A stochastic approach to estimate the uncertainty of dose mapping caused by uncertainties in b-spline registration

Purpose: In fractionated radiation therapy, image guidance with daily tomographic imaging becomes more and more clinical routine. In principle, this allows for daily computation of the delivered dose and for accumulation of these daily dose distributions to determine the actually delivered total dos...

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Hauptverfasser: Hub, Martina (VerfasserIn) , Thieke, Christian (VerfasserIn) , Kessler, Marc L. (VerfasserIn) , Karger, Christian P. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: April 2012
In: Medical physics
Year: 2012, Jahrgang: 39, Heft: 4, Pages: 2186-2192
ISSN:2473-4209
DOI:10.1118/1.3697524
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1118/1.3697524
Verlag, Volltext: https://aapm.onlinelibrary.wiley.com/doi/abs/10.1118/1.3697524
Volltext
Verfasserangaben:Martina Hub, Christian Thieke, Marc L. Kessler, Christian P. Karger

MARC

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520 |a Purpose: In fractionated radiation therapy, image guidance with daily tomographic imaging becomes more and more clinical routine. In principle, this allows for daily computation of the delivered dose and for accumulation of these daily dose distributions to determine the actually delivered total dose to the patient. However, uncertainties in the mapping of the images can translate into errors of the accumulated total dose, depending on the dose gradient. In this work, an approach to estimate the uncertainty of mapping between medical images is proposed that identifies areas bearing a significant risk of inaccurate dose accumulation. Methods: This method accounts for the geometric uncertainty of image registration and the heterogeneity of the dose distribution, which is to be mapped. Its performance is demonstrated in context of dose mapping based on b-spline registration. It is based on evaluation of the sensitivity of dose mapping to variations of the b-spline coefficients combined with evaluation of the sensitivity of the registration metric with respect to the variations of the coefficients. It was evaluated based on patient data that was deformed based on a breathing model, where the ground truth of the deformation, and hence the actual true dose mapping error, is known. Results: The proposed approach has the potential to distinguish areas of the image where dose mapping is likely to be accurate from other areas of the same image, where a larger uncertainty must be expected. Conclusions: An approach to identify areas where dose mapping is likely to be inaccurate was developed and implemented. This method was tested for dose mapping, but it may be applied in context of other mapping tasks as well. 
650 4 |a accuracy 
650 4 |a b-spline registration 
650 4 |a Computed tomography 
650 4 |a deformation 
650 4 |a Digital computing or data processing equipment or methods 
650 4 |a dose accumulation 
650 4 |a dose mapping 
650 4 |a dosimetry 
650 4 |a Dosimetry 
650 4 |a Dosimetry/exposure assessment 
650 4 |a fractionated radiation therapy 
650 4 |a Image data processing or generation 
650 4 |a Image guided radiation therapy 
650 4 |a image registration 
650 4 |a Image registration 
650 4 |a in general 
650 4 |a including brachytherapy 
650 4 |a Lungs 
650 4 |a medical image processing 
650 4 |a Medical image spatial resolution 
650 4 |a Medical imaging 
650 4 |a Numerical modeling 
650 4 |a physiological models 
650 4 |a pneumodynamics 
650 4 |a radiation therapy 
650 4 |a Radiation therapy 
650 4 |a Registration 
650 4 |a specially adapted for specific applications 
650 4 |a stochastic processes 
650 4 |a Stochastic processes 
650 4 |a Therapeutic applications 
650 4 |a uncertainty 
650 4 |a Vector fields 
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700 1 |a Kessler, Marc L.  |e VerfasserIn  |4 aut 
700 1 |a Karger, Christian P.  |e VerfasserIn  |4 aut 
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