提高放疗影像自动分割几何与剂量参数关联的便捷方法

      Convenient Approach to Improve Correlation between Geometry and Dosimetric Parameters for Automatic Segmentation in Radiotherapy

      • 摘要: 目的 设计提高自动勾画几何参数与剂量参数关联的几何指标。方法 选取上腹部48个病例,对胃和十二指肠进行手动和自动勾画,得到它们与靶区外扩5 mm、 10 mm、 20 mm的重叠结构,计算重叠结构几何参数,并研究几何参数与剂量参数的关系。结果 当危及器官与靶区外扩5 mm、 10 mm、 20 mm重叠结构的几何参数分别大于0.4、 0.6、 0.8时,剂量最大值偏差小于3 Gy。当危及器官与靶区外扩没有重叠时,基于安全考虑应使用靶区外扩20 mm设计重叠结构评估勾画。结论 对于上腹部危及器官,其与靶区外扩的重叠几何参数,与剂量最大值密切关联。重叠几何参数可以预测自动勾画引起的剂量最大值差异是否临床可接受。

         

        Abstract: Objective To design a series of geometric indexes, which can improve the correlation between geometric parameters and dosimetric parameters. Methods 48 cases of upper abdomen were selected. Manual and automatic segmentation were performed for two organs at risk, which were stomach and duodenum. Three overlapping structures, which were the overlaps with target expanded by 5 mm, 10 mm and 20 mm, were generated for each organ at risk. The geometric parameters of overlapping structures were calculated. The relationship between these geometric parameters and the dosimetric parameters of organs was investigated. Results When the geometric parameters of overlapping structures related to the target expand 5 mm, 10 mm and 20 mm were larger than 0.4, 0.6 and 0.8 respectively, the maximum dose differences of manual and automatic segmentation were less than 3 Gy. For the case with no overlaps between the organs and the target expansions, the overlap structure corresponding to target expanding 20 mm were recommended for safety considerations. Conclusion For organs at risk in the upper abdomen, the overlapping geometric parameters were closely related to the maximum dose of organs. Overlapping geometric parameters could predict whether the difference of maximum dose caused by automaticsegmentation was clinically acceptable or not.

         

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