Physics in Medicine and Biology,
Год журнала:
2023,
Номер
68(17), С. 175006 - 175006
Опубликована: Июнь 29, 2023
Abstract
Objective.
Anatomical
and
daily
set-up
uncertainties
impede
high
precision
delivery
of
proton
therapy.
With
online
adaptation,
the
plan
is
reoptimized
on
an
image
taken
shortly
before
treatment,
reducing
these
and,
hence,
allowing
a
more
accurate
delivery.
This
reoptimization
requires
target
organs-at-risk
(OAR)
contours
image,
which
need
to
be
delineated
automatically
since
manual
contouring
too
slow.
Whereas
multiple
methods
for
autocontouring
exist,
none
them
are
fully
accurate,
affects
dose.
work
aims
quantify
magnitude
this
dosimetric
effect
four
techniques.
Approach.
Plans
automatic
compared
with
plans
contours.
The
include
rigid
deformable
registration
(DIR),
deep-learning
based
segmentation
patient-specific
segmentation.
Main
results.
It
was
found
that
independently
method,
influence
using
OAR
small
(<5%
prescribed
dose
in
most
cases),
DIR
yielding
best
Contrarily,
contour
larger
(>5%
indicating
verification
remains
necessary.
However,
when
non-adaptive
therapy,
differences
caused
by
were
coverage
improved,
especially
DIR.
Significance.
results
show
adjustment
OARs
rarely
necessary
several
techniques
directly
usable.
important.
allows
prioritizing
tasks
during
time-critical
adaptive
therapy
therefore
supports
its
further
clinical
implementation.
Journal of Radiation Research,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 7, 2025
This
study
aims
to
create
a
deep
learning-based
classification
model
for
cervical
cancer
biopsy
before
and
during
radiotherapy,
visualize
the
results
on
whole
slide
images
(WSIs),
explore
clinical
significance
of
obtained
features.
included
95
patients
with
who
received
radiotherapy
between
April
2013
December
2020.
Hematoxylin-eosin
stained
biopsies
were
digitized
WSIs
divided
into
small
tiles.
Our
adopted
feature
extractor
DenseNet121
classifier
support
vector
machine.
About
12
400
tiles
used
training
6000
testing.
The
performance
was
assessed
per-tile
per-WSI
basis.
resultant
probability
defined
as
status
(RSP)
its
color
map
visualized
WSIs.
Survival
analysis
performed
examine
RSP.
In
test
set,
trained
had
an
area
under
receiver
operating
characteristic
curve
0.76
0.95
per-WSI.
visualization,
focused
viable
tumor
components
stroma
in
biopsies.
While
survival
failed
show
prognostic
impact
RSP
treatment,
cases
low
at
diagnosis
prolonged
overall
compared
those
high
(P
=
0.045).
conclusion,
we
successfully
developed
classify
result
images.
Low
treatment
better
prognosis,
suggesting
that
morphologic
features
using
may
be
useful
predicting
prognosis.
Radiation Oncology,
Год журнала:
2020,
Номер
15(1)
Опубликована: Май 6, 2020
Abstract
Background
Automated
brain
tumor
segmentation
methods
are
computational
algorithms
that
yield
delineation
from,
in
this
case,
multimodal
magnetic
resonance
imaging
(MRI).
We
present
an
automated
method
and
its
results
for
resection
cavity
(RC)
glioblastoma
multiforme
(GBM)
patients
using
deep
learning
(DL)
technologies.
Methods
Post-operative,
T1w
with
without
contrast,
T2w
fluid
attenuated
inversion
recovery
MRI
studies
of
30
GBM
were
included.
Three
radiation
oncologists
manually
delineated
the
RC
to
obtain
a
reference
segmentation.
developed
DL
method,
which
utilizes
all
four
sequences
learn
perform
delineations.
evaluated
terms
Dice
coefficient
(DC)
estimated
volume
measurements.
Results
Median
DC
three
oncologist
0.85
(interquartile
range
[IQR]:
0.08),
0.84
(IQR:
0.07),
0.86
0.07).
The
automatic
compared
different
raters
0.83
0.14),
0.81
0.12),
0.13)
was
significantly
lower
among
(chi-square
=
11.63,
p
0.04).
did
not
detect
statistically
significant
difference
measured
volumes
(Kruskal-Wallis
test:
chi-square
1.46,
0.69).
main
sources
error
due
signal
inhomogeneity
similar
intensity
patterns
between
tissues.
Conclusions
proposed
approach
yields
promising
proof
concept
study.
Compared
human
experts,
still
subpar.
PeerJ,
Год журнала:
2021,
Номер
9, С. e11451 - e11451
Опубликована: Май 17, 2021
Artificial
intelligence
has
been
emerging
as
an
increasingly
important
aspect
of
our
daily
lives
and
is
widely
applied
in
medical
science.
One
major
application
artificial
science
imaging.
As
a
component
intelligence,
many
machine
learning
models
are
diagnosis
treatment
with
the
advancement
technology
imaging
facilities.
