3D radiotherapy dose prediction on head and neck cancer patients with a hierarchically densely connected U-net deep learning architecture.

Abstract:

:The treatment planning process for patients with head and neck (H&N) cancer is regarded as one of the most complicated due to large target volume, multiple prescription dose levels, and many radiation-sensitive critical structures near the target. Treatment planning for this site requires a high level of human expertise and a tremendous amount of effort to produce personalized high quality plans, taking as long as a week, which deteriorates the chances of tumor control and patient survival. To solve this problem, we propose to investigate a deep learning-based dose prediction model, Hierarchically Densely Connected U-net, based on two highly popular network architectures: U-net and DenseNet. We find that this new architecture is able to accurately and efficiently predict the dose distribution, outperforming the other two models, the Standard U-net and DenseNet, in homogeneity, dose conformity, and dose coverage on the test data. Averaging across all organs at risk, our proposed model is capable of predicting the organ-at-risk max dose within 6.3% and mean dose within 5.1% of the prescription dose on the test data. The other models, the Standard U-net and DenseNet, performed worse, having an averaged organ-at-risk max dose prediction error of 8.2% and 9.3%, respectively, and averaged mean dose prediction error of 6.4% and 6.8%, respectively. In addition, our proposed model used 12 times less trainable parameters than the Standard U-net, and predicted the patient dose 4 times faster than DenseNet.

journal_name

Phys Med Biol

authors

Nguyen D,Jia X,Sher D,Lin MH,Iqbal Z,Liu H,Jiang S

doi

10.1088/1361-6560/ab039b

subject

Has Abstract

pub_date

2019-03-18 00:00:00

pages

065020

issue

6

eissn

0031-9155

issn

1361-6560

journal_volume

64

pub_type

杂志文章
  • NTCP modelling and pulmonary function tests evaluation for the prediction of radiation induced pneumonitis in non-small-cell lung cancer radiotherapy.

    abstract::This work aims to evaluate the predictive strength of the relative seriality, parallel and Lyman-Kutcher-Burman (LKB) normal tissue complication probability (NTCP) models regarding the incidence of radiation pneumonitis (RP), in a group of patients following lung cancer radiotherapy and also to examine their correlati...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/52/4/013

    authors: Tsougos I,Nilsson P,Theodorou K,Kjellén E,Ewers SB,Jarlman O,Lind BK,Kappas C,Mavroidis P

    更新日期:2007-02-21 00:00:00

  • Convex reformulation of biologically-based multi-criteria intensity-modulated radiation therapy optimization including fractionation effects.

    abstract::Finding fluence maps for intensity-modulated radiation therapy (IMRT) can be formulated as a multi-criteria optimization problem for which Pareto optimal treatment plans exist. To account for the dose-per-fraction effect of fractionated IMRT, it is desirable to exploit radiobiological treatment plan evaluation criteri...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/53/22/006

    authors: Hoffmann AL,den Hertog D,Siem AY,Kaanders JH,Huizenga H

    更新日期:2008-11-21 00:00:00

  • A temperature-based feedback control system for electromagnetic phased-array hyperthermia: theory and simulation.

    abstract::A hybrid proportional-integral-in-time and cost-minimizing-in-space feedback control system for electromagnetic, deep regional hyperthermia is proposed. The unique features of this controller are that (1) it uses temperature, not specific absorption rate, as the criterion for selecting the relative phases and amplitud...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/48/5/306

    authors: Kowalski ME,Jin JM

    更新日期:2003-03-07 00:00:00

  • Effect on tumour control of time interval between surgery and postoperative radiotherapy: an empirical approach using Monte Carlo simulation.

    abstract::In this work, a procedure, based on Monte Carlo techniques, to analyse the effect on the tumour control probability of the time interval between surgery and postoperative radiotherapy is presented. The approach includes the tumour growth as well as the survival of tumour cells undergoing fractionated radiotherapy. Bot...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/49/13/005

    authors: Al-Dweri FM,Guirado D,Lallena AM,Pedraza V

    更新日期:2004-07-07 00:00:00

  • Using surface markers for MRI guided breast conserving surgery: a feasibility survey.

    abstract::Breast MRI is frequently performed prior to breast conserving surgery in order to assess the location and extent of the lesion. Ideally, the surgeon should also be able to use the image information during surgery to guide the excision and this requires that the MR image is co-registered to conform to the patient's pos...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/59/7/1589

    authors: Ebrahimi M,Siegler P,Modhafar A,Holloway CM,Plewes DB,Martel AL

    更新日期:2014-04-07 00:00:00

  • Temperature distribution in atherosclerotic coronary arteries: influence of plaque geometry and flow (a numerical study).

