Automatic Three-Dimensional Magnetic Resonance-based measurements of tumour prominence and basal diameter for treatment planning of uveal melanoma

Background and Purpose: Three-dimensional (3D) Magnetic Resonance Imaging (MRI) is increasingly used to complement conventional two-dimensional ultrasound in the assessment of tumour dimension measurement of uveal melanoma. However, the lack of definitions of the 3D measurements of these tumour dime...

Full description

Bibliographic Details
Main Authors: Lisa Klaassen, Myriam G. Jaarsma-Coes, Berit M. Verbist, T.H. Khanh Vu, Marina Marinkovic, Coen R.N. Rasch, Gregorius P.M. Luyten, Jan-Willem M. Beenakker
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Physics and Imaging in Radiation Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405631622000914
_version_ 1811196735084560384
author Lisa Klaassen
Myriam G. Jaarsma-Coes
Berit M. Verbist
T.H. Khanh Vu
Marina Marinkovic
Coen R.N. Rasch
Gregorius P.M. Luyten
Jan-Willem M. Beenakker
author_facet Lisa Klaassen
Myriam G. Jaarsma-Coes
Berit M. Verbist
T.H. Khanh Vu
Marina Marinkovic
Coen R.N. Rasch
Gregorius P.M. Luyten
Jan-Willem M. Beenakker
author_sort Lisa Klaassen
collection DOAJ
description Background and Purpose: Three-dimensional (3D) Magnetic Resonance Imaging (MRI) is increasingly used to complement conventional two-dimensional ultrasound in the assessment of tumour dimension measurement of uveal melanoma. However, the lack of definitions of the 3D measurements of these tumour dimensions hinders further adaptation of MRI in ocular radiotherapy planning. In this study, we composed 3D MR-based definitions of tumour prominence and basal diameter and compared them to conventional ultrasound. Materials and methods: Tumours were delineated on 3DT2 and contrast-enhanced 3DT1 (T1gd) MRI for 25 patients. 3D definitions of tumour prominence and diameter were composed and evaluated automatically on the T1gd and T2 contours. Automatic T1gd measurements were compared to manual MRI measurements, to automatic T2 measurements and to manual ultrasound measurements. Results: Prominence measurements were similar for all modalities (median absolute difference 0.3 mm). Automatic T1gd diameter measurements were generally larger than manual MRI, automatic T2 and manual ultrasound measurements (median absolute differences of 0.5, 1.6 and 1.1 mm respectively), mainly due to difficulty defining the axis of the largest diameter. Largest differences between ultrasound and MRI for both prominence and diameter were found in anteriorly located tumours (up to 1.6 and 4.5 mm respectively), for which the tumour extent could not entirely be visualized with ultrasound. Conclusions: The proposed 3D definitions for tumour prominence and diameter agreed well with ultrasound measurements for tumours for which the extent was visible on ultrasound. 3D MRI measurements generally provided larger diameter measurements than ultrasound. In anteriorly located tumours, the MRI measurements were considered more accurate than conventional ultrasound.
first_indexed 2024-04-12T01:04:00Z
format Article
id doaj.art-fe23ab102b6c4431bd36db513e5f024c
institution Directory Open Access Journal
issn 2405-6316
language English
last_indexed 2024-04-12T01:04:00Z
publishDate 2022-10-01
publisher Elsevier
record_format Article
series Physics and Imaging in Radiation Oncology
spelling doaj.art-fe23ab102b6c4431bd36db513e5f024c2022-12-22T03:54:21ZengElsevierPhysics and Imaging in Radiation Oncology2405-63162022-10-0124102110Automatic Three-Dimensional Magnetic Resonance-based measurements of tumour prominence and basal diameter for treatment planning of uveal melanomaLisa Klaassen0Myriam G. Jaarsma-Coes1Berit M. Verbist2T.H. Khanh Vu3Marina Marinkovic4Coen R.N. Rasch5Gregorius P.M. Luyten6Jan-Willem M. Beenakker7Leiden University Medical Center, Department of Ophthalmology, PO Box 9600, 2300 RC Leiden, the Netherlands; Leiden University Medical Center, Department of Radiology, PO Box 9600, 2300 RC Leiden, the Netherlands; Leiden University Medical Center, Department of Radiation Oncology, PO Box 9600, 2300 RC Leiden, the Netherlands; Corresponding author at: Postal Zone J3-S, PO Box 9600, 2300 RC Leiden, the Netherlands.Leiden University Medical Center, Department of Ophthalmology, PO Box 9600, 2300 RC Leiden, the Netherlands; Leiden University Medical Center, Department of Radiology, PO Box 9600, 2300 RC Leiden, the NetherlandsLeiden University Medical Center, Department of Radiology, PO Box 9600, 2300 RC Leiden, the Netherlands; Holland Particle Therapy Center, PO Box 110, 2600 AC Delft, the NetherlandsLeiden University Medical Center, Department of Ophthalmology, PO Box 9600, 2300 RC Leiden, the NetherlandsLeiden University Medical Center, Department of Ophthalmology, PO Box 9600, 2300 RC Leiden, the NetherlandsLeiden University Medical Center, Department of Radiation Oncology, PO Box 9600, 2300 RC Leiden, the Netherlands; Holland Particle Therapy Center, PO Box 110, 2600 AC Delft, the NetherlandsLeiden University Medical Center, Department of