The
popularity
convolutional
neural
network
dental,
oral
craniofacial
heightening,
it
continually
to
broader
spectrum
scientific
studies.
Our
manuscript
reviews
fundamental
principles
rationales
behind
learning,
summarizes
its
research
progress
recent
applications
specifically
It
also
problems
that
remain
be
resolved
evaluates
prospect
future
development
this
field
study.
Frontiers in Oncology,
Год журнала:
2023,
Номер
13
Опубликована: Апрель 6, 2023
Organ-at-risk
segmentation
for
head
and
neck
cancer
radiation
therapy
is
a
complex
time-consuming
process
(requiring
up
to
42
individual
structure,
may
delay
start
of
treatment
or
even
limit
access
function-preserving
care.
Feasibility
using
deep
learning
(DL)
based
autosegmentation
model
reduce
contouring
time
without
compromising
contour
accuracy
assessed
through
blinded
randomized
trial
oncologists
(ROs)
retrospective,
de-identified
patient
data.
Physics and Imaging in Radiation Oncology,
Год журнала:
2020,
Номер
15, С. 8 - 15
Опубликована: Июль 1, 2020
Background
and
purposeHead
neck
(HN)
radiotherapy
can
benefit
from
automatic
delineation
of
tumor
surrounding
organs
because
the
complex
anatomy
regular
need
for
adaptation.
The
aim
this
study
was
to
assess
performance
a
commercially
available
deep
learning
contouring
(DLC)
model
on
an
external
validation
set.Materials
methodsThe
CT-based
DLC
model,
trained
at
University
Medical
Center
Groningen
(UMCG),
applied
independent
set
58
patients
Radboud
(RUMC).
results
were
compared
RUMC
manual
reference
using
Dice
similarity
coefficient
(DSC)
95th
percentile
Hausdorff
distance
(HD95).
Craniocaudal
spatial
information
added
by
calculating
binned
measures.
In
addition,
qualitative
evaluation
acceptance
contours
in
both
groups
observers.ResultsGood
correspondence
shown
mandible
(DSC
0.90;
HD95
3.6
mm).
Performance
reasonable
glandular
OARs,
brainstem
oral
cavity
0.78–0.85,
3.7–7.3
other
aerodigestive
tract
OARs
showed
only
moderate
agreement
0.53–0.65,
around
9
measures
displayed
largest
deviations
caudally
and/or
cranially.ConclusionsThis
demonstrates
that
provide
starting
point
when
patient
cohort.
did
not
reveal
large
differences
interpretation
guidelines
between
UMCG
observers.
Medical Physics,
Год журнала:
2021,
Номер
48(7), С. 3968 - 3981
Опубликована: Апрель 27, 2021
Purpose
Accurately
delineating
clinical
target
volumes
(CTV)
is
essential
for
completing
radiotherapy
plans
but
time‐consuming,
labor‐intensive,
and
prone
to
inter‐observer
variation.
Automating
CTV
delineation
has
the
benefits
of
both
speeding
up
contouring
process
improving
quality
contours.
Recently,
auto‐segmentation
approaches
based
on
deep
learning
have
achieved
some
improvements.
However,
unlike
organ
segmentation,
contains
potential
tumor
spread
tissues
or
subclinical
disease
tissues,
resulting
in
poorly
defined
margin
interface
irregular
shape.
It
not
reasonable
directly
apply
segmentation
algorithms
tasks
without
considering
unique
characteristics
shape
margin.
In
this
work,
we
propose
a
novel
automatic
algorithm
addressing
challenges.
Methods
Our
method,
called
RA‐CTVNet,
segments
from
cervical
cancer
CT
images.
RA‐CTVNet
denotes
our
with
A
rea‐aware
reweight
strategy
R
ecursive
refinement
strategy.
(1)
order
whole‐volume
images
delineate
all
CTVs
one
shot,
method
built
upon
popular
3D
Unet
architecture.
We
further
extend
it
robust
residual
squeeze‐and‐excitation
blocks
better
feature
representation.
(2)
area‐aware
which
assigns
different
weights
slices.
The
core
adjusting
model’s
attention
each
slice.
(3)
terms
trade‐off
between
providing
performance
improvements
meeting
limitations
GPU
memory,
exploit
new
recursive
address
challenge.
Results
This
retrospective
study
included
462
patients
diagnosed
who
received
June
2017
May
2019.
Extensive
experiments
were
conducted
evaluate
RA‐CTVNet.
First,
compared
network
architectures,
Dice
similarity
coefficient
(DSC).
Second,
ablation
study.
results
showed
that
backbone,
increased
DSC
by
3.3%
average
1.6%
average.
Then,
three
human
experts.
performed
than
two
experts
while
comparably
third
expert.
Finally,
multicenter
evaluation
was
verify
accuracy
generalizability.
Conclusions
findings
show
able
offer
an
efficient
framework
delineation.
tailored
can
improve
contours,
great
reducing
burden
increasing
future,
if
more
training
data,
are
possible,
bringing
approach
closer
real
practice.