    abstract::Intravascular coronary thermography is a method that may detect vulnerable, atherosclerotic plaques and is currently evaluated in a clinical setting. Active macrophages or enzymatic heat releasing processes in vulnerable plaques may act as heat sources. To better understand the parameters of influence on thermographic...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/49/19/001

    authors: ten Have AG,Gijsen FJ,Wentzel JJ,Slager CJ,van der Steen AF

    更新日期:2004-10-07 00:00:00

  • Inverse treatment planning for an electronic brachytherapy system delivering anisotropic radiation therapy.

    abstract::An inverse radiation treatment planning algorithm for Sensus Healthcare's SculpturaTM electronic brachytherapy system has been designed. The algorithm makes use of simulated annealing to optimize the conformation number of the treatment plan. The highly anisotropic dose distributions produced by the SculpturaTM x-ray ...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/1361-6560/abda9a

    authors: Badali DS,Vainer Y,Ellenor CW,Mitchell CR,Fishman K,Soro N,Price R,Funk T

    更新日期:2021-01-11 00:00:00

  • Influence of initial electron beam characteristics on monte carlo calculated absorbed dose distributions for linear accelerator electron beams.

    abstract::The least known parameters in a Monte Carlo simulation of a linear accelerator treatment head are often the properties of the initial electron beam directed onto the exit vacuum window. Several initial beams with different spatial fluence distributions, angular divergences and energy spectra have been transported thro...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/47/22/308

    authors: Björk P,Knöös T,Nilsson P

    更新日期:2002-11-21 00:00:00

  • Towards clinical application: prompt gamma imaging of passively scattered proton fields with a knife-edge slit camera.

    abstract::Prompt γ-ray imaging with a knife-edge shaped slit camera provides the possibility of verifying proton beam range in tumor therapy. Dedicated experiments regarding the characterization of the camera system have been performed previously. Now, we aim at implementing the prototype into clinical application of monitoring...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/61/22/7881

    authors: Priegnitz M,Barczyk S,Nenoff L,Golnik C,Keitz I,Werner T,Mein S,Smeets J,Vander Stappen F,Janssens G,Hotoiu L,Fiedler F,Prieels D,Enghardt W,Pausch G,Richter C

    更新日期:2016-11-21 00:00:00

  • The use of the Henyey-Greenstein phase function in Monte Carlo simulations in biomedical optics.

    abstract::Monte Carlo (MC) simulations are often at the heart of the testing procedure in biomedical optics. One of the critical points in MC simulations is to define the new photon direction after each scattering event. One of the most popular solutions is to use the Henyey-Greenstein phase function or some linear combinations...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/51/17/N04

    authors: Binzoni T,Leung TS,Gandjbakhche AH,Rüfenacht D,Delpy DT

    更新日期:2006-09-07 00:00:00

  • Automated 3D ultrasound image analysis for first trimester assessment of fetal health.

    abstract::The first trimester fetal ultrasound scan is important to confirm fetal viability, to estimate the gestational age of the fetus, and to detect fetal anomalies early in pregnancy. First trimester ultrasound images have a different appearance than for the second trimester scan, reflecting the different stage of fetal de...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/1361-6560/ab3ad1

    authors: Ryou H,Yaqub M,Cavallaro A,Papageorghiou AT,Alison Noble J

    更新日期:2019-09-17 00:00:00

  • Analyses of multi-irradiation film for system alignments in stereotactic radiotherapy (SRT) and radiosurgery (SRS).

    abstract::In stereotactic radiosurgery, a seven-irradiation film was used to define any discrepancy between the beam and target centres. A mathematical model based on the linac alignment and target set-up was developed to diagnose the discrepancies of the seven-irradiation film between the beam and simulation target centres. Fr...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/41/9/003

    authors: Tsai JS

    更新日期:1996-09-01 00:00:00

  • Radio-enhancement by gold nanoparticles and their impact on water radiolysis for x-ray, proton and carbon-ion beams.

    abstract::Gold nanoparticle (GNP) radio-enhancement is a promising technique to increase the dose deposition in a tumor while sparing neighboring healthy tissue. Previous experimental studies showed effects on cell survival and tumor control for keV x-rays but surprisingly also for MV-photons, proton and carbon-ion beams. In a ...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/1361-6560/ab314c

    authors: Rudek B,McNamara A,Ramos-Méndez J,Byrne H,Kuncic Z,Schuemann J

    更新日期:2019-08-28 00:00:00

  • Energy-resolved computed tomography: first experimental results.

