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基于图像变换的CT图像校正算法在宫颈癌放疗剂量准确性评估中的应用
钟嘉健, 丘敏敏, 肖振华, 邓永锦
中山大学附属第一医院放疗科,广州 510080
Application of CT image correction algorithm based on image transformation in the evaluation of dose accuracy evaluation during radiotherapy for cervical cancer
Zhong Jiajian, Qiu Minmin, Xiao Zhenhua, Deng Yongjin
Department of Radiation Oncology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080,China
Abstract：Objective To quantitatively evaluate dose accuracy of radiotherapy for cervical cancer. Methods A CT image correction algorithm based on image transformation was proposed. Referring to CBCT images, CT images of radiotherapy plan for cervical cancer were corrected to obtain the corrected images which could reflect the actual body position of treatment. The clinical plan was transplanted to the corrected images for dose recalculation as a test plan, and the dosimetry parameters were statistically compared to evaluate the dose accuracy. Results Both of the target coverage of contrast plans could meet the clinical requirements (>98%),and there was no significant difference in the homogeneity index (P=0.150). The conformability of the test plan was significantly worse than that of the clinical plan (P<0.05). The maximum dose of each organ at risk in the test plan was approximately 30 cGy higher than that of the clinical plan (P<0.05), V50 was slightly higher than that of the clinical plan, whereas the average dose (Dmean) did not significantly differ. Conclusion The CT image correction algorithm based on image transformation can quantitatively evaluate the dose accuracy of radiotherapy for cervical cancer, which provides reference for resolving similar problems in clinical practice.
Zhong Jiajian,Qiu Minmin,Xiao Zhenhua et al. Application of CT image correction algorithm based on image transformation in the evaluation of dose accuracy evaluation during radiotherapy for cervical cancer[J]. Chinese Journal of Radiation Oncology, 2019, 28(12): 914-918.
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2019, Vol. 28 
