Fast multiatlas selection using composition of transformations for radiation therapy planning

In radiation therapy, multiatlas segmentation is recognized as being accurate, but is generally not considered scalable since the highest accuracy is achieved only when using a large atlas database. The fundamental problem is to use such a large database, to accurately represent the population variability, while conserving a relatively small computational cost. A method based on the composition of transformations is proposed to address this issue. The main novelties and key contributions of this paper are the definition of a transitivity error function and the presentation of an image clustering scheme that is based solely on the computed registration transformations. Leave-one-out experiments conducted on a database of N = 50 MR prostate scans demonstrate that a reduction of (N - 1) = 49x in the number of pre-alignment registrations, and of 3.2x in term of total registration effort, is possible without significant impact on segmentation quality.</p

Fast automatic multi-atlas segmentation of the prostate from 3D MR images

A fast fully automatic method of segmenting the prostate from 3D MR scans is presented, incorporating dynamic multi-atlas label fusion. The diffeomorphic demons method is used for non-rigid registration and a comparison of alternate metrics for atlas selection is presented. A comparison of results from an average shape atlas and the multi-atlas approach is provided. Using the same clinical dataset and manual contours from 50 clinical scans as Klein et al. (2008) a median Dice similarity coefficient of 0.86 was achieved with an average surface error of 2.00mm using the multi-atlas segmentation method. © 2011 Springer-Verlag

Fast automatic multi-atlas segmentation of the prostate from 3D MR images

A fast fully automatic method of segmenting the prostate from 3D MR scans is presented, incorporating dynamic multi-atlas label fusion. The diffeomorphic demons method is used for non-rigid registration and a comparison of alternate metrics for atlas selection is presented. A comparison of results from an average shape atlas and the multi-atlas approach is provided. Using the same clinical dataset and manual contours from 50 clinical scans as Klein et al. (2008) a median Dice similarity coefficient of 0.86 was achieved with an average surface error of 2.00mm using the multi-atlas segmentation method

Pseudo-CT generation by conditional inference random forest for MRI-based radiotherapy treatment planning

International audienceDose calculation from MRI is a topical issue. New treatment systems combining a linear accelerator with a MRI have been recently being developed. MRI has good soft tissue contrast without ionizing radiation exposure. However, unlike CT, MRI does not provide electron density information necessary for dose calculation. We propose in this paper a machine learning method to simulate a CT from a target MRI and co-registered CT-MRI training set. Ten prostate MR and CT images have been considered. Firstly, a reference image was randomly selected in the training set. A common space has been built thanks to affine registrations between the training set and the reference image. Multiscale image descriptors such as spatial information, gradients and texture features were extracted from MRI patches at different levels of a Gaussian pyramid and used as voxel-wise characteristics in the learning scheme. A Conditional Inference Random Forest (CIRF) modelled the relation between MRI descriptors and CT patches. For validation, test images were spatially normalized and the same descriptors were computed to generate a new pCT. Leave-one out experiments were performed. We obtained a MAE = 45.79 (pCT vs CT). Dose volume histograms inside PTV and organs at risk are in close agreement. The D98% was 0.45 % (inside PTV) and the 3D gamma pass rate (1mm, 1%) was 99,2%. Our method has better results than direct bulk assignment. And the results suggest that the method may be used for dose calculations in an MR based planning system

A high-performance method of deep learning for prostate MR-only radiotherapy planning using an optimized Pix2Pix architecture

International audiencePURPOSE: The first aim was to generate and compare synthetic-CT (sCT) images using a conditional generative adversarial network (cGAN) method (Pix2Pix) for MRI-only prostate radiotherapy planning by testing several generators, loss functions, and hyper-parameters. The second aim was to compare the optimized Pix2Pix model with five other architectures (bulk-density, atlas-based, patch-based, U-Net, and GAN). METHODS: For 39 patients treated by VMAT for prostate cancer, T2-weighted MRI images were acquired in addition to CT images for treatment planning. sCT images were generated using the Pix2Pix model. The generator, loss function, and hyper-parameters were tuned to improve sCT image generation (in terms of imaging endpoints). The final evaluation was performed by 3-fold cross-validation. This method was compared to five other methods using the following imaging endpoints: the mean absolute error (MAE) and mean error (ME) between sCT and reference CT images (rCT) of the whole pelvis, bones, prostate, bladder, and rectum. For dose planning analysis, the dose-volume histogram metric differences and 3D gamma analysis (local, 1 %/1 mm) were calculated using the sCT and reference CT images. RESULTS: Compared with the other architectures, Pix2Pix with Perceptual loss function and generator ResNet 9 blocks showed the lowest MAE (29.5, 107.7, 16.0, 13.4, and 49.1 HU for the whole pelvis, bones, prostate, bladder, and rectum, respectively) and the highest gamma passing rates (99.4 %, using the 1 %/1mm and 10 % dose threshold criterion). Concerning the DVH points, the mean errors were -0.2% for the planning target volume V(95%), 0.1 % for the rectum V(70Gy), and -0.1 % for the bladder V(50Gy). CONCLUSION: The sCT images generated from MRI data with the Pix2Pix architecture had the lowest image errors and similar dose uncertainties (in term of gamma pass-rate and dose-volume histogram metric differences) than other deep learning methods