    abstract::First experimental results with energy-resolved computed tomography (CT) are reported. The contrast-to-noise ratio (CNR) in CT has been improved with x-ray energy weighting for the first time. Further, x-ray energy weighting improved the CNR in material decomposition CT when applied to CT projections prior to dual-ene...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/53/20/002

    authors: Shikhaliev PM

    更新日期:2008-10-21 00:00:00

  • Segmentation of dynamic PET images with kinetic spectral clustering.

    abstract::Segmentation is often required for the analysis of dynamic positron emission tomography (PET) images. However, noise and low spatial resolution make it a difficult task and several supervised and unsupervised methods have been proposed in the literature to perform the segmentation based on semi-automatic clustering of...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/58/19/6931

    authors: Mouysset S,Zbib H,Stute S,Girault JM,Charara J,Noailles J,Chalon S,Buvat I,Tauber C

    更新日期:2013-10-07 00:00:00

  • Performance of a multi-axis ionization chamber array in a 1.5 T magnetic field.

    abstract::At the UMC Utrecht a prototype MR-linac has been installed. The system consists of an 8 MV Elekta linear accelerator and a 1.5 T Philips MRI system. This paper investigates the performance of the IC PROFILER™, a multi-axis ionization chamber array, in a 1.5 T magnetic field. The influence of the magnetic field on the ...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/59/7/1845

    authors: Smit K,Kok JG,Lagendijk JJ,Raaymakers BW

    更新日期:2014-04-07 00:00:00

  • Wall effects in plane-parallel ionization chambers.

    abstract::All dosimetry protocols recommend the use of plane-parallel chambers for dose determination in electron beams with energies below 10-15 MeV. The protocols have assumed chamber perturbation effects to be negligible. The new AAPM Protocol (TG39) includes a cavity replacement factor prepl that differs from unity for some...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/41/4/003

    authors: Nilsson B,Montelius A,Andreo P

    更新日期:1996-04-01 00:00:00

  • Positron range in PET imaging: an alternative approach for assessing and correcting the blurring.

    abstract::Positron range impairs resolution in PET imaging, especially for high-energy emitters and for small-animal PET. De-blurring in image reconstruction is possible if the blurring distribution is known. Furthermore, the percentage of annihilation events within a given distance from the point of positron emission is releva...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/57/12/3931

    authors: Jødal L,Le Loirec C,Champion C

    更新日期:2012-06-21 00:00:00

  • Investigation of detection limits for diffuse optical tomography systems: II. Analysis of slab and cup geometry for breast imaging.

    abstract::Using a statistical (chi-square) test on simulated data and a realistic noise model derived from the system's hardware we study the performance of diffuse optical tomography systems for fluorescence imaging. We compare the predicted smallest size of detectable lesions at various positions in slab and cup geometry and ...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/54/2/016

    authors: Ziegler R,Brendel B,Rinneberg H,Nielsen T

    更新日期:2009-01-21 00:00:00

  • Minimizing the magnetic field effect in MR-linac specific QA-tests: the use of electron dense materials.

    abstract::To address the quality assurance (QA) of a MR-linac which is an MRI combined with a linear accelerator (linac), the traditional linac QA-tests need to be redesigned, since the presence of the static magnetic field in the MR-linac alters the electron trajectory. The latter causes the asymmetry in the dose kernel which ...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/61/3/N50

    authors: van Zijp HM,van Asselen B,Wolthaus JW,Kok JM,de Vries JH,Ishakoglu K,Beld E,Lagendijk JJ,Raaymakers BW

    更新日期:2016-02-07 00:00:00

  • Review on the characteristics of radiation detectors for dosimetry and imaging.

    abstract::The enormous advances in the understanding of human anatomy, physiology and pathology in recent decades have led to ever-improving methods of disease prevention, diagnosis and treatment. Many of these achievements have been enabled, at least in part, by advances in ionizing radiation detectors. Radiology has been tran...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章,评审

    doi:10.1088/0031-9155/59/20/R303

    authors: Seco J,Clasie B,Partridge M

    更新日期:2014-10-21 00:00:00

  • Optimization of multiply acquired magnetic flux density B(z) using ICNE-Multiecho train in MREIT.

    abstract::The aim of magnetic resonance electrical impedance tomography (MREIT) is to visualize the electrical properties, conductivity or current density of an object by injection of current. Recently, the prolonged data acquisition time when using the injected current nonlinear encoding (ICNE) method has been advantageous for...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/55/9/021

    authors: Nam HS,Kwon OI

    更新日期:2010-05-07 00:00:00

  • Multi-layer imager design for mega-voltage spectral imaging.

