Impact of Using Unedited CT-Based DIR-Propagated Autocontours on Online ART for Pancreatic SBRT
PurposeTo determine the dosimetric impact of using unedited autocontours in daily plan adaptation of patients with locally advanced pancreatic cancer (LAPC) treated with stereotactic body radiotherapy using tumor tracking.Materials and MethodsThe study included 98 daily CT scans of 35 LAPC patients....
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.910792/full |
| _version_ | 1828777601547632640 |
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| author | Alba Magallon-Baro Maaike T. W. Milder Patrick V. Granton Wilhelm den Toom Joost J. Nuyttens Mischa S. Hoogeman |
| author_facet | Alba Magallon-Baro Maaike T. W. Milder Patrick V. Granton Wilhelm den Toom Joost J. Nuyttens Mischa S. Hoogeman |
| author_sort | Alba Magallon-Baro |
| collection | DOAJ |
| description | PurposeTo determine the dosimetric impact of using unedited autocontours in daily plan adaptation of patients with locally advanced pancreatic cancer (LAPC) treated with stereotactic body radiotherapy using tumor tracking.Materials and MethodsThe study included 98 daily CT scans of 35 LAPC patients. All scans were manually contoured (MAN), and included the PTV and main organs-at-risk (OAR): stomach, duodenum and bowel. Precision and MIM deformable image registration (DIR) methods followed by contour propagation were used to generate autocontour sets on the daily CT scans. Autocontours remained unedited, and were compared to MAN on the whole organs and at 3, 1 and 0.5 cm from the PTV. Manual and autocontoured OAR were used to generate daily plans using the VOLO™ optimizer, and were compared to non-adapted plans. Resulting planned doses were compared based on PTV coverage and OAR dose-constraints.ResultsOverall, both algorithms reported a high agreement between unclipped MAN and autocontours, but showed worse results when being evaluated on the clipped structures at 1 cm and 0.5 cm from the PTV. Replanning with unedited autocontours resulted in better OAR sparing than non-adapted plans for 95% and 84% plans optimized using Precision and MIM autocontours, respectively, and obeyed OAR constraints in 64% and 56% of replans.ConclusionFor the majority of fractions, manual correction of autocontours could be avoided or be limited to the region closest to the PTV. This practice could further reduce the overall timings of adaptive radiotherapy workflows for patients with LAPC. |
| first_indexed | 2024-12-11T16:25:21Z |
| format | Article |
| id | doaj.art-5060993e52d34bd480e0cf4e9e3c8623 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-11T16:25:21Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-5060993e52d34bd480e0cf4e9e3c86232022-12-22T00:58:45ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-06-011210.3389/fonc.2022.910792910792Impact of Using Unedited CT-Based DIR-Propagated Autocontours on Online ART for Pancreatic SBRTAlba Magallon-BaroMaaike T. W. MilderPatrick V. GrantonWilhelm den ToomJoost J. NuyttensMischa S. HoogemanPurposeTo determine the dosimetric impact of using unedited autocontours in daily plan adaptation of patients with locally advanced pancreatic cancer (LAPC) treated with stereotactic body radiotherapy using tumor tracking.Materials and MethodsThe study included 98 daily CT scans of 35 LAPC patients. All scans were manually contoured (MAN), and included the PTV and main organs-at-risk (OAR): stomach, duodenum and bowel. Precision and MIM deformable image registration (DIR) methods followed by contour propagation were used to generate autocontour sets on the daily CT scans. Autocontours remained unedited, and were compared to MAN on the whole organs and at 3, 1 and 0.5 cm from the PTV. Manual and autocontoured OAR were used to generate daily plans using the VOLO™ optimizer, and were compared to non-adapted plans. Resulting planned doses were compared based on PTV coverage and OAR dose-constraints.ResultsOverall, both algorithms reported a high agreement between unclipped MAN and autocontours, but showed worse results when being evaluated on the clipped structures at 1 cm and 0.5 cm from the PTV. Replanning with unedited autocontours resulted in better OAR sparing than non-adapted plans for 95% and 84% plans optimized using Precision and MIM autocontours, respectively, and obeyed OAR constraints in 64% and 56% of replans.ConclusionFor the majority of fractions, manual correction of autocontours could be avoided or be limited to the region closest to the PTV. This practice could further reduce the overall timings of adaptive radiotherapy workflows for patients with LAPC.https://www.frontiersin.org/articles/10.3389/fonc.2022.910792/fullpancreasSBRTadaptivereplanningautocontouring |
| spellingShingle | Alba Magallon-Baro Maaike T. W. Milder Patrick V. Granton Wilhelm den Toom Joost J. Nuyttens Mischa S. Hoogeman Impact of Using Unedited CT-Based DIR-Propagated Autocontours on Online ART for Pancreatic SBRT Frontiers in Oncology pancreas SBRT adaptive replanning autocontouring |
| title | Impact of Using Unedited CT-Based DIR-Propagated Autocontours on Online ART for Pancreatic SBRT |
| title_full | Impact of Using Unedited CT-Based DIR-Propagated Autocontours on Online ART for Pancreatic SBRT |
| title_fullStr | Impact of Using Unedited CT-Based DIR-Propagated Autocontours on Online ART for Pancreatic SBRT |
| title_full_unstemmed | Impact of Using Unedited CT-Based DIR-Propagated Autocontours on Online ART for Pancreatic SBRT |
| title_short | Impact of Using Unedited CT-Based DIR-Propagated Autocontours on Online ART for Pancreatic SBRT |
| title_sort | impact of using unedited ct based dir propagated autocontours on online art for pancreatic sbrt |
| topic | pancreas SBRT adaptive replanning autocontouring |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.910792/full |
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