Iterative Sorting for 4DCT Images Based ON Internal Anatomy Motion

Geometric uncertainties caused by respiratory motion complicate radiotherapy treatment planning. Therefore 4D CT imaging is important in characterizing anatomy motion during breathing. Current 4D CT imaging techniques using multislice CT scanners involve multiple scans at several axial positions and retrospective sorting processes. Most sorting methods are based on externally monitored signals recorded by external monitoring instruments, which may not always accurately catch the actual breathing status and may lead to severe discontinuity artifacts in the sorted CT volumes. We propose a method to reconstruct time-resolved CT volumes based on internal motion to avoid the inaccuracies caused by external breathing signals. In our method, we iteratively sort the 4D CT slices using internal motion based breathing indices. In each iteration, respiratory motion is estimated by updating a motion model to best match a deformed reference volume to each moving multi-slice sub-volumes. The breathing indices as well as the reference volumes are refined for each iteration based on the currently estimated respiratory motion. An example is presented to illustrate the feasibility of our 4D CT sorting method without using any external motion monitoring systems.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85803/1/Fessler229.pd

Abdominal DCE‐MRI reconstruction with deformable motion correction for liver perfusion quantification

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146361/1/mp13118_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146361/2/mp13118.pd

Real-time prediction of respiratory motion based on local regression methods

Recent developments in modulation techniques enable conformal delivery of radiation doses to small, localized target volumes. One of the challenges in using these techniques is real-time tracking and predicting target motion, which is necessary to accommodate system latencies. For image-guided-radiotherapy systems, it is also desirable to minimize sampling rates to reduce imaging dose. This study focuses on predicting respiratory motion, which can significantly affect lung tumours. Predicting respiratory motion in real-time is challenging, due to the complexity of breathing patterns and the many sources of variability. We propose a prediction method based on local regression. There are three major ingredients of this approach: (1) forming an augmented state space to capture system dynamics, (2) local regression in the augmented space to train the predictor from previous observation data using semi-periodicity of respiratory motion, (3) local weighting adjustment to incorporate fading temporal correlations. To evaluate prediction accuracy, we computed the root mean square error between predicted tumor motion and its observed location for ten patients. For comparison, we also investigated commonly used predictive methods, namely linear prediction, neural networks and Kalman filtering to the same data. The proposed method reduced the prediction error for all imaging rates and latency lengths, particularly for long prediction lengths.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/58097/2/pmb7_23_024.pd

3D Forward and Back-Projection for X-Ray CT Using Separable Footprints

Iterative methods for 3D image reconstruction have the potential to improve image quality over conventional filtered back projection (FBP) in X-ray computed tomography (CT). However, the computation burden of 3D cone-beam forward and back-projectors is one of the greatest challenges facing practical adoption of iterative methods for X-ray CT. Moreover, projector accuracy is also important for iterative methods. This paper describes two new separable footprint (SF) projector methods that approximate the voxel footprint functions as 2D separable functions. Because of the separability of these footprint functions, calculating their integrals over a detector cell is greatly simplified and can be implemented efficiently. The SF-TR projector uses trapezoid functions in the transaxial direction and rectangular functions in the axial direction, whereas the SF-TT projector uses trapezoid functions in both directions. Simulations and experiments showed that both SF projector methods are more accurate than the distance-driven (DD) projector, which is a current state-of-the-art method in the field. The SF-TT projector is more accurate than the SF-TR projector for rays associated with large cone angles. The SF-TR projector has similar computation speed with the DD projector and the SF-TT projector is about two times slower.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85876/1/Fessler5.pd

Estimating 3D Respiratory Motion from Orbiting Views

This paper describes a method for estimating 3D respiratory motion so as to characterize tumor motion. This method uses two sets of measurements. One is a reference thorax volume obtained from a conventional fast CT scanner under breath-hold condition. The other is a sequence of projection views of the same patient (acquired at treatment time) using a slowly rotating cone-beam system (1 minute per rotation) during free breathing. We named this method deformation from orbiting views (DOV). Breathing motion over the entire acquisition period is estimated by deforming the reference volume through time so that its projections best match the measured projection views. The nonrigid breathing motion is described by a B-spline based deformation model. The parameters of this model are estimated by minimizing a regularized squared error cost function, using a conjugate gradient descent algorithm. Performance of this approach was evaluated by simulation. Results showed good agreement between the estimated and synthesized motion, with a mean absolute error of 1.63 mm. Relatively larger errors tended to occur in uniform regions, which would not have significant effects on generating deformed volumes based on the estimated motion. The results indicate that it is feasible to estimate realistic nonrigid motion from a sequence of slowly rotating cone beam projection views.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85996/1/Fessler214.pd

Analysis of couch position tolerance limits to detect mistakes in patient setup

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135643/1/acm20207.pd

A room‐based diagnostic imaging system for measurement of patient setup

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135081/1/mp8461.pd

A precision translation stage for reproducing measured target volume motions

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135505/1/acm20111.pd