Technical Note: 3D localization of lung tumors on cone beam CT projections via a convolutional recurrent neural network.

PURPOSE To design a convolutional recurrent neural network (CRNN) that calculates 3D positions of lung tumors from continuously acquired cone beam CT (CBCT) projections, and facilitates the sorting and reconstruction of 4D-CBCT images. METHOD Under an IRB-approved clinical lung protocol, kilovoltage (kV) projections of the setup CBCT were collected in free-breathing. Concurrently, an electromagnetic-signal-guided system recorded motion traces of three transponders implanted in or near the tumor. CRNN was designed to utilize a convolutional neural network for extracting relevant features of the kV projections around the tumor, followed by a recurrent neural network for analyzing the temporal patterns of the moving features. CRNN was trained on the simultaneously collected kV projections and motion traces, subsequently utilized to calculate motion traces solely based on the continuous feed of kV projections. To enhance performance, CRNN was also facilitated by frequent calibrations (e.g., at 10° gantry-rotation intervals) derived from cross-correlation-based registrations between kV projections and templates created from the planning 4DCT. CRNN was validated on a leave-one-out strategy using data from 11 lung patients, including 5500 kV images. The root-mean-square error between the CRNN and motion traces were calculated to evaluate the localization accuracy. RESULT 3D displacement around the simulation position shown in the Calypso traces was 3.4±1.7mm. Using motion traces as ground truth, the 3D localization error of CRNN with calibrations was 1.3±1.4mm. CRNN had a success rate of 86±8% in determining whether the motion was within a 3D displacement window of 2mm. The latency was 20ms when CRNN ran on a high-performance computer cluster. CONCLUSION CRNN is able to provide accurate localization of lung tumors with aid from frequent recalibrations using the conventional cross-correlation-based registration approach, and has the potential to remove reliance on the implanted fiducials.

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Technical Note: 3D localization of lung tumors on cone beam CT projections via a convolutional recurrent neural network.

Semantic Scholar · Medicine · 2020

Abstract

PURPOSE To design a convolutional recurrent neural network (CRNN) that calculates 3D positions of lung tumors from continuously acquired cone beam CT (CBCT) projections, and facilitates the sorting and reconstruction of 4D-CBCT images. METHOD Under an IRB-approved clinical lung protocol, kilovoltage (kV) projections of the setup CBCT were collected in free-breathing. Concurrently, an electromagnetic-signal-guided system recorded motion traces of three transponders implanted in or near the tumor. CRNN was designed to utilize a convolutional neural network for extracting relevant features of the kV projections around the tumor, followed by a recurrent neural network for analyzing the temporal patterns of the moving features. CRNN was trained on the simultaneously collected kV projections and motion traces, subsequently utilized to calculate motion traces solely based on the continuous feed of kV projections. To enhance performance, CRNN was also facilitated by frequent calibrations (e.g., at 10° gantry-rotation intervals) derived from cross-correlation-based registrations between kV projections and templates created from the planning 4DCT. CRNN was validated on a leave-one-out strategy using data from 11 lung patients, including 5500 kV images. The root-mean-square error between the CRNN and motion traces were calculated to evaluate the localization accuracy. RESULT 3D displacement around the simulation position shown in the Calypso traces was 3.4±1.7mm. Using motion traces as ground truth, the 3D localization error of CRNN with calibrations was 1.3±1.4mm. CRNN had a success rate of 86±8% in determining whether the motion was within a 3D displacement window of 2mm. The latency was 20ms when CRNN ran on a high-performance computer cluster. CONCLUSION CRNN is able to provide accurate localization of lung tumors with aid from frequent recalibrations using the conventional cross-correlation-based registration approach, and has the potential to remove reliance on the implanted fiducials.

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