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Joakim Jonsson

Publications and source records attributed to Joakim Jonsson.

4 recordsLinked to original sources

A physics-informed, plug-and-play dose engine for gradient-based radiotherapy treatment planning

Radiotherapy treatment planning remains a time-intensive iterative process requiring expert intervention in commercial treatment planning system (TPS). While machine learning approaches have demonstrated promise, most remain depedent on TPS-based dose calculation or surrogate dose models, preventing direct optimization of deliverable treatment plan parameters. We propose PyDoseRT (PDRT), a physics-informed, GPU-accelerated dose engine implemented in PyTorch that computes dose distributions directly from treatment delivery parameters (i.e., MLC leaf positions, jaw positions, gantry angles, and monitor units). The engine preserves gradient information throughout the dose computation pipeline, enabling gradient-based optimization of hardware-constrained treatment plans without the reliance on a commercial TPS. PDRT was evaluated on 19 and 162 clinical VMAT prostate cancer plans from two hospitals (with different treatment machines). When recalculating clinical plans, PDRT achieved high 3D gamma pass rates (mean 96.8% for 2%/2 mm and 98.9% for 3%/3 mm, depending on cohort). All optimized plans converged to clinically acceptable solutions and passed deliverability verification when imported into a commercial TPS. This physics-informed framework eliminates TPS dependency for radiotherapy optimization research by enabling gradient-based planning while ensuring that delivery parameters remain in the machine-feasible range. The gradient-enabled dose engine allows exploration of novel optimization strategies and objective functions while maintaining clinical validity. The proposed approach provides a research platform for investigating real-time adaptive radiotherapy concepts, automated planning workflows, and TPS-independent optimization strategies, and democratizing radiotherapy research, by exposing gradient-enabled, hardware-aware, open-source dose computation.

physics.med-ph

Region of Interest focused MRI to Synthetic CT Translation using Regression and Classification Multi-task Network

In this work, we present a method for synthetic CT (sCT) generation from zero-echo-time (ZTE) MRI aimed at structural and quantitative accuracies of the image, with a particular focus on the accurate bone density value prediction. We propose a loss function that favors a spatially sparse region in the image. We harness the ability of a multi-task network to produce correlated outputs as a framework to enable localisation of region of interest (RoI) via classification, emphasize regression of values within RoI and still retain the overall accuracy via global regression. The network is optimized by a composite loss function that combines a dedicated loss from each task. We demonstrate how the multi-task network with RoI focused loss offers an advantage over other configurations of the network to achieve higher accuracy of performance. This is relevant to sCT where failure to accurately estimate high Hounsfield Unit values of bone could lead to impaired accuracy in clinical applications. We compare the dose calculation maps from the proposed sCT and the real CT in a radiation therapy treatment planning setup.

eess.IV

Reproducibility of the Methods in Medical Imaging with Deep Learning

Concerns about the reproducibility of deep learning research are more prominent than ever, with no clear solution in sight. The relevance of machine learning research can only be improved if we also employ empirical rigor that incorporates reproducibility guidelines, especially so in the medical imaging field. The Medical Imaging with Deep Learning (MIDL) conference has made advancements in this direction by advocating open access, and recently also recommending authors to make their code public - both aspects being adopted by the majority of the conference submissions. This helps the reproducibility of the methods, however, there is currently little or no support for further evaluation of these supplementary material, making them vulnerable to poor quality, which affects the impact of the entire submission. We have evaluated all accepted full paper submissions to MIDL between 2018 and 2022 using established, but slightly adjusted guidelines on reproducibility and the quality of the public repositories. The evaluations show that publishing repositories and using public datasets are becoming more popular, which helps traceability, but the quality of the repositories has not improved over the years, leaving room for improvement in every aspect of designing repositories. Merely 22% of all submissions contain a repository that were deemed repeatable using our evaluations. From the commonly encountered issues during the evaluations, we propose a set of guidelines for machine learning-related research for medical imaging applications, adjusted specifically for future submissions to MIDL.

cs.LG

Imaging dynamics beneath turbid media via parallelized single-photon detection

Noninvasive optical imaging through dynamic scattering media has numerous important biomedical applications but still remains a challenging task. While standard diffuse imaging methods measure optical absorption or fluorescent emission, it is also well-established that the temporal correlation of scattered coherent light diffuses through tissue much like optical intensity. Few works to date, however, have aimed to experimentally measure and process such temporal correlation data to demonstrate deep-tissue video reconstruction of decorrelation dynamics. In this work, we utilize a single-photon avalanche diode (SPAD) array camera to simultaneously monitor the temporal dynamics of speckle fluctuations at the single-photon level from 12 different phantom tissue surface locations delivered via a customized fiber bundle array. We then apply a deep neural network to convert the acquired single-photon measurements into video of scattering dynamics beneath rapidly decorrelating tissue phantoms. We demonstrate the ability to reconstruct images of transient (0.1-0.4s) dynamic events occurring up to 8 mm beneath a decorrelating tissue phantom with millimeter-scale resolution, and highlight how our model can flexibly extend to monitor flow speed within buried phantom vessels.

physics.optics