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The application research about registration methods of 4D-CBCT in non-small cell lung cancer with SBRT
Wang Jiahao,Li Xiadong,Xia Bing,Deng Qinghua,Xu Lixia,Ren Yao,Lai Jianjun,Tang Rongjun
Department of Radiation oncology,Hangzhou Cancer Hospital,Hangzhou 310000,China (Wang JH,Xia B,Xu LX,Ren Y,Lai JJ,Tang RJ);Department of Radiation oncology,Hangzhou Cancer Hospital,Hangzhou 310006,China (Li XD,Deng QH)
Abstract Objective To investigate the artificial and gray T+R 4D-CBCT image registration for non-small cell lung cancer (NSCLC) with SBRT. Methods 2D SBRT 10 patients with NSCLC,their 4D-CBCT scan images and reference CT images were registered by the methods of artificial and gray T+R registration. The maximum mutual information (MI),Haunsdorff distance and average symmetry distance (ASD) were calculated and were analyzed by paired-t test. Results In 1-3 fraction SBRT,the maximum MI for Gray T+R registration was averaged improved 8.8%(P=0.003,0.000,0.008),Haunsdorff distance and ASD were averaged reduced 21.1%(P=0.000,0.000,0.000) and 13.4%(P=0.000,0.002,0.018) respectively,and they all had the statistical significance compared with artificial registration in the early period of treatment;in 6-8 fraction SBRT,compared with gray T+R registration the maximum MI for artificial registration was averaged improved 19.3%(P=0.014,0.000,0.000),Haunsdorff distance and ASD were averaged reduced 17.6%(P=0.000,0.000,0.000) and 19.6%(P=0.001,0.000,0.000) respectively,and they also had the statistical significance. Conclusions Gray T+R image registration was reasonable in early period of treatment and artificial image registration was available in later period of treatment.
Corresponding Authors:
Li Xiadong,Email:hehe8812@126.com
Cite this article:
Wang Jiahao,Li Xiadong,Xia Bing et al. The application research about registration methods of 4D-CBCT in non-small cell lung cancer with SBRT[J]. Chinese Journal of Radiation Oncology, 2016, 25(1): 71-75.
Wang Jiahao,Li Xiadong,Xia Bing et al. The application research about registration methods of 4D-CBCT in non-small cell lung cancer with SBRT[J]. Chinese Journal of Radiation Oncology, 2016, 25(1): 71-75.