Deep learning-based relative stopping power mapping generation with cone-beam CT in proton radiation therapy

  • Tonghe Wang
  • , Joseph Harms
  • , Yang Lei
  • , Beth Ghavidel
  • , William Stokes
  • , Tian Liu
  • , Walter J. Curran
  • , Mark McDonald
  • , Jun Zhou
  • , Xiaofeng Yang

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

1 Scopus citations

Abstract

Proton radiation therapy has shown highly conformal distribution of prescribed dose in target with outstanding normal tissue sparing stemming from its steep dose gradient at the distal end of the beam. However, the uncertainty in everyday patient setup can lead to a discrepancy between treatment dose distribution and the planning dose distribution. Cone-beam CT (CBCT) can be acquired daily before treatment to evaluate such inter-fraction setup error, while a further evaluation on resulted dose distribution error is currently not available. In this study, we developed a novel deep-learning based method to predict the relative stopping power maps from daily CBCT images to allow for online dose calculation in a step towards adaptive proton radiation therapy. 20 head-and-neck patients with CT and CBCT images are included for training and testing. Our CBCT RSP results were evaluated with RSP maps created from CT images as the ground truth. Among all the 20 patients, the averaged mean absolute error between CT-based and CBCT-based RSP was 0.04±0.02, the averaged mean error was -0.01±0.03 and the averaged normalized correlation coefficient was 0.97±0.01. The proposed method provides sufficiently accurate RSP map generation from CBCT images, possibly allowing for CBCT-guided adaptive treatment planning for proton radiation therapy.

Original languageEnglish
Title of host publicationMedical Imaging 2020
Subtitle of host publicationPhysics of Medical Imaging
EditorsGuang-Hong Chen, Hilde Bosmans
PublisherSPIE
ISBN (Electronic)9781510633919
DOIs
StatePublished - 2020
EventMedical Imaging 2020: Physics of Medical Imaging - Houston, United States
Duration: Feb 16 2020Feb 19 2020

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume11312
ISSN (Print)1605-7422

Conference

ConferenceMedical Imaging 2020: Physics of Medical Imaging
Country/TerritoryUnited States
CityHouston
Period02/16/2002/19/20

Keywords

  • CBCT
  • Machine learning
  • Proton
  • Stopping power

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