On the need for comprehensive validation of deformable image registration, investigated with a novel 3-dimensional deformable dosimeter.

On the need for comprehensive validation of deformable image registration, investigated with a novel 3-dimensional deformable dosimeter.
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DOI:
10.1016/j.ijrobp.2013.05.045
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发表时间:
2013-10-01
影响因子:
7
通讯作者:
Oldham, Mark
Oldham, Mark
中科院分区:
医学1区
文献类型:
--
作者:
Juang, Titania;Das, Shiva;Adamovics, John;Benning, Ron;Oldham, Mark

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可变形图像配准(REMPERATURE)算法可以实现多部分剂量跟踪和改善的治疗反应评估,但必须研究这些方法的准确性。本研究介绍并评估了一种新型可变形3D剂量测定系统(Presage-Def/Optical-CT)及其在研究商业DIR包中剂量变形准确性方面的应用。Presage-Def是一种新型的剂量测定材料,由弹性聚氨酯基质和辐射变色隐色染料组成。使用标准技术表征放射性和机械性能。通过比较在有和没有27%侧向压缩的情况下辐照的剂量计之间的剂量分布,评价剂量跟踪可行性。5 mm正方形视野的棋盘格计划能够使用3D剂量测定法精确测量真实变形。预测的变形是从一个商业的ARMA算法。Presage-Def呈线性剂量反应,灵敏度为0.0032 ΔOD/(戈伊·cm)。质量密度为1.02 g/cm 3,有效原子序数在宽能量范围(0.03-10 MeV)内为水的1.5%,表明水的等效性良好。弹性特性接近肝组织,在0.233-303 kPa的应力范围内杨氏模量为13.5-887 kPa,泊松比为0.475(SE=0.036)。的前-Def/光学-CT系统成功地成像的非变形和变形的剂量分布与各向同性分辨率为1毫米。预测变形的3D剂量分布的比较,确定在商业的放射治疗算法的不准确性。虽然外部轮廓精确变形(亚毫米精度),但体积剂量变形较差。经鉴定,靶板射野定位和尺寸误差分别高达9 mm和14 mm,3D DIR变形剂量伽马通过率仅为γ3%/3 mm = 60.0%。压力-Def/光学-CT系统显示出对CT算法准确性进行全面调查的强大潜力。在评价的条件下,发现商业试验中的实质性错误。这项工作强调了在临床实施之前仔细验证并行算法的至关重要性。
Deformable image registration (DIR) algorithms may enable multi-fraction dose tracking and improved treatment response assessment, but the accuracy of these methods must be investigated. This study introduces and evaluates a novel deformable 3D dosimetry system (Presage-Def/Optical-CT) and its application toward investigating the accuracy of dose deformation in a commercial DIR package. Presage-Def is a new dosimetry material consisting of an elastic polyurethane matrix doped with radiochromic leuco dye. Radiological and mechanical properties were characterized using standard techniques. Dose-tracking feasibility was evaluated by comparing dose distributions between dosimeters irradiated with and without 27% lateral compression. A checkerboard plan of 5 mm square fields enabled precise measurement of true deformation using 3D dosimetry. Predicted deformation was determined from a commercial DIR algorithm. Presage-Def exhibited a linear dose response with sensitivity of 0.0032 ΔOD/(Gy·cm). Mass density is 1.02 g/cm3 and effective atomic number is within 1.5% of water over a broad (0.03–10 MeV) energy range, indicating good water-equivalence. Elastic characteristics were close to liver tissue, with Young’s modulus of 13.5–887 kPa over a stress range of 0.233–303 kPa, and Poisson’s ratio of 0.475 (SE=0.036). The Presage-Def/Optical-CT system successfully imaged the non-deformed and deformed dose distributions with isotropic resolution of 1 mm. Comparison with the predicted deformed 3D dose distribution identified inaccuracies in the commercial DIR algorithm. While external contours were accurately deformed (sub-millimeter accuracy), volumetric dose deformation was poor. Checkerboard field positioning and dimension errors of up to 9 and 14 mm respectively were identified, and the 3D DIR-deformed dose gamma passing rate was only γ3%/3mm=60.0%. The Presage-Def/Optical-CT system shows strong potential for comprehensive investigation of DIR algorithm accuracy. Substantial errors in a commercial DIR were found in the conditions evaluated. This work highlights the critical importance of careful validation of DIR algorithms prior to clinical implementation.
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