Voxel-S-value methods adapted to heterogeneous media for quantitative Y-90 microsphere radioembolization dosimetry

Purpose: The absorbed dose estimation from Voxel-S-Value (VSV) method in heterogeneous media is suboptimal as VSVs are calculated in homogeneous media. The aim of this study is to develop and evaluate new VSV methods in order to enhance the accuracy of Y-90 microspheres absorbed dose estimation in l...

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Main Authors: Gefei Chen, Zhonglin Lu, Yue Chen, Greta S.P. Mok
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Zeitschrift für Medizinische Physik
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0939388922001209
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author Gefei Chen
Zhonglin Lu
Yue Chen
Greta S.P. Mok
author_facet Gefei Chen
Zhonglin Lu
Yue Chen
Greta S.P. Mok
author_sort Gefei Chen
collection DOAJ
description Purpose: The absorbed dose estimation from Voxel-S-Value (VSV) method in heterogeneous media is suboptimal as VSVs are calculated in homogeneous media. The aim of this study is to develop and evaluate new VSV methods in order to enhance the accuracy of Y-90 microspheres absorbed dose estimation in liver, lungs, tumors and lung-liver interface regions. Methods: Ten patients with Y-90 microspheres SPECT/CT and PET/CT data, six of whom had additional Tc-99m-macroaggregated albumin SPECT/CT data, were analyzed from the Deep Blue Data Repository. Seven existing VSV methods along with three newly proposed VSV methods were evaluated: liver and lung kernel with center voxel scaling (LiLuCK), liver kernel with density correction and lung kernel with center voxel scaling (LiKDLuCK), liver kernel with center voxel scaling and lung kernel with density correction (LiCKLuKD). Monte Carlo (MC) results were regarded as the gold standard. Absolute absorbed dose errors (%AADE) of these methods for the liver, lungs, tumors, upper liver, and lower lungs were assessed. Results: Liver and tumor’s median %AADE of all methods were <3% for three types of imaging data. In the lungs, however, three recently proposed VSV methods provided median %AADEs of less than 7%, whereas the differences exceeded 20% for existing methods that did not use a lung kernel. LiCKLuKD could achieve median %AADE <2% in the liver, upper liver and tumors, and median %AADE <7% in the lungs and lower lungs in three types of data. Conclusion: All methods are consistent with MC in the liver and tumors. Methods with tissue-specific kernel and effective correction achieve smaller errors in lungs. LiCKLuKD has comparable results with MC in absorbed dose estimation of Y-90 radioembolization for all target regions.
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spelling doaj.art-c98327ded1774f408e94a4e7a2c407bc2023-12-20T07:33:26ZengElsevierZeitschrift für Medizinische Physik0939-38892023-02-013313545Voxel-S-value methods adapted to heterogeneous media for quantitative Y-90 microsphere radioembolization dosimetryGefei Chen0Zhonglin Lu1Yue Chen2Greta S.P. Mok3Biomedical Imaging Laboratory (BIG), Department of Electrical and Computer Engineering, Faculty of Science and Technology, University of Macau, Macau SAR, ChinaBiomedical Imaging Laboratory (BIG), Department of Electrical and Computer Engineering, Faculty of Science and Technology, University of Macau, Macau SAR, China; Center for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Taipa, Macau SAR, ChinaDepartment of Nuclear Medicine, The Affiliated Hospital of Southwest Medical University, Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province. No. 25, Taiping St., Luzhou, Sichuan, China; Corresponding author: Yue Chen, The Affiliated Hospital of Southwest Medical University, Taiping St., Luzhou, Sichuan, 646000, China. G.S.P. Mok, University of Macau, Macau SAR 999078, China.Biomedical Imaging Laboratory (BIG), Department of Electrical and Computer Engineering, Faculty of Science and Technology, University of Macau, Macau SAR, China; Center for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Taipa, Macau SAR, China; Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Macau SAR, China; Corresponding author: Yue Chen, The Affiliated Hospital of Southwest Medical University, Taiping St., Luzhou, Sichuan, 646000, China. G.S.P. Mok, University of Macau, Macau SAR 999078, China.Purpose: The absorbed dose estimation from Voxel-S-Value (VSV) method in heterogeneous media is suboptimal as VSVs are calculated in homogeneous media. The aim of this study is to develop and evaluate new VSV methods in order to enhance the accuracy of Y-90 microspheres absorbed dose estimation in liver, lungs, tumors and lung-liver interface regions. Methods: Ten patients with Y-90 microspheres SPECT/CT and PET/CT data, six of whom had additional Tc-99m-macroaggregated albumin SPECT/CT data, were analyzed from the Deep Blue Data Repository. Seven existing VSV methods along with three newly proposed VSV methods were evaluated: liver and lung kernel with center voxel scaling (LiLuCK), liver kernel with density correction and lung kernel with center voxel scaling (LiKDLuCK), liver kernel with center voxel scaling and lung kernel with density correction (LiCKLuKD). Monte Carlo (MC) results were regarded as the gold standard. Absolute absorbed dose errors (%AADE) of these methods for the liver, lungs, tumors, upper liver, and lower lungs were assessed. Results: Liver and tumor’s median %AADE of all methods were <3% for three types of imaging data. In the lungs, however, three recently proposed VSV methods provided median %AADEs of less than 7%, whereas the differences exceeded 20% for existing methods that did not use a lung kernel. LiCKLuKD could achieve median %AADE <2% in the liver, upper liver and tumors, and median %AADE <7% in the lungs and lower lungs in three types of data. Conclusion: All methods are consistent with MC in the liver and tumors. Methods with tissue-specific kernel and effective correction achieve smaller errors in lungs. LiCKLuKD has comparable results with MC in absorbed dose estimation of Y-90 radioembolization for all target regions.http://www.sciencedirect.com/science/article/pii/S0939388922001209Yttrium-90 microsphereTc-99m macroaggregated albuminRadioembolizationQuantitative imagingVoxel-S-value
spellingShingle Gefei Chen
Zhonglin Lu
Yue Chen
Greta S.P. Mok
Voxel-S-value methods adapted to heterogeneous media for quantitative Y-90 microsphere radioembolization dosimetry
Zeitschrift für Medizinische Physik
Yttrium-90 microsphere
Tc-99m macroaggregated albumin
Radioembolization
Quantitative imaging
Voxel-S-value
title Voxel-S-value methods adapted to heterogeneous media for quantitative Y-90 microsphere radioembolization dosimetry
title_full Voxel-S-value methods adapted to heterogeneous media for quantitative Y-90 microsphere radioembolization dosimetry
title_fullStr Voxel-S-value methods adapted to heterogeneous media for quantitative Y-90 microsphere radioembolization dosimetry
title_full_unstemmed Voxel-S-value methods adapted to heterogeneous media for quantitative Y-90 microsphere radioembolization dosimetry
title_short Voxel-S-value methods adapted to heterogeneous media for quantitative Y-90 microsphere radioembolization dosimetry
title_sort voxel s value methods adapted to heterogeneous media for quantitative y 90 microsphere radioembolization dosimetry
topic Yttrium-90 microsphere
Tc-99m macroaggregated albumin
Radioembolization
Quantitative imaging
Voxel-S-value
url http://www.sciencedirect.com/science/article/pii/S0939388922001209
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