Monitoring tumor motion by real time 2D/3D registration during radiotherapy

被引:67
|
作者
Gendrin, Christelle [1 ]
Furtado, Hugo [1 ]
Weber, Christoph [1 ]
Bloch, Christoph [1 ]
Figl, Michael [1 ]
Pawiro, Supriyanto Ardjo [1 ]
Bergmann, Helmar [1 ]
Stock, Markus [2 ]
Fichtinger, Gabor [1 ,3 ]
Georg, Dietmar [2 ]
Birkfellner, Wolfgang [1 ]
机构
[1] Med Univ Vienna, Ctr Med Phys & Biomed Engn, Vienna, Austria
[2] Med Univ Vienna, Dept Radiotherapy, Vienna, Austria
[3] Queens Univ, Dept Comp Sci, Kingston, ON K7L 3N6, Canada
基金
奥地利科学基金会;
关键词
2D/3D registration; Radiotherapy; Organ motion; INTRAFRACTION MOTION; RESPIRATION TRACKING; LUNG; VALIDATION; PROSTATE; 4D-CT; IGRT;
D O I
10.1016/j.radonc.2011.07.031
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background and purpose: In this paper, we investigate the possibility to use X-ray based real time 2D/3D registration for non-invasive tumor motion monitoring during radiotherapy. Materials and methods: The 2D/3D registration scheme is implemented using general purpose computation on graphics hardware (GPGPU) programming techniques and several algorithmic refinements in the registration process. Validation is conducted off-line using a phantom and five clinical patient data sets. The registration is performed on a region of interest (ROI) centered around the planned target volume (PTV). Results: The phantom motion is measured with an rms error of 2.56 mm. For the patient data sets, a sinusoidal movement that clearly correlates to the breathing cycle is shown. Videos show a good match between X-ray and digitally reconstructed radiographs (DRR) displacement. Mean registration time is 0.5 s. Conclusions: We have demonstrated that real-time organ motion monitoring using image based marker-less registration is feasible. (C) 2011 Elsevier Ireland Ltd. All rights reserved. Radiotherapy and Oncology 102 (2012) 274-280
引用
收藏
页码:274 / 280
页数:7
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