2D-3D registration for prostate radiation therapy based on a statistical model of transmission images

Purpose: In external beam radiation therapy of pelvic sites, patient setup errors can be quantified by registering 2D projection radiographs acquired during treatment to a 3D planning computed tomograph (CT). We present a 2D-3D registration framework based on a statistical model of the intensity val...

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Veröffentlicht in:Medical physics (Lancaster) 2009-10, Vol.36 (10), p.4555-4568
Hauptverfasser: Munbodh, Reshma, Tagare, Hemant D., Chen, Zhe, Jaffray, David A., Moseley, Douglas J., Knisely, Jonathan P. S., Duncan, James S.
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container_end_page 4568
container_issue 10
container_start_page 4555
container_title Medical physics (Lancaster)
container_volume 36
creator Munbodh, Reshma
Tagare, Hemant D.
Chen, Zhe
Jaffray, David A.
Moseley, Douglas J.
Knisely, Jonathan P. S.
Duncan, James S.
description Purpose: In external beam radiation therapy of pelvic sites, patient setup errors can be quantified by registering 2D projection radiographs acquired during treatment to a 3D planning computed tomograph (CT). We present a 2D-3D registration framework based on a statistical model of the intensity values in the two imaging modalities. Methods: The model assumes that intensity values in projection radiographs are independently but not identically distributed due to the nonstationary nature of photon counting noise. Two probability distributions are considered for the intensity values: Poisson and Gaussian. Using maximum likelihood estimation, two similarity measures, maximum likelihood with a Poisson (MLP) and maximum likelihood with Gaussian (MLG), distribution are derived. Further, we investigate the merit of the model-based registration approach for data obtained with current imaging equipment and doses by comparing the performance of the similarity measures derived to that of the Pearson correlation coefficient (ICC) on accurately collected data of an anthropomorphic phantom of the pelvis and on patient data. Results: Registration accuracy was similar for all three similarity measures and surpassed current clinical requirements of 3 mm for pelvic sites. For pose determination experiments with a kilovoltage (kV) cone-beam CT (CBCT) and kV projection radiographs of the phantom in the anterior-posterior (AP) view, registration accuracies were 0.42 mm (MLP), 0.29 mm (MLG), and 0.29 mm (ICC). For kV CBCT and megavoltage (MV) AP portal images of the same phantom, registration accuracies were 1.15 mm (MLP), 0.90 mm (MLG), and 0.69 mm (ICC). Registration of a kV CT and MV AP portal images of a patient was successful in all instances. Conclusions: The results indicate that high registration accuracy is achievable with multiple methods including methods that are based on a statistical model of a 3D CT and 2D projection images.
doi_str_mv 10.1118/1.3213531
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S. ; Duncan, James S.</creator><creatorcontrib>Munbodh, Reshma ; Tagare, Hemant D. ; Chen, Zhe ; Jaffray, David A. ; Moseley, Douglas J. ; Knisely, Jonathan P. S. ; Duncan, James S.</creatorcontrib><description>Purpose: In external beam radiation therapy of pelvic sites, patient setup errors can be quantified by registering 2D projection radiographs acquired during treatment to a 3D planning computed tomograph (CT). We present a 2D-3D registration framework based on a statistical model of the intensity values in the two imaging modalities. Methods: The model assumes that intensity values in projection radiographs are independently but not identically distributed due to the nonstationary nature of photon counting noise. Two probability distributions are considered for the intensity values: Poisson and Gaussian. Using maximum likelihood estimation, two similarity measures, maximum likelihood with a Poisson (MLP) and maximum likelihood with Gaussian (MLG), distribution are derived. Further, we investigate the merit of the model-based registration approach for data obtained with current imaging equipment and doses by comparing the performance of the similarity measures derived to that of the Pearson correlation coefficient (ICC) on accurately collected data of an anthropomorphic phantom of the pelvis and on patient data. Results: Registration accuracy was similar for all three similarity measures and surpassed current clinical requirements of 3 mm for pelvic sites. For pose determination experiments with a kilovoltage (kV) cone-beam CT (CBCT) and kV projection radiographs of the phantom in the anterior-posterior (AP) view, registration accuracies were 0.42 mm (MLP), 0.29 mm (MLG), and 0.29 mm (ICC). For kV CBCT and megavoltage (MV) AP portal images of the same phantom, registration accuracies were 1.15 mm (MLP), 0.90 mm (MLG), and 0.69 mm (ICC). Registration of a kV CT and MV AP portal images of a patient was successful in all instances. 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S.</creatorcontrib><creatorcontrib>Duncan, James S.