatic regional lymph nodes (GTVn) on pre-RT (Task 1) and mid-RT (Task 2) T2-weighted scans. The challenge provided 150 HNC cases for training and 50 for testing, hosted on grand-challenge.org using a Docker submission framework. In total, 19 independent teams from across the world qualified by submitting both their algorithms and corresponding papers, resulting in 18 submissions for Task 1 and 15 submissions for Task 2. Evaluation using the mean aggregated Dice Similarity Coefficient showed top-performing AI methods achieved scores of 0.825 in Task 1 and 0.733 in Task 2. These results surpassed clinician interobserver variability benchmarks, marking significant strides in automated tumor segmentation for MR-guided RT applications in HNC.

磁共振(MR)引导放射治疗(RT)通过优越的软组织对比和纵向成像能力加强头颈癌(HNC)的治疗。然而,人工肿瘤分割仍然是一个重大挑战,激发了人们对人工智能(AI)驱动的自动化的兴趣。为了加速这一领域的创新,我们提出了第27届国际医学图像计算和计算机辅助干预会议的卫星赛事——头颈部肿瘤分割核磁共振引导应用(HNTS-MRG) 2024挑战赛。这一挑战解决了HNC中大型、公开可用的人工智能自适应RT数据集的缺乏性,并探索了合并多时间点数据以增强RT自动分割性能的潜力。参与者完成了两个HNC分割任务:在rt前(任务1)和rt中期(任务2)t2加权扫描上自动描绘原发性总肿瘤体积(GTVp)和总转移性区域淋巴结(GTVn)。该挑战赛提供了150个HNC案例用于培训,50个用于测试,使用Docker提交框架在Grand challenge上托管。总共有来自世界各地的19个独立团队通过提交他们的算法和相应的论文获得了参赛资格,其中任务1有18份,任务2有15份。使用平均聚合骰子相似系数进行评估显示,表现最好的AI方法在任务1中的得分为0.825,在任务2中的得分为0.733。这些结果超过了临床医生之间的可变性基准,标志着在HNC中磁共振引导RT应用的自动肿瘤分割方面取得了重大进展。
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引用次数: 0
High-throughput antibody screening with high-quality factor nanophotonics and bioprinting. 高通量抗体筛选与高质量因子纳米光子学和生物打印。
Pub Date : 2024-11-27
Sajjad Abdollahramezani, Darrell Omo-Lamai, Gerlof Bosman, Omid Hemmatyar, Sahil Dagli, Varun Dolia, Kai Chang, Nicholas A Güsken, Hamish Carr Delgado, Geert-Jan Boons, Mark L Brongersma, Fareeha Safir, Butrus T Khuri-Yakub, Parivash Moradifar, Jennifer Dionne

Empirical investigation of the quintillion-scale, functionally diverse antibody repertoires that can be generated synthetically or naturally is critical for identifying potential biotherapeutic leads, yet remains burdensome. We present high-throughput nanophotonics- and bioprinter-enabled screening (HT-NaBS), a multiplexed assay for large-scale, sample-efficient, and rapid characterization of antibody libraries. Our platform is built upon independently addressable pixelated nanoantennas exhibiting wavelength-scale mode volumes, high-quality factors (high-Q) exceeding 5000, and pattern densities exceeding one million sensors per square centimeter. Our custom-built acoustic bioprinter enables individual sensor functionalization via the deposition of picoliter droplets from a library of capture antigens at rates up to 25,000 droplets per second. We detect subtle differentiation in the target binding signature through spatially-resolved spectral imaging of hundreds of resonators simultaneously, elucidating antigen-antibody binding kinetic rates, affinity constant, and specificity. We demonstrate HT-NaBS on a panel of antibodies targeting SARS-CoV-2, Influenza A, and Influenza B antigens, with a sub-picomolar limit of detection within 30 minutes. Furthermore, through epitope binning analysis, we demonstrate the competence and diversity of a library of native antibodies targeting functional epitopes on a priority pathogen (H5N1 bird flu) and on glycosylated therapeutic Cetuximab antibodies against epidermal growth factor receptor. With a roadmap to image tens of thousands of sensors simultaneously, this high-throughput, resource-efficient, and label-free platform can rapidly screen for high-affinity and broad epitope coverage, accelerating biotherapeutic discovery and de novo protein design.

