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
中科院分区:
文献类型:
--
作者:
Juang, Titania;Das, Shiva;Adamovics, John;Benning, Ron;Oldham, Mark
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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影响因子:
3.5
作者:
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通讯作者:
El Naqa I
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Muren, Ludvig Paul
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