论文标题
MR引导放射治疗期间实时3D运动和不确定性估计的高斯过程
Gaussian Processes for real-time 3D motion and uncertainty estimation during MR-guided radiotherapy
论文作者
论文摘要
放疗过程中的呼吸运动会导致肿瘤位置的不确定性,通常通过增加的辐射区域和剂量减少来解决。结果,治疗的功效降低了。最近提出的混合MR-LINAC扫描仪持希望通过实时自适应MR引导放射疗法(MRGRT)有效处理这种呼吸运动。对于MRGRT,应从MRDATA估算运动场,并应根据估计的运动场实时适应放射疗法计划。所有这些都应以最大200 ms的总延迟进行,包括数据采集和重建。例如,对这种估计的运动场的信心是非常可取的,例如,在出乎意料的和不良运动的情况下,确保患者的安全。在这项工作中,我们提出了一个基于高斯工艺的框架,以实时从仅三个MR-DATA读数中推断出3D运动场和不确定性图。我们证明了最高69 Hz的推理框架速率,包括数据采集和重建,从而利用了所需的MRDATA量有限。此外,我们设计了一个基于运动场不确定性图的拒绝标准,以证明该框架的质量保证潜力。该框架在使用MR-LINAC获得的健康志愿者数据(n = 5)中在计算机和体内进行了验证,从而考虑了不同的呼吸模式和受控的体积运动。结果表明,终点纠正符,在计算机中的第75个百分点低于1mm,并正确检测了拒绝标准的错误运动估计值。总而言之,结果表明,使用MR-LINAC实时MR引导放疗的框架潜力。
Respiratory motion during radiotherapy causes uncertainty in the tumor's location, which is typically addressed by an increased radiation area and a decreased dose. As a result, the treatments' efficacy is reduced. The recently proposed hybrid MR-linac scanner holds the promise to efficiently deal with such respiratory motion through real-time adaptive MR-guided radiotherapy (MRgRT). For MRgRT, motion-fields should be estimated from MR-data and the radiotherapy plan should be adapted in real-time according to the estimated motion-fields. All of this should be performed with a total latency of maximally 200 ms, including data acquisition and reconstruction. A measure of confidence in such estimated motion-fields is highly desirable, for instance to ensure the patient's safety in case of unexpected and undesirable motion. In this work, we propose a framework based on Gaussian Processes to infer 3D motion-fields and uncertainty maps in real-time from only three readouts of MR-data. We demonstrated an inference frame rate up to 69 Hz including data acquisition and reconstruction, thereby exploiting the limited amount of required MR-data. Additionally, we designed a rejection criterion based on the motion-field uncertainty maps to demonstrate the framework's potential for quality assurance. The framework was validated in silico and in vivo on healthy volunteer data (n=5) acquired using an MR-linac, thereby taking into account different breathing patterns and controlled bulk motion. Results indicate end-point-errors with a 75th percentile below 1mm in silico, and a correct detection of erroneous motion estimates with the rejection criterion. Altogether, the results show the potential of the framework for application in real-time MR-guided radiotherapy with an MR-linac.