对可合成或自然产生的千万亿级、功能多样的抗体库进行实证研究对于确定潜在的生物治疗线索至关重要,但仍然是繁重的工作。我们提出了高通量纳米光子学和生物打印机支持筛选(ht - nab),这是一种用于大规模,样品高效和快速表征抗体库的多路分析方法。我们的平台建立在可独立寻址的像素化纳米天线之上,具有波长尺度模式体积,高质量因子(高q)超过5000,模式密度超过每平方厘米一百万个传感器。我们定制的声学生物打印机通过从捕获抗原库中沉积皮升液滴,以高达每秒25,000液滴的速度实现单个传感器的功能。我们通过同时对数百个共振器进行空间分辨光谱成像来检测目标结合特征的细微差异,阐明抗原-抗体结合动力学速率、亲和力常数和特异性。我们在一组针对SARS-CoV-2、甲型流感和乙型流感抗原的抗体上展示了ht - nab,在30分钟内具有亚皮摩尔的检测限。此外,通过表位分簇分析,我们证明了靶向功能表位的天然抗体库对优先病原体(H5N1禽流感)和针对表皮生长因子受体的糖基化治疗性西妥昔单抗抗体的能力和多样性。这个高通量、资源高效和无标签的平台可以同时对成千上万个传感器进行成像,可以快速筛选高亲和力和广泛的表位覆盖,加速生物治疗发现和从头蛋白设计。
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引用次数: 0
EEG-Based Analysis of Brain Responses in Multi-Modal Human-Robot Interaction: Modulating Engagement. 多模态人机交互中基于脑电图的脑反应分析:调节参与。
Pub Date : 2024-11-27
Suzanne Oliver, Tomoko Kitago, Adam Buchwald, S Farokh Atashzar

User engagement, cognitive participation, and motivation during task execution in physical human-robot interaction are crucial for motor learning. These factors are especially important in contexts like robotic rehabilitation, where neuroplasticity is targeted. However, traditional robotic rehabilitation systems often face challenges in maintaining user engagement, leading to unpredictable therapeutic outcomes. To address this issue, various techniques, such as assist-as-needed controllers, have been developed to prevent user slacking and encourage active participation. In this paper, we introduce a new direction through a novel multi-modal robotic interaction designed to enhance user engagement by synergistically integrating visual, motor, cognitive, and auditory (speech recognition) tasks into a single, comprehensive activity. To assess engagement quantitatively, we compared multiple electroencephalography (EEG) biomarkers between this multi-modal protocol and a traditional motor-only protocol. Fifteen healthy adult participants completed 100 trials of each task type. Our findings revealed that EEG biomarkers, particularly relative alpha power, showed statistically significant improvements in engagement during the multi-modal task compared to the motor-only task. Moreover, while engagement decreased over time in the motor-only task, the multi-modal protocol maintained consistent engagement, suggesting that users could remain engaged for longer therapy sessions. Our observations on neural responses during interaction indicate that the proposed multi-modal approach can effectively enhance user engagement, which is critical for improving outcomes. This is the first time that objective neural response highlights the benefit of a comprehensive robotic intervention combining motor, cognitive, and auditory functions in healthy subjects.

