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Lemus OMD, Wang Y, Li F, Jambawalikar S, Horowitz DP, Xu Y, Wuu C. Dosimetric assessment of patient dose calculation on a deep learning-based synthesized computed tomography image for adaptive radiotherapy. J Appl Clin Med Phys 2022; 23:e13595. [PMID: 35332646 PMCID: PMC9278692 DOI: 10.1002/acm2.13595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 02/07/2022] [Accepted: 03/01/2022] [Indexed: 11/24/2022] Open
Abstract
Purpose Dose computation using cone beam computed tomography (CBCT) images is inaccurate for the purpose of adaptive treatment planning. The main goal of this study is to assess the dosimetric accuracy of synthetic computed tomography (CT)‐based calculation for adaptive planning in the upper abdominal region. We hypothesized that deep learning‐based synthetically generated CT images will produce comparable results to a deformed CT (CTdef) in terms of dose calculation, while displaying a more accurate representation of the daily anatomy and therefore superior dosimetric accuracy. Methods We have implemented a cycle‐consistent generative adversarial networks (CycleGANs) architecture to synthesize CT images from the daily acquired CBCT image with minimal error. CBCT and CT images from 17 liver stereotactic body radiation therapy (SBRT) patients were used to train, test, and validate the algorithm. Results The synthetically generated images showed increased signal‐to‐noise ratio, contrast resolution, and reduced root mean square error, mean absolute error, noise, and artifact severity. Superior edge matching, sharpness, and preservation of anatomical structures from the CBCT images were observed for the synthetic images when compared to the CTdef registration method. Three verification plans (CBCT, CTdef, and synthetic) were created from the original treatment plan and dose volume histogram (DVH) statistics were calculated. The synthetic‐based calculation shows comparatively similar results to the CTdef‐based calculation with a maximum mean deviation of 1.5%. Conclusions Our findings show that CycleGANs can produce reliable synthetic images for the adaptive delivery framework. Dose calculations can be performed on synthetic images with minimal error. Additionally, enhanced image quality should translate into better daily alignment, increasing treatment delivery accuracy.
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Affiliation(s)
- Olga M. Dona Lemus
- Department of Radiation OncologyColumbia University Irving Medical CenterNew York CityNew YorkUSA
| | - Yi‐Fang Wang
- Department of Radiation OncologyColumbia University Irving Medical CenterNew York CityNew YorkUSA
| | - Fiona Li
- Department of Radiation OncologyColumbia University Irving Medical CenterNew York CityNew YorkUSA
| | - Sachin Jambawalikar
- Department of RadiologyColumbia University Irving Medical CenterNew York CityNew YorkUSA
| | - David P. Horowitz
- Department of Radiation OncologyColumbia University Irving Medical CenterNew York CityNew YorkUSA
- Herbert Irving Comprehensive Cancer CenterNew York CityNew YorkUSA
| | - Yuanguang Xu
- Department of Radiation OncologyColumbia University Irving Medical CenterNew York CityNew YorkUSA
| | - Cheng‐Shie Wuu
- Department of Radiation OncologyColumbia University Irving Medical CenterNew York CityNew YorkUSA
