Room: AAPM ePoster Library
To develop an AI-based lung, liver, and prostate tumor auto-contouring algorithm for nifteRT on linac-MR. NifteRT is a novel RT technique being developed to achieve < 3 mm geometric error in treating mobile tumors with radiotherapy.
During nifteRT, our linac-MR will acquire continuous MR images of a mobile tumor. Accurate tumor auto-contouring in each MR image is critical, to allow for accurate tumor localization. We modified U-net for tumor segmentation from its surrounding anatomy. Using U-net, our algorithm can take (1) abstract, knowledge-based tumor shapes, and (2) pixel-by-pixel details of tumor/healthy tissue boundaries into account for segmentation. Hence, superior auto-contouring performance is expected even if the tumor resides in low-contrast areas with diffuse boundaries to its surroundings.
6 lung, 3 liver, and 3 prostate cancer patients were scanned with 3T MRI at 4 frames per second (2D steady-state free precession sequence, free breathing). For each patient, an expert delineated gold standard tumor contours (ROI_std) on 130 consecutive images. ROI_std were delineated in 3T images. However, to validate the algorithm in our 0.5T linac-MR environment, the 3T-acquired images were noise-degraded to reflect the worst-case scenario image quality characteristics of tumors at 0.5T.
For each patient, the first 30 ROI_std were used to train the algorithm. Once trained, the algorithm was applied to segment tumors for the remaining 100 pseudo-0.5T images, generating 100 ROI_auto. In each image, the Dice coefficient (DC), Hausdorff distance (HD), and centroid displacement (?d_centroid) were calculated between ROI_std and ROI_auto.
The algorithm achieved 87 – 96% DC, 0.9 – 3.6 mm ?d_centroid, and 2.4 – 10.4 mm HD from 12 patients' data. The algorithm successfully segmented tumors exhibiting substantial shape and location changes during breathing.
An AI-based tumor auto-contouring algorithm for nifteRT was developed and validated with in-vivo MR images showing > 87% DC.
Funding Support, Disclosures, and Conflict of Interest: COI disclosure: Stockholder in MagnetTx Oncology Solutions