在人机交互的任务执行过程中,用户参与、认知参与和动机对运动学习至关重要。这些因素在机器人康复等以神经可塑性为目标的环境中尤为重要。然而,传统的机器人康复系统在保持用户参与方面经常面临挑战,导致不可预测的治疗结果。为了解决这个问题,已经开发了各种技术,例如按需辅助控制器,以防止用户懈怠并鼓励积极参与。在本文中,我们通过一种新颖的多模态机器人交互引入了一个新的方向,该交互旨在通过将视觉、运动、认知和听觉(语音识别)任务协同整合到一个单一的综合活动中来增强用户参与度。为了定量评估参与程度,我们比较了这种多模式方案和传统的仅运动方案之间的多种脑电图(EEG)生物标志物。15名健康的成年参与者完成了每种任务类型的100项试验。我们的研究结果显示,脑电图生物标志物,特别是相对阿尔法功率,在多模态任务期间与仅运动任务相比,在统计上显着改善了参与度。此外,虽然在纯运动任务中的参与度随着时间的推移而下降,但多模式协议保持了一致的参与度,这表明用户可以在更长的治疗过程中保持参与度。我们对交互过程中的神经反应的观察表明,所提出的多模态方法可以有效地提高用户参与度,这对改善结果至关重要。这是第一次客观的神经反应强调了综合机器人干预在健康受试者中结合运动、认知和听觉功能的益处。
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引用次数: 0
Identifying the impact of local connectivity patterns on dynamics in excitatory-inhibitory networks. 识别局部连接模式对兴奋-抑制网络动力学的影响。
Pub Date : 2024-11-27
Yuxiu Shao, David Dahmen, Stefano Recanatesi, Eric Shea-Brown, Srdjan Ostojic

Networks of excitatory and inhibitory (EI) neurons form a canonical circuit in the brain. Seminal theoretical results on dynamics of such networks are based on the assumption that synaptic strengths depend on the type of neurons they connect, but are otherwise statistically independent. Recent synaptic physiology datasets however highlight the prominence of specific connectivity patterns that go well beyond what is expected from independent connections. While decades of influential research have demonstrated the strong role of the basic EI cell type structure, to which extent additional connectivity features influence dynamics remains to be fully determined. Here we examine the effects of pair-wise connectivity motifs on the linear dynamics in excitatory-inhibitory networks using an analytical framework that approximates the connectivity in terms of low-rank structures. This low-rank approximation is based on a mathematical derivation of the dominant eigenvalues of the connectivity matrix, and predicts the impact on responses to external inputs of connectivity motifs and their interactions with cell-type structure. Our results reveal that a particular pattern of connectivity, chain motifs, have a much stronger impact on dominant eigenmodes than other pair-wise motifs. In particular, an over-representation of chain motifs induces a strong positive eigenvalue in inhibition-dominated networks and generates a potential instability that requires revisiting the classical excitation-inhibition balance criteria. Examining effects of external inputs, we show that chain motifs can on their own induce paradoxical responses, where an increased input to inhibitory neurons leads to a decrease in their activity due to the recurrent feedback. These findings have direct implications for the interpretation of experiments in which responses to optogenetic perturbations are measured and used to infer the dynamical regime of cortical circuits.

兴奋性和抑制性(EI)神经元网络构成了大脑中的典型回路。关于此类网络动力学的开创性理论成果所依据的假设是,突触强度取决于它们所连接的神经元类型,但在其他方面是统计独立的。然而,最近的突触生理学数据集凸显了特定连接模式的重要性,这些连接模式远远超出了独立连接的预期。虽然数十年来有影响力的研究已经证明了基本 EI 细胞类型结构的强大作用,但其他连接特征在多大程度上影响动力学仍有待全面确定。在这里,我们使用一个分析框架来研究成对连接图案对 EI 网络线性动力学的影响,该框架以低秩结构来近似连通性。这种低秩近似基于连通性矩阵主导特征值的数学推导,并预测了连通性主题及其与细胞类型结构的相互作用对外界输入反应的影响。我们的研究结果表明,一种特殊的连接模式--链式连接模式--对主导特征模式的影响要比其他成对连接模式大得多。在抑制占主导地位的网络中,链状图案的过度存在会诱发强大的正特征值,并产生潜在的不稳定性,需要重新审视经典的兴奋-抑制平衡标准。在研究外部输入的影响时,我们发现链式图案本身会诱发矛盾反应,即抑制性神经元的输入增加会导致它们的活动因递归反馈而减少。这些发现对解释测量光遗传扰动反应的实验有直接影响,并可用于推断大脑皮层回路的动态机制。
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引用次数: 0
Concepts and methods for predicting viral evolution. 预测病毒进化的概念和方法。
Pub Date : 2024-11-27
Matthijs Meijers, Denis Ruchnewitz, Jan Eberhardt, Malancha Karmakar, Marta Luksza, Michael Lässig

