Advanced Multimodal Methods for Cranial Pseudo-CT Generation Validated by IMRT and VMAT Radiation Therapy Plans
Speier C, Pileggi G, Izquierdo-Garcia D, Catana C, Sharp GC, Spadea MF, Bert C, Seco J (2018)
Publication Type: Journal article
Publication year: 2018
Journal
Book Volume: 102
Pages Range: 792-800
Journal Issue: 4
DOI: 10.1016/j.ijrobp.2018.06.024
Abstract
PURPOSE: To investigate advanced multimodal methods for pseudo-computed tomography (CT) generation from standard magnetic resonance imaging sequences and to validate the results by intensity-modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) plans. We present 2 novel methods that employ key techniques to enhance pseudo-CTs and investigate the effect on image quality and applicability for IMRT and VMAT planning. MATERIALS AND METHODS: The data set contains CT and magnetic resonance image scans from 15 patients who underwent cranial radiation therapy. For each patient, pseudo-CTs of the head were generated with a patch-based and a voxel-based algorithm. The accuracy of the pseudo-CTs in comparison to clinical CTs was evaluated by mean absolute error, bias, and the Dice coefficient (of bone). IMRT and VMAT plans were created for each patient. Dose distributions were calculated with both the pseudo-CT and the clinical CT scans and compared by gamma tests, dose-volume histograms, and isocenter doses. RESULTS: The generated pseudo-CTs exhibited average mean absolute errors of 118.7 ± 10.4 HU for the voxel-based algorithm and 73.0 ± 6.4 HU for the patch-based algorithm. The dose calculations were in good agreement and showed gamma test (2 mm, 2%) pass rates for both beam setups (IMRT and VMAT) of over 99% for 14 patients and over 98% for 1 patient. CONCLUSIONS: We showed that the key techniques of our 2 novel algorithms advance the quality of pseudo-CT significantly and generate very competitive pseudo-CTs compared with previously published methods. This quality was confirmed by low dose error in comparison to the ground-truth CT. With the achieved level of accuracy, our patch-based algorithm especially is a candidate for clinical routine use in IMRT and VMAT planning.
Authors with CRIS profile
Involved external institutions
MGH Institute of Health Professions (MGHIHP)
United States (USA) (US)
Massachusetts General Hospital
United States (USA) (US)
Magna Græcia University of Catanzaro / Università degli studi Magna Græcia di Catanzaro
Italy (IT)
United States (USA) (US)
Massachusetts General Hospital
United States (USA) (US)
Magna Græcia University of Catanzaro / Università degli studi Magna Græcia di Catanzaro
Italy (IT)
How to cite
APA:
Speier, C., Pileggi, G., Izquierdo-Garcia, D., Catana, C., Sharp, G.C., Spadea, M.F.,... Seco, J. (2018). Advanced Multimodal Methods for Cranial Pseudo-CT Generation Validated by IMRT and VMAT Radiation Therapy Plans. International Journal of Radiation Oncology Biology Physics, 102(4), 792-800. https://dx.doi.org/10.1016/j.ijrobp.2018.06.024
MLA:
Speier, Christoph, et al. "Advanced Multimodal Methods for Cranial Pseudo-CT Generation Validated by IMRT and VMAT Radiation Therapy Plans." International Journal of Radiation Oncology Biology Physics 102.4 (2018): 792-800.
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