@inproceedings{e828ccde3bad4338bb41e1f7e56da1ca,
title = "Deep learning-based relative stopping power mapping generation with cone-beam CT in proton radiation therapy",
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.",
keywords = "CBCT, Machine learning, Proton, Stopping power",
author = "Tonghe Wang and Joseph Harms and Yang Lei and Beth Ghavidel and William Stokes and Tian Liu and Curran, \{Walter J.\} and Mark McDonald and Jun Zhou and Xiaofeng Yang",
note = "Publisher Copyright: {\textcopyright} 2020 SPIE; Medical Imaging 2020: Physics of Medical Imaging ; Conference date: 16-02-2020 Through 19-02-2020",
year = "2020",
doi = "10.1117/12.2549275",
language = "English",
series = "Progress in Biomedical Optics and Imaging - Proceedings of SPIE",
publisher = "SPIE",
editor = "Guang-Hong Chen and Hilde Bosmans",
booktitle = "Medical Imaging 2020",
}