The seasonal human influenza virus undergoes rapid evolution, leading to significant changes in circulating viral strains from year to year. These changes are typically driven by adaptive mutations, particularly in the antigenic epitopes, the regions of the viral surface protein haemagglutinin targeted by human antibodies. Here we describe a consistent set of methods for data-driven predictive analysis of viral evolution. Our pipeline integrates four types of data: (1) sequence data of viral isolates collected on a worldwide scale, (2) epidemiological data on incidences, (3) antigenic characterization of circulating viruses, and (4) intrinsic viral phenotypes. From the combined analysis of these data, we obtain estimates of relative fitness for circulating strains and predictions of clade frequencies for periods of up to one year. Furthermore, we obtain comparative estimates of protection against future viral populations for candidate vaccine strains, providing a basis for pre-emptive vaccine strain selection. Continuously updated predictions obtained from the prediction pipeline for influenza and SARS-CoV-2 are available on the website previr.app.

季节性人类流感病毒进化迅速,导致每年流行的病毒株都会发生重大变化。这些变化通常是由适应性突变驱动的,尤其是抗原表位,即人类抗体所针对的病毒表面蛋白血凝素区域。在这里,我们介绍了一套一致的方法,用于对病毒进化进行数据驱动的预测分析。我们的管道整合了四类数据:(1) 在全球范围内收集的病毒分离序列数据,(2) 流行病学发病率数据,(3) 循环病毒的抗原特征,以及 (4) 固有病毒表型。通过对这些数据的综合分析,我们可以估算出循环毒株的相对适合度,并预测出长达一年的支系频率。此外,我们还获得了候选疫苗毒株对未来病毒种群保护能力的比较估计值,为先发制人的疫苗毒株选择提供了依据。从流感和 SARS-CoV-2 预测管道获得的持续更新的预测结果可在网站 https://previr.app 上查阅。
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引用次数: 0
Chemotaxing E. coli do not count single molecules. 大肠杆菌不计算单分子。
Pub Date : 2024-11-27
Henry H Mattingly, Keita Kamino, Jude Ong, Rafaela Kottou, Thierry Emonet, Benjamin B Machta

Understanding biological functions requires identifying the physical limits and system-specific constraints that have shaped them. In Escherichia coli chemotaxis, gradient-climbing speed is information-limited, bounded by the sensory information they acquire from real-time measurements of their environment. However, it remains unclear what limits this information. Past work conjectured that E. coli's chemosensing is limited by the physics of molecule arrivals at their sensors. Here, we derive the physical limit on behaviorally-relevant information, and then perform single-cell experiments to quantify how much information E. coli's signaling pathway encodes. We find that E. coli encode two orders of magnitude less information than the physical limit due to their stochastic signal processing. Thus, system-specific constraints, rather than the physical limit, have shaped the evolution of this canonical sensory-motor behavior.

生物必须进行感官运动行为才能生存。是什么界限或约束限制了行为表现?之前,我们发现大肠杆菌的化学趋向爬行速度接近于它们从化学环境中获取的有限信息所设定的界限。在这里,我们想知道是什么限制了它们的感官准确性。过去的理论分析表明,单分子到达的随机性为化学感应的精确性设定了基本限制。虽然有人认为细菌接近这一极限,但缺乏直接证据。在这里,我们利用信息论和定量实验发现,大肠杆菌的化学传感不受粒子计数物理学的限制。首先,我们推导出任何传感器能够获得的有关化学浓度变化的行为相关信息的物理极限,假设到达传感器的每个分子都被记录下来。然后,我们推导并测量了大肠杆菌信号通路在趋化过程中编码的信息量。我们发现,大肠杆菌编码的信息量比理想传感器少两个数量级,理想传感器只受到粒子到达时的射频噪声的限制。这些结果有力地表明,除了粒子到达噪声之外,其他限制因素也限制了大肠杆菌的感官保真度。
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引用次数: 0
Development and experimental validation of an in-house treatment planning system with greedy energy layer optimization for fast IMPT. 基于贪婪能量层优化的快速IMPT内部处理计划系统的开发与实验验证。
Pub Date : 2024-11-27
Aoxiang Wang, Ya-Nan Zhu, Jufri Setianegara, Yuting Lin, Peng Xiao, Qingguo Xie, Hao Gao