    abstract::The architecture of multi-layer imagers (MLIs) can be exploited to provide megavoltage spectral imaging (MVSPI) for specific imaging tasks. In the current work, we investigated bone suppression and gold fiducial contrast enhancement as two clinical tasks which could be improved with spectral imaging. A method based on...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/1361-6560/aabe21

    authors: Myronakis M,Hu YH,Fueglistaller R,Wang A,Baturin P,Huber P,Morf D,Star-Lack J,Berbeco R

    更新日期:2018-05-10 00:00:00

  • Stochastic versus deterministic kernel-based superposition approaches for dose calculation of intensity-modulated arcs.

    abstract::Dose calculations for radiation arc therapy are traditionally performed by approximating continuous delivery arcs with multiple static beams. For 3D conformal arc treatments, the shape and weight variation per degree is usually small enough to allow arcs to be approximated by static beams separated by 5 degrees -10 de...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/53/17/018

    authors: Tang G,Earl MA,Luan S,Wang C,Cao D,Yu CX,Naqvi SA

    更新日期:2008-09-07 00:00:00

  • Development and validation of a BEAMnrc component module for accurate Monte Carlo modelling of the Varian dynamic Millennium multileaf collimator.

    abstract::A new component module (CM), designated DYNVMLC, was developed to fully model the geometry of the Varian Millennium 120 leaf collimator using the BEAMnrc Monte Carlo code. The model includes details such as the leaf driving screw hole, support railing groove and leaf tips. Further modifications also allow sampling of ...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/48/24/004

    authors: Heath E,Seuntjens J

    更新日期:2003-12-21 00:00:00

  • Low density contrast agents for x-ray phase contrast imaging: the use of ambient air for x-ray angiography of excised murine liver tissue.

    abstract::We report a new preparative method for providing contrast through reduction in electron density that is uniquely suited for propagation-based differential x-ray phase contrast imaging. The method, which results in an air or fluid filled vasculature, makes possible visualization of the smallest microvessels, roughly do...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/53/23/017

    authors: Laperle CM,Hamilton TJ,Wintermeyer P,Walker EJ,Shi D,Anastasio MA,Derdak Z,Wands JR,Diebold G,Rose-Petruck C

    更新日期:2008-12-07 00:00:00

  • A spectral approach to ultrasonic scattering from human tissue: methods, objectives and backscattering measurements.

    abstract::The dearth of information on the physical processes involved in the propagation of ultrasound in tissue and the growing need for such information are discussed. The physical nature of the ultrasonic diagnostic process in considered in terms of a wave phenomenon and the limitations and advantages of frequency spectral ...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/20/5/009

    authors: Chivers RC,Hill CR

    更新日期:1975-09-01 00:00:00

  • Investigating the robustness of ion beam therapy treatment plans to uncertainties in biological treatment parameters.

    abstract::Uncertainties in determining clinically used relative biological effectiveness (RBE) values for ion beam therapy carry the risk of absolute and relative misestimations of RBE-weighted doses for clinical scenarios. This study assesses the consequences of hypothetical misestimations of input parameters to the RBE modell...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/57/23/7983

    authors: Böhlen TT,Brons S,Dosanjh M,Ferrari A,Fossati P,Haberer T,Patera V,Mairani A

    更新日期:2012-12-07 00:00:00

  • An analysis of breast motion using high-frequency, dense surface points captured by an optical sensor during radiotherapy treatment delivery.

    abstract::Patient motion is an important factor affecting the quality of external beam radiotherapy in breast patients. We analyse the motion of a dense set of surface points on breast patients throughout their treatment schedule to assess the magnitude and stability of motion, in particular, with respect to breast volume. We u...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/0031-9155/54/21/005

    authors: Price GJ,Sharrock PJ,Marchant TE,Parkhurst JM,Burton D,Jain P,Price P,Moore CJ

    更新日期:2009-11-07 00:00:00

  • Ionization quenching in scintillators used for dosimetry of mixed particle fields.

    abstract::Ionization quenching in ion beam dosimetry is often related to the fluence- or dose-averaged linear energy transfer (LET). Both quantities are however averaged over a wide LET range and a mixed field of primary and secondary ions. We propose a novel method to correct the quenched luminescence in scintillators exposed ...

    journal_title:Physics in medicine and biology

    pub_type: 杂志文章

    doi:10.1088/1361-6560/ab12f2

    authors: Christensen JB,Almhagen E,Stolarczyk L,Vestergaard A,Bassler N,Andersen CE

    更新日期:2019-04-29 00:00:00