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Wuu C, Wang Y, Qian X, Na Y, Adamovics J, Xu A. PH-0601 3D dosimetry with a novel fast optical CT scanner utilizing fiber optic taper for collimated images. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07373-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Na Y, Black P, Adamovics J, Wuu C. SU-C-201-02: Dosimetric Verification of SBRT with FFF-VMAT Using a 3-D Radiochromic/Optical-CT Dosimetry System. Med Phys 2016. [DOI: 10.1118/1.4955542] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chu A, Yan P, Shih R, Wuu C. SU-F-R-43: Recursive K-Means Filter for Preserving Signals of Interest. Med Phys 2016. [DOI: 10.1118/1.4955814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Feng W, Chu A, Wuu C, Nguyen K. SU-E-T-235: Data Mining for Evaluating Treatment Performances Over a Large Quantity of Data to Monitor and Improve SBRT Workflow. Med Phys 2015. [DOI: 10.1118/1.4924596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Na Y, Qian X, Adamovics J, Wuu C. SU-E-T-296: Dosimetric Analysis of Small Animal Image-Guided Irradiator Using High Resolution Optical CT Imaging of 3D Dosimeters. Med Phys 2015. [DOI: 10.1118/1.4924657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Qian X, Admovics J, Wuu C. SU-E-T-376: 3-D Commissioning for An Image-Guided Small Animal Micro- Irradiation Platform. Med Phys 2014. [DOI: 10.1118/1.4888709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Qian X, Admovics J, Wuu C. Precise Targeting for Small Animal Study Using an Image Guided Microirradiation Platform. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Qian X, Admovics J, Wuu C. SU-E-J-07: 3-D Commissioning for An Image-Guided Small Animal Micro-Irradiation Platform. Med Phys 2013. [DOI: 10.1118/1.4814219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Qian X, Admovics J, Wuu C. SU-E-T-68: Improvement of Optical CT Scanner for 3-D Dosimetry. Med Phys 2013. [DOI: 10.1118/1.4814503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Wuu C, Xu Y, Qian X, Admovics J, Cascio E, Lu H. SU-E-T-59: 3-D Dosimetric Assessment for a Proton Pencil Beam by Optical CT Scanning of Plastic Radiochromic Dosimeters. Med Phys 2013. [DOI: 10.1118/1.4814494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Florescu L, Ambartsoumian G, Wuu C. SU-E-T-122: Effect of Refraction on Dose Reconstruction in Optical-CT Gel Dosimetry. Med Phys 2011. [DOI: 10.1118/1.3612073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Florescu L, Ambartsoumian G, Wuu C. SU-C-224-04: Effect of Refraction on Dose Reconstruction in Optical-CT Gel Dosimetry. Med Phys 2011. [DOI: 10.1118/1.3611452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Tripuraneni P, Steinberg M, Das I, Wuu C. SU-A-211-01: Professional Council Symposium: Preparing for Radiation Oncology ACR/ASTRO Accreditation. Med Phys 2011. [DOI: 10.1118/1.3611447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Hoogcarspel SJ, Xu Y, Wuu C. SU-E-T-156: Fast Cone-Beam Optical CT Scanning of a Radiochromic Solid Dosimeter for Clinical 3-D Dose Verification. Med Phys 2011. [DOI: 10.1118/1.3612106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Feng W, Xu Y, Burri R, Chen H, Wuu C, Isaacson S. SU-E-T-281: Quantitative Evaluation of the MRI Image Distortion in Gamma Knife Radiosurgery. Med Phys 2011. [DOI: 10.1118/1.3612232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Wuu C, Maryanski M, Adamovics J, Xu Y. SU-GG-T-208: 3-D Dosimetric Comparison of IMRT with 2.5 Mm HD120 MLC Using Optical CT Based Polymer Gel and PRESAGE Dosimeters. Med Phys 2010. [DOI: 10.1118/1.3468597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xu Y, Maryanski M, Wuu C. SU-GG-T-357: Initial Evaluation of a Fast Optical CT Scanner for Gel Dosimetry. Med Phys 2010. [DOI: 10.1118/1.3468754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Berry S, Polvorosa C, Wuu C. SU-GG-T-188: A Field Size Specific Backscatter Correction Algorithm for Accurate EPID Dosimetry. Med Phys 2010. [DOI: 10.1118/1.3468578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chi Y, Liang J, Yan D, Wuu C, Chen H, Chao K. SU-GG-J-88: Evaluation of Phase Sampling Methods for 4D Dose Accumulation. Med Phys 2010. [DOI: 10.1118/1.3468312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Das I, Srivastava S, Cheng C, Chopra K, Jones A, Mihailidis D, Pai S, Sarkar A, Taylor M, Wuu C, Johnstone P. SU-FF-T-506: Patterns of Care