</creatorcontrib><title>2D-3D registration for prostate radiation therapy based on a statistical model of transmission images</title><title>Medical physics (Lancaster)</title><addtitle>Med Phys</addtitle><description>Purpose: In external beam radiation therapy of pelvic sites, patient setup errors can be quantified by registering 2D projection radiographs acquired during treatment to a 3D planning computed tomograph (CT). We present a 2D-3D registration framework based on a statistical model of the intensity values in the two imaging modalities. Methods: The model assumes that intensity values in projection radiographs are independently but not identically distributed due to the nonstationary nature of photon counting noise. Two probability distributions are considered for the intensity values: Poisson and Gaussian. Using maximum likelihood estimation, two similarity measures, maximum likelihood with a Poisson (MLP) and maximum likelihood with Gaussian (MLG), distribution are derived. Further, we investigate the merit of the model-based registration approach for data obtained with current imaging equipment and doses by comparing the performance of the similarity measures derived to that of the Pearson correlation coefficient (ICC) on accurately collected data of an anthropomorphic phantom of the pelvis and on patient data. Results: Registration accuracy was similar for all three similarity measures and surpassed current clinical requirements of 3 mm for pelvic sites. For pose determination experiments with a kilovoltage (kV) cone-beam CT (CBCT) and kV projection radiographs of the phantom in the anterior-posterior (AP) view, registration accuracies were 0.42 mm (MLP), 0.29 mm (MLG), and 0.29 mm (ICC). For kV CBCT and megavoltage (MV) AP portal images of the same phantom, registration accuracies were 1.15 mm (MLP), 0.90 mm (MLG), and 0.69 mm (ICC). Registration of a kV CT and MV AP portal images of a patient was successful in all instances. 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S.</au><au>Duncan, James S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>2D-3D registration for prostate radiation therapy based on a statistical model of transmission images</atitle><jtitle>Medical physics (Lancaster)</jtitle><addtitle>Med Phys</addtitle><date>2009-10</date><risdate>2009</risdate><volume>36</volume><issue>10</issue><spage>4555</spage><epage>4568</epage><pages>4555-4568</pages><issn>0094-2405</issn><eissn>2473-4209</eissn><coden>MPHYA6</coden><abstract>Purpose: In external beam radiation therapy of pelvic sites, patient setup errors can be quantified by registering 2D projection radiographs acquired during treatment to a 3D planning computed tomograph (CT). We present a 2D-3D registration framework based on a statistical model of the intensity values in the two imaging modalities. Methods: The model assumes that intensity values in projection radiographs are independently but not identically distributed due to the nonstationary nature of photon counting noise. Two probability distributions are considered for the intensity values: Poisson and Gaussian. Using maximum likelihood estimation, two similarity measures, maximum likelihood with a Poisson (MLP) and maximum likelihood with Gaussian (MLG), distribution are derived. Further, we investigate the merit of the model-based registration approach for data obtained with current imaging equipment and doses by comparing the performance of the similarity measures derived to that of the Pearson correlation coefficient (ICC) on accurately collected data of an anthropomorphic phantom of the pelvis and on patient data. Results: Registration accuracy was similar for all three similarity measures and surpassed current clinical requirements of 3 mm for pelvic sites. For pose determination experiments with a kilovoltage (kV) cone-beam CT (CBCT) and kV projection radiographs of the phantom in the anterior-posterior (AP) view, registration accuracies were 0.42 mm (MLP), 0.29 mm (MLG), and 0.29 mm (ICC). For kV CBCT and megavoltage (MV) AP portal images of the same phantom, registration accuracies were 1.15 mm (MLP), 0.90 mm (MLG), and 0.69 mm (ICC). Registration of a kV CT and MV AP portal images of a patient was successful in all instances. Conclusions: The results indicate that high registration accuracy is achievable with multiple methods including methods that are based on a statistical model of a 3D CT and 2D projection images.</abstract><cop>United States</cop><pub>American Association of Physicists in Medicine</pub><pmid>19928087</pmid><doi>10.1118/1.3213531</doi><tpages>14</tpages></addata></record>
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subjects 2D-3D registration
ACCURACY
Algorithms
biological organs
Computed radiography
Computed tomography
computerised tomography
COMPUTERIZED TOMOGRAPHY
Cone beam computed tomography
cone-beam CT
correlation methods
Data Interpretation, Statistical
diagnostic radiography
Digital radiography
Distribution theory and Monte Carlo studies
Gaussian distribution
Humans
Image Interpretation, Computer-Assisted - methods
IMAGE PROCESSING
image registration
Imaging, Three-Dimensional - methods
Information Storage and Retrieval - methods
Male
MATHEMATICAL METHODS AND COMPUTING
maximum likelihood
maximum likelihood estimation
MAXIMUM-LIKELIHOOD FIT
Medical image noise
medical image processing
Medical imaging
Medical X‐ray imaging
Pattern Recognition, Automated - methods
PHANTOMS
Phantoms, Imaging
photon counting
PHOTONS
Poisson distribution
portal images
Probability theory
PROSTATE
Prostatic Neoplasms - diagnostic imaging
Prostatic Neoplasms - radiotherapy
radiation therapy
Radiographic Image Enhancement - methods
Radiography
RADIOLOGY AND NUCLEAR MEDICINE
RADIOTHERAPY
Radiotherapy, Conformal - methods
Registration
Reproducibility of Results
Sensitivity and Specificity
setup verification
Statistical model calculations
STATISTICAL MODELS
Subtraction Technique
Therapeutic applications, including brachytherapy
title 2D-3D registration for prostate radiation therapy based on a statistical model of transmission images
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