Abstract：
:We aim to compute the movement of permanent stranded implant brachytherapy radioactive sources (seeds) in the prostate from the planned seed distribution to the intraoperative fluoroscopic distribution, and then to the postimplant computed tomography (CT) distribution. We present a novel approach to matching the seeds in these distributions to the plan by grouping the seeds into needle tracks. First, we identify the implantation axis using a sample consensus algorithm. Then, we use a network flow algorithm to group seeds into their needle tracks. Finally, we match the needles from the three stages using both their transverse plane location and the number of seeds per needle. We validated our approach on eight clinical prostate brachytherapy cases, having a total of 871 brachytherapy seeds distributed in 193 needles. For the intraoperative and postimplant data, 99.31% and 99.41% of the seeds were correctly assigned, respectively. For both the preplan to fluoroscopic and fluoroscopic to CT registrations, 100% of the needles were correctly matched. We show that there is an average intraoperative seed displacement of 4.94±2.42 mm and a further 2.97±1.81 mm of postimplant movement. This information reveals several directional trends and can be used for quality control, treatment planning, and intraoperative dosimetry that fuses ultrasound and fluoroscopy.
journal_name
IEEE Trans Med Imagingjournal_title
IEEE transactions on medical imagingauthors
Lobo JR,Moradi M,Chng N,Dehghan E,Morris WJ,Fichtinger G,Salcudean SEdoi
10.1109/TMI.2011.2178254subject
Has Abstractpub_date
2012-03-01 00:00:00pages
738-48issue
3eissn
0278-0062issn
1558-254Xjournal_volume
31pub_type
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