arXiv subjects

David Fuentes

Publications and source records attributed to David Fuentes.

22 records · Page 2Linked to original sources

arXiv2022

Automation of Radiation Treatment Planning for Rectal Cancer

To develop an automated workflow for rectal cancer three-dimensional conformal radiotherapy treatment planning that combines deep-learning(DL) aperture predictions and forward-planning algorithms. We designed an algorithm to automate the clinical workflow for planning with field-in-field. DL models were trained, validated, and tested on 555 patients to automatically generate aperture shapes for primary and boost fields. Network inputs were digitally reconstructed radiography, gross tumor volume(GTV), and nodal GTV. A physician scored each aperture for 20 patients on a 5-point scale(>3 acceptable). A planning algorithm was then developed to create a homogeneous dose using a combination of wedges and subfields. The algorithm iteratively identifies a hotspot volume, creates a subfield, and optimizes beam weight all without user intervention. The algorithm was tested on 20 patients using clinical apertures with different settings, and the resulting plans(4 plans/patient) were scored by a physician. The end-to-end workflow was tested and scored by a physician on 39 patients using DL-generated apertures and planning algorithms. The predicted apertures had Dice scores of 0.95, 0.94, and 0.90 for posterior-anterior, laterals, and boost fields, respectively. 100%, 95%, and 87.5% of the posterior-anterior, laterals, and boost apertures were scored as clinically acceptable, respectively. Wedged and non-wedged plans were clinically acceptable for 85% and 50% of patients, respectively. The final plans hotspot dose percentage was reduced from 121%($\pm$ 14%) to 109%($\pm$ 5%) of prescription dose. The integrated end-to-end workflow of automatically generated apertures and optimized field-in-field planning gave clinically acceptable plans for 38/39(97%) of patients. We have successfully automated the clinical workflow for generating radiotherapy plans for rectal cancer for our institution.

physics.med-ph↗

arXiv2021

Correlation between image quality metrics of magnetic resonance images and the neural network segmentation accuracy

Deep neural networks with multilevel connections process input data in complex ways to learn the information.A networks learning efficiency depends not only on the complex neural network architecture but also on the input training images.Medical image segmentation with deep neural networks for skull stripping or tumor segmentation from magnetic resonance images enables learning both global and local features of the images.Though medical images are collected in a controlled environment,there may be artifacts or equipment based variance that cause inherent bias in the input set.In this study, we investigated the correlation between the image quality metrics of MR images with the neural network segmentation accuracy.For that we have used the 3D DenseNet architecture and let the network trained on the same input but applying different methodologies to select the training data set based on the IQM values.The difference in the segmentation accuracy between models based on the random training inputs with IQM based training inputs shed light on the role of image quality metrics on segmentation accuracy.By running the image quality metrics to choose the training inputs,further we may tune the learning efficiency of the network and the segmentation accuracy.

eess.IV↗

arXiv2017

Novel Method for Background Phase Removal on MRI Proton Resonance Frequency Measurements

MR images have a magnitude and a phase, but in almost all clinical applications only the magnitude images are used, because the phase images have a smooth but strong background signal that masks useful information. The phase contains information such as the temperature during thermal ablation, and the iron content of brain tissue. We describe a novel method to suppress the background that is based on higher order edge detection and sparse image representation.

math.NA↗

arXiv2015

Accelerated Magnetic Resonance Thermometry in Presence of Uncertainties

An accelerated model-based information theoretic approach is presented to perform the task of Magnetic Resonance (MR) thermal image reconstruction from a limited number of observed samples on k-space. The key idea of the proposed approach is to utilize information theoretic techniques to optimally detect samples of k-space that are information rich with respect to a model of the thermal data acquisition. These highly informative k-space samples are then used to refine the mathematical model and reconstruct the image. The information theoretic reconstruction is demonstrated retrospectively in data acquired during MR guided Laser Induced Thermal Therapy (MRgLITT) procedures. The approach demonstrates that locations of high-information content with respect to a model based reconstruction of MR thermometry may be quantitatively identified. The predicted locations of high-information content are sorted and retrospectively extracted from the fully sampled k-space measurements data set. The effect of interactively increasing the predicted number of data points used in the subsampled reconstruction is quantified using the L2-norm of the distance between the subsampled and fully sampled reconstruction. Performance of the proposed approach is also compared with clinically available subsampling techniques (rectilinear subsampling and variable-density Poisson disk undersampling). It is shown that the proposed subsampling scheme results in accurate reconstructions using small fraction of k-space points and suggest that the reconstruction technique may be useful in improving the efficiency of the thermometry data temporal resolution.

math.NA↗