Ophthalmology, PO Box 9600, 2300 RC Leiden, the NetherlandsLeiden University Medical Center, Department of Ophthalmology, PO Box 9600, 2300 RC Leiden, the Netherlands; Leiden University Medical Center, Department of Radiology, PO Box 9600, 2300 RC Leiden, the Netherlands; Leiden University Medical Center, Department of Radiation Oncology, PO Box 9600, 2300 RC Leiden, the NetherlandsBackground and Purpose: Three-dimensional (3D) Magnetic Resonance Imaging (MRI) is increasingly used to complement conventional two-dimensional ultrasound in the assessment of tumour dimension measurement of uveal melanoma. However, the lack of definitions of the 3D measurements of these tumour dimensions hinders further adaptation of MRI in ocular radiotherapy planning. In this study, we composed 3D MR-based definitions of tumour prominence and basal diameter and compared them to conventional ultrasound. Materials and methods: Tumours were delineated on 3DT2 and contrast-enhanced 3DT1 (T1gd) MRI for 25 patients. 3D definitions of tumour prominence and diameter were composed and evaluated automatically on the T1gd and T2 contours. Automatic T1gd measurements were compared to manual MRI measurements, to automatic T2 measurements and to manual ultrasound measurements. Results: Prominence measurements were similar for all modalities (median absolute difference 0.3 mm). Automatic T1gd diameter measurements were generally larger than manual MRI, automatic T2 and manual ultrasound measurements (median absolute differences of 0.5, 1.6 and 1.1 mm respectively), mainly due to difficulty defining the axis of the largest diameter. Largest differences between ultrasound and MRI for both prominence and diameter were found in anteriorly located tumours (up to 1.6 and 4.5 mm respectively), for which the tumour extent could not entirely be visualized with ultrasound. Conclusions: The proposed 3D definitions for tumour prominence and diameter agreed well with ultrasound measurements for tumours for which the extent was visible on ultrasound. 3D MRI measurements generally provided larger diameter measurements than ultrasound. In anteriorly located tumours, the MRI measurements were considered more accurate than conventional ultrasound.http://www.sciencedirect.com/science/article/pii/S2405631622000914Uveal melanomaOcular oncologyMagnetic resonance imagingUltrasound
spellingShingle Lisa Klaassen
Myriam G. Jaarsma-Coes
Berit M. Verbist
T.H. Khanh Vu
Marina Marinkovic
Coen R.N. Rasch
Gregorius P.M. Luyten
Jan-Willem M. Beenakker
Automatic Three-Dimensional Magnetic Resonance-based measurements of tumour prominence and basal diameter for treatment planning of uveal melanoma
Physics and Imaging in Radiation Oncology
Uveal melanoma
Ocular oncology
Magnetic resonance imaging
Ultrasound
title Automatic Three-Dimensional Magnetic Resonance-based measurements of tumour prominence and basal diameter for treatment planning of uveal melanoma
title_full Automatic Three-Dimensional Magnetic Resonance-based measurements of tumour prominence and basal diameter for treatment planning of uveal melanoma
title_fullStr Automatic Three-Dimensional Magnetic Resonance-based measurements of tumour prominence and basal diameter for treatment planning of uveal melanoma
title_full_unstemmed Automatic Three-Dimensional Magnetic Resonance-based measurements of tumour prominence and basal diameter for treatment planning of uveal melanoma
title_short Automatic Three-Dimensional Magnetic Resonance-based measurements of tumour prominence and basal diameter for treatment planning of uveal melanoma
title_sort automatic three dimensional magnetic resonance based measurements of tumour prominence and basal diameter for treatment planning of uveal melanoma
topic Uveal melanoma
Ocular oncology
Magnetic resonance imaging
Ultrasound
url http://www.sciencedirect.com/science/article/pii/S2405631622000914
work_keys_str_mv AT lisaklaassen automaticthreedimensionalmagneticresonancebasedmeasurementsoftumourprominenceandbasaldiameterfortreatmentplanningofuvealmelanoma
AT myriamgjaarsmacoes automaticthreedimensionalmagneticresonancebasedmeasurementsoftumourprominenceandbasaldiameterfortreatmentplanningofuvealmelanoma
AT beritmverbist automaticthreedimensionalmagneticresonancebasedmeasurementsoftumourprominenceandbasaldiameterfortreatmentplanningofuvealmelanoma
AT thkhanhvu automaticthreedimensionalmagneticresonancebasedmeasurementsoftumourprominenceandbasaldiameterfortreatmentplanningofuvealmelanoma
AT marinamarinkovic automaticthreedimensionalmagneticresonancebasedmeasurementsoftumourprominenceandbasaldiameterfortreatmentplanningofuvealmelanoma
AT coenrnrasch automaticthreedimensionalmagneticresonancebasedmeasurementsoftumourprominenceandbasaldiameterfortreatmentplanningofuvealmelanoma
AT gregoriuspmluyten automaticthreedimensionalmagneticresonancebasedmeasurementsoftumourprominenceandbasaldiameterfortreatmentplanningofuvealmelanoma
AT janwillemmbeenakker automaticthreedimensionalmagneticresonancebasedmeasurementsoftumourprominenceandbasaldiameterfortreatmentplanningofuvealmelanoma