Background: Intensity-modulated proton therapy (IMPT) using pencil beam technique scans tumor in a layer by layer, then spot by spot manner. It can provide highly conformal dose to tumor targets and spare nearby organs-at-risk (OAR). Fast delivery of IMPT can improve patient comfort and reduce motion-induced uncertainties. Since energy layer switching time dominants the plan delivery time, reducing the number of energy layers is important for improving delivery efficiency. Although various energy layer optimization (ELO) methods exist, they are rarely experimentally validated or clinically implemented, since it is technically challenging to integrate these methods into commercially available treatment planning system (TPS) that is not open-source.

Purpose: This work develops and experimentally validates an in-house TPS (IH-TPS) that incorporates a novel ELO method for the purpose of fast IMPT.

Methods: The dose calculation accuracy of IH-TPS is verified against the measured beam data and the RayStation TPS. For treatment planning, a novel ELO method via greed selection algorithm is proposed to reduce energy layer switching time and total plan delivery time. To validate the planning accuracy of IH-TPS, the 3D gamma index is calculated between IH-TPS plans and RayStation plans for various scenarios. Patient-specific quality-assurance (QA) verifications are conducted to experimentally verify the delivered dose from the IH-TPS plans for several clinical cases.

Results: Dose distributions in IH-TPS matched with those from RayStation TPS, with 3D gamma index results exceeding 95% (2mm, 2%). The ELO method significantly reduced the delivery time while maintaining plan quality. For instance, in a brain case, the number of energy layers was reduced from 78 to 40, leading to a 62% reduction in total delivery time. Patient-specific QA validation with the IBA Proteus®ONE proton machine confirmed a >95% pass rate for all cases.

Conclusions: An IH-TPS equipped with a novel ELO algorithm is developed and experimentally validated for the purpose of fast IMPT, with enhanced delivery efficiency and preserved plan quality.

背景:使用铅笔束技术的调强质子治疗(IMPT)对肿瘤进行逐层扫描,然后逐点扫描。它可以为肿瘤靶点提供高适形剂量,并保护附近的危险器官(OAR)。快速提供IMPT可以提高患者的舒适度,减少运动引起的不确定性。由于能量层切换时间在计划交付时间中占主导地位,因此减少能量层数对于提高交付效率非常重要。尽管存在各种能量层优化(ELO)方法,但它们很少得到实验验证或临床实施,因为将这些方法整合到非开源的商业治疗计划系统(TPS)中在技术上具有挑战性。方法:用测量光束数据和RayStation TPS验证IH-TPS的剂量计算精度。在治疗计划方面,提出了一种基于贪婪选择算法的ELO方法,减少了能量层切换时间和总计划交付时间。为了验证IH-TPS的规划精度,计算了不同场景下IH-TPS方案与RayStation方案之间的3D伽马指数。对患者特异性质量保证(QA)进行验证,以实验方式验证IH-TPS计划对若干临床病例的递送剂量。结果:IH-TPS的剂量分布与RayStation TPS匹配,3D伽马指数结果超过95% (2mm, 2%)。ELO方法在保持计划质量的同时显著缩短了交付时间。例如,在一个大脑案例中,能量层的数量从78层减少到40层,导致总交付时间减少62%。使用IBA Proteus ONE质子机进行患者特异性QA验证,所有病例的合格率均为>95%。
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引用次数: 0
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