A comparative study based on deformable image registration of the target volumes for external-beam partial breast irradiation defined using preoperative prone magnetic resonance imaging and postoperative prone computed tomography imaging
Abstract Background To explore the differences and correlations between the target volumes defined using preoperative prone diagnostic magnetic resonance imaging (MRI) and postoperative prone computed tomography (CT) simulation imaging based on deformable image registration (DIR) for external-beam p...
Main Authors: | , , , , , , , |
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Format: | Article |
Language: | English |
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BMC
2019-03-01
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Series: | Radiation Oncology |
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Online Access: | http://link.springer.com/article/10.1186/s13014-019-1244-x |
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author | Ting Yu Jian Bin Li Wei Wang Min Xu Ying Jie Zhang Qian Shao Xi Jun Liu Liang Xu |
author_facet | Ting Yu Jian Bin Li Wei Wang Min Xu Ying Jie Zhang Qian Shao Xi Jun Liu Liang Xu |
author_sort | Ting Yu |
collection | DOAJ |
description | Abstract Background To explore the differences and correlations between the target volumes defined using preoperative prone diagnostic magnetic resonance imaging (MRI) and postoperative prone computed tomography (CT) simulation imaging based on deformable image registration (DIR) for external-beam partial breast irradiation (EB-PBI) after breast-conserving surgery (BCS). Methods Eighteen breast cancer patients suitable for EB-PBI were enrolled. Preoperative prone diagnostic MRI and postoperative prone CT scan sets for all the patients were acquired during free breathing. Target volumes and ipsilateral breast were all contoured by the same radiation oncologist. The gross tumor volume (GTV) delineated on the preoperative MRI images was denoted as the GTVpreMR and the tumor bed (TB) delineated on the postoperative prone CT images was denoted as the GTVpostCT. The MIM software system was used to deformably register the MRI and CT images. Results When based on the coincidence of the compared target centers, there were statistically significant increases in the conformity index (CI) and degree of inclusion (DI) values for GTVpostCT-GTVpreMR, GTVpostCT-CTVpreMR + 10, CTVpostCT + 10-GTVpreMR, and CTVpostCT + 10-CTVpreMR + 10 when compared with those based on the DIR of the thorax (Z = − 3.724, − 3.724, − 2.591, − 3.593, all P < 0.05; Z = -3.724, − 3.724, − 3.201, − 3.724, all P < 0.05, respectively). Conclusions Although based on DIR, there was relatively poor spatial overlap between the preoperative prone diagnostic MRI images and the postoperative prone CT simulation images for either the whole breast or the target volumes. Therefore, it is unreasonable to use preoperative prone diagnostic MRI images to guide postoperative target delineation for EB-PBI. |
first_indexed | 2024-12-21T16:58:26Z |
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institution | Directory Open Access Journal |
issn | 1748-717X |
language | English |
last_indexed | 2024-12-21T16:58:26Z |
publishDate | 2019-03-01 |
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series | Radiation Oncology |
spelling | doaj.art-aae448a69ce14f749ee862c58e90f9232022-12-21T18:56:42ZengBMCRadiation Oncology1748-717X2019-03-011411910.1186/s13014-019-1244-xA comparative study based on deformable image registration of the target volumes for external-beam partial breast irradiation defined using preoperative prone magnetic resonance imaging and postoperative prone computed tomography imagingTing Yu0Jian Bin Li1Wei Wang2Min Xu3Ying Jie Zhang4Qian Shao5Xi Jun Liu6Liang Xu7School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical SciencesDepartment of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical SciencesDepartment of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical SciencesDepartment of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical SciencesDepartment of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical SciencesDepartment of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical SciencesDepartment of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical SciencesDepartment of Medical Imaging, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical SciencesAbstract Background To explore the differences and correlations between the target volumes defined using preoperative prone diagnostic magnetic resonance imaging (MRI) and postoperative prone computed tomography (CT) simulation imaging based on deformable image registration (DIR) for external-beam partial breast irradiation (EB-PBI) after breast-conserving surgery (BCS). Methods Eighteen breast cancer patients suitable for EB-PBI were enrolled. Preoperative prone diagnostic MRI and postoperative prone CT scan sets for all the patients were acquired during free breathing. Target volumes and ipsilateral breast were all contoured by the same radiation oncologist. The gross tumor volume (GTV) delineated on the preoperative MRI images was denoted as the GTVpreMR and the tumor bed (TB) delineated on the postoperative prone CT images was denoted as the GTVpostCT. The MIM software system was used to deformably register the MRI and CT images. Results When based on the coincidence of the compared target centers, there were statistically significant increases in the conformity index (CI) and degree of inclusion (DI) values for GTVpostCT-GTVpreMR, GTVpostCT-CTVpreMR + 10, CTVpostCT + 10-GTVpreMR, and CTVpostCT + 10-CTVpreMR + 10 when compared with those based on the DIR of the thorax (Z = − 3.724, − 3.724, − 2.591, − 3.593, all P < 0.05; Z = -3.724, − 3.724, − 3.201, − 3.724, all P < 0.05, respectively). Conclusions Although based on DIR, there was relatively poor spatial overlap between the preoperative prone diagnostic MRI images and the postoperative prone CT simulation images for either the whole breast or the target volumes. Therefore, it is unreasonable to use preoperative prone diagnostic MRI images to guide postoperative target delineation for EB-PBI.http://link.springer.com/article/10.1186/s13014-019-1244-xPreoperative diagnostic magnetic resonance imagePostoperative prone computed tomography simulation imageDeformable image registrationTarget volume comparisonExternal-beam partial breast irradiation |
spellingShingle | Ting Yu Jian Bin Li Wei Wang Min Xu Ying Jie Zhang Qian Shao Xi Jun Liu Liang Xu A comparative study based on deformable image registration of the target volumes for external-beam partial breast irradiation defined using preoperative prone magnetic resonance imaging and postoperative prone computed tomography imaging Radiation Oncology Preoperative diagnostic magnetic resonance image Postoperative prone computed tomography simulation image Deformable image registration Target volume comparison External-beam partial breast irradiation |
title | A comparative study based on deformable image registration of the target volumes for external-beam partial breast irradiation defined using preoperative prone magnetic resonance imaging and postoperative prone computed tomography imaging |
title_full | A comparative study based on deformable image registration of the target volumes for external-beam partial breast irradiation defined using preoperative prone magnetic resonance imaging and postoperative prone computed tomography imaging |
title_fullStr | A comparative study based on deformable image registration of the target volumes for external-beam partial breast irradiation defined using preoperative prone magnetic resonance imaging and postoperative prone computed tomography imaging |
title_full_unstemmed | A comparative study based on deformable image registration of the target volumes for external-beam partial breast irradiation defined using preoperative prone magnetic resonance imaging and postoperative prone computed tomography imaging |
title_short | A comparative study based on deformable image registration of the target volumes for external-beam partial breast irradiation defined using preoperative prone magnetic resonance imaging and postoperative prone computed tomography imaging |
title_sort | comparative study based on deformable image registration of the target volumes for external beam partial breast irradiation defined using preoperative prone magnetic resonance imaging and postoperative prone computed tomography imaging |
topic | Preoperative diagnostic magnetic resonance image Postoperative prone computed tomography simulation image Deformable image registration Target volume comparison External-beam partial breast irradiation |
url | http://link.springer.com/article/10.1186/s13014-019-1244-x |
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