» Articles » PMID: 35243033

Fast and Accurate Deformable Contour Propagation for Intra-fraction Adaptive Magnetic Resonance-guided Prostate Radiotherapy

Overview
Specialty Oncology
Date 2022 Mar 4
PMID 35243033
Authors
Affiliations
Soon will be listed here.
Abstract

To facilitate full intra-fraction adaptive MR-guided radiotherapy, accurate contour propagation is needed. We aimed to assess the clinical usability of intra-fraction propagated contours by a deformable image registration algorithm in ten prostate cancer patients. Two observers judged the contours on need for manual adaptation and feasibility of adapting contours within 3 min. CTV and bladder contours needed none or only minor editing in most cases (≥ 97%), whereas rectum contours needed more extensive editing in 12-23%. Nevertheless, adaptation times were < 3 min for ≥ 93% of the cases. This paves the way for exploring adaptive workflows using intra-fraction deformable contour propagation.

Citing Articles

Magnetic resonance guided adaptive post prostatectomy radiotherapy: Accumulated dose comparison of different workflows.

Hassan S, de Leon J, Batumalai V, Moutrie Z, Hogan L, Ge Y J Appl Clin Med Phys. 2024; 25(4):e14253.

PMID: 38394627 PMC: 11005979. DOI: 10.1002/acm2.14253.


Experimental validation of multi-fraction online adaptations in magnetic resonance guided radiotherapy.

van den Dobbelsteen M, Hackett S, van Asselen B, Oolbekkink S, Wolthaus J, de Vries J Phys Imaging Radiat Oncol. 2023; 28:100507.

PMID: 38035206 PMC: 10685304. DOI: 10.1016/j.phro.2023.100507.


Review and recommendations on deformable image registration uncertainties for radiotherapy applications.

Nenoff L, Amstutz F, Murr M, Archibald-Heeren B, Fusella M, Hussein M Phys Med Biol. 2023; 68(24).

PMID: 37972540 PMC: 10725576. DOI: 10.1088/1361-6560/ad0d8a.


Integration of operator-validated contours in deformable image registration for dose accumulation in radiotherapy.

Bosma L, Ries M, Denis de Senneville B, Raaymakers B, Zachiu C Phys Imaging Radiat Oncol. 2023; 27:100483.

PMID: 37664798 PMC: 10472292. DOI: 10.1016/j.phro.2023.100483.


Practice-based training strategy for therapist-driven prostate MR-Linac adaptive radiotherapy.

Li W, Padayachee J, Navarro I, Winter J, Dang J, Raman S Tech Innov Patient Support Radiat Oncol. 2023; 27:100212.

PMID: 37265510 PMC: 10230256. DOI: 10.1016/j.tipsro.2023.100212.


References
1.
Zachiu C, Denis de Senneville B, Raaymakers B, Ries M . Biomechanical quality assurance criteria for deformable image registration algorithms used in radiotherapy guidance. Phys Med Biol. 2019; 65(1):015006. DOI: 10.1088/1361-6560/ab501d. View

2.
Kontaxis C, de Muinck Keizer D, Kerkmeijer L, Willigenburg T, den Hartogh M, van der Voort van Zyp J . Delivered dose quantification in prostate radiotherapy using online 3D cine imaging and treatment log files on a combined 1.5T magnetic resonance imaging and linear accelerator system. Phys Imaging Radiat Oncol. 2021; 15:23-29. PMC: 7807644. DOI: 10.1016/j.phro.2020.06.005. View

3.
Bertelsen A, Schytte T, Moller P, Mahmood F, Riis H, Gottlieb K . First clinical experiences with a high field 1.5 T MR linac. Acta Oncol. 2019; 58(10):1352-1357. DOI: 10.1080/0284186X.2019.1627417. View

4.
Intven M, de Mol van Otterloo S, Mook S, Doornaert P, de Groot-van Breugel E, Sikkes G . Online adaptive MR-guided radiotherapy for rectal cancer; feasibility of the workflow on a 1.5T MR-linac: clinical implementation and initial experience. Radiother Oncol. 2020; 154:172-178. DOI: 10.1016/j.radonc.2020.09.024. View

5.
Miralbell R, Roberts S, Zubizarreta E, Hendry J . Dose-fractionation sensitivity of prostate cancer deduced from radiotherapy outcomes of 5,969 patients in seven international institutional datasets: α/β = 1.4 (0.9-2.2) Gy. Int J Radiat Oncol Biol Phys. 2011; 82(1):e17-24. DOI: 10.1016/j.ijrobp.2010.10.075. View