Journal of Radiation Research and Radiation Processing, Volume. 41, Issue 3, 030301(2023)

Research on motion management in stereotactic body radiotherapy for lung cancer

Nannan CAO1,2,3,4 and Xinye NI1,2,3,4、*
Author Affiliations
  • 1Department of Radiotherapy, Changzhou Second Peope’s Hospital, Nanjing Medical University, Changzhou 213003, China
  • 2Jiangsu Province Engineering Research Center of Medical Physics, Changzhou 213003, China
  • 3Edical Physics Research Center, Nanjing Medical University, Changzhou 213003, China
  • 4Changzhou Key Laboratory of Medical Physics, Changzhou 213003, China
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    Figures & Tables(5)
    Respiratory motion model construction process[11]
    Reconstruction based on FDK; MC-FDK; RPCA[19]
    • Table 1. Research on the optimization of 4D-CT from different aspects

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      Table 1. Research on the optimization of 4D-CT from different aspects

      文献

      Literature

      方法

      Method

      结果

      results

      [7]

      智能4D-CT;模体

      Intelligent 4D-CT; phantom

      呼吸伪影减小

      Motion artifacts were reduced

      [8]

      呼吸自适应断层扫描;模体

      Respiratory adaptive computed tomography; phantom

      靶区和肺≥4 mm伪影发生频率降低70%和76%;呼吸信号不规律减少27.3%

      The frequency of respiratory-induced image artifacts ≥ 4 mm decreased by 70% and 76% for the tumor and lung; Irregular respiratory signals decreased by 27.3%

      [9]

      呼吸运动引导4D-CT;模体

      Respiratory motion guide 4D-CT; phantom

      成像剂量减少17.8%;呼吸信号不规律减少12.6%

      Imaging dose decreased by 17.8%; Irregular respiratory signals decreased by 12.6%

      [10]

      基于B样条配准;主成分分析

      B-splines; principal component analysis

      模型误差为(2.35±0.26) mm\(2.48±0.18) mm

      Model error was (2.35±0.26) mm\(2.48±0.18) mm

      [11]

      基于B样条配准;主成分分析;贝叶斯原理

      B-splines; principal component analysis; bayesian

      单周期\双周期构建模型误差为(0.57±0.06) mm\(1.52±0.41) mm

      Error of model based on Single-cycle\Double cycles was(0.57±0.06) mm\(1.52±0.41) mm

      [12]

      基于SUM、MIP和EXS勾画靶区

      Target contouring based SUM; MIP; EXS

      MIP、EXS勾画靶区与SUM勾画靶区的体积比分别为0.888±0.061、0.883±0.064

      The ratios of for MIP and EXS to SUM were 0.888±0.061, 0.883±0.064

      [13]

      基于MIP和AVG勾画靶区

      Target contouring based MIP and AVG

      MIP勾画不规则运动范围较大的靶区 ((20.8±2.6) mm)剂量一致性差

      MIP delineation of moving irregularly target with a larger range ((20.8±2.6) mm) has poor dose consistency

      [14]

      基于模型4D-CT

      Model-based 4D-CT

      ITV区域内模型平均误差为(1.71±0.81) mm;呼吸伪影减少

      Mean model error within the ITV regions was (1.71±0.81) mm; motion artifacts were reduced

    • Table 2. Optimization of 4D-CBCT algorithm in the past 3 years

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      Table 2. Optimization of 4D-CBCT algorithm in the past 3 years

      文献

      literature

      算法

      algorithm

      结果

      result

      [19]

      鲁棒主成分分析;

      霍恩&舒克的光流法

      Robust principal component analysis;

      Horn and Schunck optical flow method

      PSNR与SSIM分别提高25.4%与7.6%(MC-FDK);PSNR与SSIM分别提高37.9%与17.6%(FDK)

      The improvements of PSNR by 25.4% and SSIM by 7.6% (MC-FDK) and of PSNR by 37.9% and SSIM by 17.6% (FDK)

      [21]4D-AirNet

      60个角度下PSNR与SSIM分别为49.02与0.9855

      PSNR and SSIM (AP-AirNet) were 49.02 and 0.9855 respectively under 60-view

      [22]

      自适应4D-CBCT;MC-FDK

      Adaptive 4D-CBCT; MC-FDK

      成像剂量减少85%;扫描时间减少70%

      Imaging dose was reduced by 85%; scan times were reduced by 70%

      [23]FeaCo-DCN

      18个呼吸周期下PSNR与SSIM最大为32.73和0.935;扫描时间减少约90%

      PSNR and SSIM were up to 32.73 and 0.935 under 18 breathing cycles;

      Scanning time was reduced approximately 90%

      [24]SMEIR; U-netUQI为0.96\0.97; UQI were 0.96\0.97
      [25]CycleGAN

      PSNR和SSIM分别提高了约18%和51%

      The improvements of PSNR by 25.4% and SSIM by 7.6% approximately.

      [26]

      光流约束

      Optical low (OF) constraint

      SSIM提高了2.8% (ART-TV)和23.4% (FDK)

      SSIM increases 2.8% (ART-TV) and 23.4% (FDK)

      [27]

      U-net;迁移学习

      U-net; transfer learning

      PSNR和SSIM分别为38.42和0.958

      PSNR and SSIM were 38.42 and 0.958, respectively

    • Table 3. Respiratory motion management techniques reported in literatures

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      Table 3. Respiratory motion management techniques reported in literatures

      文献

      Literature

      方法Method

      靶区

      Target

      结果

      Results

      [44]ACT

      下叶肺肿瘤

      Lower lobe lung tumor

      运动范围最大减少6.4 mm

      The range of motion is reduced by up to 6.4 mm

      [45]ACT

      上/中叶肺肿瘤;下叶肺肿瘤

      Upper/mid-lobe lung tumor;

      lower lobe lung tumor

      运动范围分别减少0.8 mm;3.5 mm

      The range of motion is reduced by 0.8 mm and 3.5 mm respectively

      [46]ACT

      肺肿瘤

      Lung tumor

      运动范围减少7.5 mm

      The range of motion is reduced by 7.5 mm

      [47]DIBH

      肺肿瘤

      Lung tumor

      PTV从148 mL减少至110 mL

      Planning target volumes were reduced from 148 mL to 110 mL

      [48]DIBH

      肺肿瘤

      Lung tumor

      PTV减少6%

      PTV reduced by 6%

      [49]DIBH

      肺肿瘤

      Lung tumor

      平均肺剂量减少29%

      There was a 29% reduction in the mean lung dose

      [50]ABC

      肺肿瘤

      Lung tumor

      PTV平均肺剂量减少25% There was a 25% reduction in the mean lung dose of planning target volume
      [51]RG

      肺肿瘤

      Lung tumor

      放射性肺炎风险降低11%

      The risk of Radiation pneumonia is reduced by 11%

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    Nannan CAO, Xinye NI. Research on motion management in stereotactic body radiotherapy for lung cancer[J]. Journal of Radiation Research and Radiation Processing, 2023, 41(3): 030301

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    Paper Information

    Category: Research Articles

    Received: Nov. 3, 2022

    Accepted: Feb. 20, 2023

    Published Online: Jul. 24, 2023

    The Author Email:

    DOI:10.11889/j.1000-3436.2022-0118

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