机构:[1]Department of Radiotherapy, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China大德路总院影像科大德路总院放射科广东省中医院[2]School of Biomedical Engineering, Southern Medical University, Guangzhou, China[3]Tsinghua Shenzhen International Graduate School, Tsinghua University, Shenzhen, China
This study aimed to develop an automated delineation method of nasopharynx gross tumor volume (GTVnx) for nasopharyngeal carcinoma (NPC) in computed tomography (CT) image for radiotherapy applications. Inspired by ResNet and SENet's strong ability to extract image features, we proposed a modified version of the 3D U-Net model with Res-blocks and SE-block for delineation of GTVnx. Besides, an automatic pre-processing method was proposed to crop the 3D region of interest (ROI) of GTVnx. Radiotherapy simulation CT images and corresponding manually delineated target of 205 NPC patients diagnosed with stage T1-T4 were used as datasets for training. Automated delineation models were generated based on CT combining contrast-enhanced CT (CE-CT) and CT alone, respectively. We compared the automatic delineation results against the manual delineated contours by radiation oncologists with 5-fold cross-validation to evaluate the performance of the proposed model. We also compared with the framework using 3D CNN and 2D DDNN, respectively. Besides, the model generated by one medical group was assessed against the other two separate medical groups. Precision (PR), Sensitivity (SE), Dice Similarity Coefficient (DSC), Average Symmetric Surface Distance (ASSD), and 95% Hausdorff Distance (HD95) are calculated for quantitative evaluation. Experimental results show that the proposed method outperforms other automatic methods on the CT images. Automated delineation models based on CT combining CE-CT is superior to that based on CT alone. The presented method could be useful and robust for the 3D delineation of GTVnx for NPC in CT images during the planning of radiotherapy.
基金:
Ministry of Education Industry-Academic Cooperation Project [201902119002]; Guangdong medical scientific research foundation [A2019196]; Knowledge Innovation Program of Basic Research Projects of Shenzhen [JCYJ20160428182053361]; Youth Committee of Medical Engineering Branch of Guangdong Medical Association Research Projects [2019-GDMAZD - 01]; Guangdong Science and Technology Plan [2017B020210003]
第一作者机构:[1]Department of Radiotherapy, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Radiotherapy, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China[2]School of Biomedical Engineering, Southern Medical University, Guangzhou, China[*1]Department of Radiotherapy, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510120, China[*2]School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, China
推荐引用方式(GB/T 7714):
Wang Xuetao,Yang Geng,Zhang Yiwen,et al.Automated delineation of nasopharynx gross tumor volume for nasopharyngeal carcinoma by plain CT combining contrast-enhanced CT using deep learning[J].JOURNAL OF RADIATION RESEARCH AND APPLIED SCIENCES.2020,13(1):568-577.doi:10.1080/16878507.2020.1795565.
APA:
Wang, Xuetao,Yang, Geng,Zhang, Yiwen,Zhu, Lin,Xue, Xiaoguang...&Dai, Zhenhui.(2020).Automated delineation of nasopharynx gross tumor volume for nasopharyngeal carcinoma by plain CT combining contrast-enhanced CT using deep learning.JOURNAL OF RADIATION RESEARCH AND APPLIED SCIENCES,13,(1)
MLA:
Wang, Xuetao,et al."Automated delineation of nasopharynx gross tumor volume for nasopharyngeal carcinoma by plain CT combining contrast-enhanced CT using deep learning".JOURNAL OF RADIATION RESEARCH AND APPLIED SCIENCES 13..1(2020):568-577