in the Era of ICRU-50 for 3D Conformal Radiation Therapy: A Multi-Institutional Study. Med Phys 2009. [DOI: 10.1118/1.3182004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Polvorosa C, Berry S, Wuu C. SU-FF-T-243: Evaluation of Local Dose Reduction in the Fluence Map for Varian 2.5 Mm HD120® MLC Using Portal Dose Image Prediction (PDIP). Med Phys 2009. [DOI: 10.1118/1.3181719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xu Y, Wuu C. SU-GG-T-95: The Dosimetric Advantages of Varian HD120 MLC Over Millennium120 MLC for Photon External Beam Treatment. Med Phys 2008. [DOI: 10.1118/1.2961847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xu Y, Wuu C, Maryanski M. SU-GG-T-290: A Fast Optical CT Scanner for Gel Dosimetry. Med Phys 2008. [DOI: 10.1118/1.2962042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Wuu C, Elliston C, Xu Y, Brenner D. SU-GG-T-198: Measurements and Evaluation of Doses Outside the Treatment Volume From Photon External Beam Radiation Therapy. Med Phys 2008. [DOI: 10.1118/1.2961950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Wuu C, Xu Y, Lo Y. SU-FF-T-03: 3-D Dosimetric Evaluation On Isocenter Positioning Error in the Dynamic Arc Stereotactic Radiotherapy Based On Optical CT Based Polymer Gel Dosimetry. Med Phys 2006. [DOI: 10.1118/1.2240910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Witten M, Wuu C. SU-FF-T-166: Reproducibility Of A Method For The Quanitative Assessment Of The Agreement Between Planned And Measured Dose Distributions. Med Phys 2005. [DOI: 10.1118/1.1997837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Wuu C, Elliston C, Xu Y, Brenner D. SU-FF-T-172: Verification of Whole-Body Dosimetry in An IMRT Treatment Planning System. Med Phys 2005. [DOI: 10.1118/1.1997843] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Gewanter RM, Wuu C, Laguna JL, Katz AE, Ennis RD. Intraoperative preplanning for transperineal ultrasound-guided permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2000; 48:377-80. [PMID: 10974450 DOI: 10.1016/s0360-3016(00)00678-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE To describe our approach to intraoperative preplanning (INTRA-OP) for prostate implants and compare it to our standard method using a pre-implant volume study (STAND). METHODS AND MATERIALS Twenty patients (10 STAND, 10 INTRA-OP) were evaluated. Time required for each step of the INTRA-OP procedure was recorded. Overall procedure times and operating room times were obtained for all sessions. Postimplant dosimetry was CT-based. RESULTS Mean times required for each stage of the INTRA-OP procedure were as follows: Pre-implant TRUS/prostate stabilization, 26 min; image transfer, 4 min; volume outlining, 8 min; plan generation, 18 min; initial needle loading, 17 min; seed implantation, 57 min. Mean time for the implantation session was 150 min for the INTRA-OP and 120 min for the STAND groups (p = 0.002). However, this difference is negated if the preplanning volume study is included. In addition, there was a trend toward a shorter time for the INTRA-OP patients when evaluating mean total operating room times (200 min vs. 220 min; p = 0.07). The mean postimplant %D80 for the INTRA-OP patients was 104. 8% vs. 116.2% for the STAND group (p = 0.1). The corresponding %D90 values were 85.3% and 94.6%, respectively (p = 0.08). CONCLUSION Intraoperative preplanning increased the time required for the implantation session, but appeared to decrease overall operating room time. The overall convenience of the procedure makes intraoperative preplanning an attractive technique for transperineal ultrasound-guided prostate brachytherapy.
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Affiliation(s)
- R M Gewanter
- Department of Radiation Oncology, Columbia University College of Physicians and Surgeons, New York, NY, USA
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