论文标题

基于深度学习的实时体积成像,用于肺立体定向身体放射疗法:概念验证研究证明

Deep learning-based Real-time Volumetric Imaging for Lung Stereotactic Body Radiation Therapy: A Proof of Concept Study

论文作者

Lei, Yang, Tian, Zhen, Wang, Tonghe, Higgins, Kristin, Bradley, Jeffrey D., Curran, Walter J., Liu, Tian, Yang, Xiaofeng

论文摘要

由于呼吸运动的间变化和内部变化,高度希望在肺立体定向体放射治疗(SBRT)的治疗过程中提供实时体积图像,以进行准确和主动的运动管理。在这项概念验证研究中,我们提出了一个与感知监督集成的新型生成对抗网络,以从单个2D投影中得出瞬时的体积图像。我们提出的名为TransNet的网络由三个模块组成,即编码,转换和解码模块。与其仅使用生成的3D图像与地面真相3D CT图像之间的图像距离损失来监督网络,还集成了特征空间中的感知损失,以迫使TransNet产生准确的肺边界。对抗性监督还用于改善生成的3D图像的现实主义。我们对20例患者病例进行了模拟研究,他们在我们的机构中​​接受了肺SBRT治疗并进行了4D-CT模拟,并评估了我们方法对四个不同投影角度的疗效和一致性,即0、30、60和90度。对于呼吸阶段的每个3D CT图像集,我们以这些角度模拟了其2D投影。然后,对于每个投影角度,患者的9阶段的3D CT图像和相应的2D投影数据用于训练,其余阶段用于测试。通过我们的方法实现的平均绝对误差,归一化的MAE,峰值信噪比和结构相似性指数分别为99.3 HU,0.032、23.4 dB和0.949。这些结果证明了我们对肺癌患者的2到3D方法的可行性和功效,该方法为实时进行实时进行实时的载型体积成像提供了一种潜在的解决方案,以确保确保肺SBRT治疗的有效性。

Due to the inter- and intra- variation of respiratory motion, it is highly desired to provide real-time volumetric images during the treatment delivery of lung stereotactic body radiation therapy (SBRT) for accurate and active motion management. In this proof-of-concept study, we propose a novel generative adversarial network integrated with perceptual supervision to derive instantaneous volumetric images from a single 2D projection. Our proposed network, named TransNet, consists of three modules, i.e., encoding, transformation and decoding modules. Rather than only using image distance loss between the generated 3D images and the ground truth 3D CT images to supervise the network, perceptual loss in feature space is integrated into loss function to force the TransNet to yield accurate lung boundary. Adversarial supervision is also used to improve the realism of generated 3D images. We conducted a simulation study on 20 patient cases, who had received lung SBRT treatments in our institution and undergone 4D-CT simulation, and evaluated the efficacy and consistency of our method for four different projection angles, i.e., 0, 30, 60 and 90 degree. For each 3D CT image set of a breathing phase, we simulated its 2D projections at these angles.Then for each projection angle, a patient's 3D CT images of 9 phases and the corresponding 2D projection data were used for training, with the remaining phase used for testing. The mean absolute error, normalized MAE, peak signal-to-noise ratio and structural similarity index metric achieved by our method are 99.3 HU, 0.032, 23.4 dB and 0.949, respectively. These results demonstrate the feasibility and efficacy of our 2D-to-3D method for lung cancer patients, which provides a potential solution for in-treatment real-time on-board volumetric imaging for accurate dose delivery to ensure the effectiveness of lung SBRT treatment.

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