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Ulrike Schick

Publications and source records attributed to Ulrike Schick.

4 recordsLinked to original sources

A Fast and Generic Energy-Shifting Transformer for Hybrid Monte Carlo Radiotherapy Calculation

We introduce a novel learning framework for accelerated Monte Carlo (MC) dose calculation termed Energy-Shifting. This approach leverages deep learning to synthesize highly complex polyenergetic dose distributions directly from simple monoenergetic inputs under identical beam configurations. Unlike conventional denoising techniques, which rely on noisy low-count dose maps that compromise beam profile integrity, our method achieves superior cross-domain generalization on unseen datasets by integrating high-fidelity anatomical textures and source-specific beam similarity into the model's input space. Furthermore, we propose a novel 3D architecture termed TransUNetSE3D, featuring Transformer blocks for global context and Residual Squeeze-and-Excitation (SE) modules for adaptive channel-wise feature recalibration. Hierarchical representations of these blocks are fused into the network's latent space alongside the primary dose-map parameters, allowing physics-aware reconstruction. This hybrid design outperforms existing UNet and Transformer-based benchmarks in both spatial precision and structural preservation, while maintaining the execution speed necessary for real-time use. Our proposed pipeline achieves a Gamma Passing Rate exceeding 98% (3%/3mm) compared to the MC reference, evaluated within the framework of a treatment planning system (TPS) using 6MV TrueBeam Lineac Accelerator (LINAC) for prostate radiotherapy. These results offer a robust solution for fast volumetric dosimetry in adaptive radiotherapy.

physics.med-ph

A Multimodal and Multi-centric Head and Neck Cancer Dataset for Segmentation, Diagnosis and Outcome Prediction

We present a publicly available multimodal dataset for head and neck cancer research, comprising 1123 annotated Positron Emission Tomography/Computed Tomography (PET/CT) studies from patients with histologically confirmed disease, acquired from 10 international medical centers. All studies contain co-registered PET/CT scans with varying acquisition protocols, reflecting real-world clinical diversity from a long-term, multi-institution retrospective collection. Primary gross tumor volumes (GTVp) and involved lymph nodes (GTVn) were manually segmented by experienced radiation oncologists and radiologists following established guidelines. We provide anonymized NifTi files, expert-annotated segmentation masks, comprehensive clinical metadata, and radiotherapy dose distributions for a patient subset. The metadata include TNM staging, HPV status, demographics, long-term follow-up outcomes, survival times, censoring indicators, and treatment information. To demonstrate its utility, we benchmark three key clinical tasks: automated tumor segmentation, recurrence-free survival prediction, and HPV status classification, using state-of-the-art deep learning models like UNet, SegResNet, and multimodal prognostic frameworks.

cs.CV

CT respiratory motion synthesis using joint supervised and adversarial learning

Objective: Four-dimensional computed tomography (4DCT) imaging consists in reconstructing a CT acquisition into multiple phases to track internal organ and tumor motion. It is commonly used in radiotherapy treatment planning to establish planning target volumes. However, 4DCT increases protocol complexity, may not align with patient breathing during treatment, and lead to higher radiation delivery. Approach: In this study, we propose a deep synthesis method to generate pseudo respiratory CT phases from static images for motion-aware treatment planning. The model produces patient-specific deformation vector fields (DVFs) by conditioning synthesis on external patient surface-based estimation, mimicking respiratory monitoring devices. A key methodological contribution is to encourage DVF realism through supervised DVF training while using an adversarial term jointly not only on the warped image but also on the magnitude of the DVF itself. This way, we avoid excessive smoothness typically obtained through deep unsupervised learning, and encourage correlations with the respiratory amplitude. Main results: Performance is evaluated using real 4DCT acquisitions with smaller tumor volumes than previously reported. Results demonstrate for the first time that the generated pseudo-respiratory CT phases can capture organ and tumor motion with similar accuracy to repeated 4DCT scans of the same patient. Mean inter-scans tumor center-of-mass distances and Dice similarity coefficients were $1.97$mm and $0.63$, respectively, for real 4DCT phases and $2.35$mm and $0.71$ for synthetic phases, and compares favorably to a state-of-the-art technique (RMSim).

cs.CV

On-line Dose Calculation Using Deep Learning for Beams Selection in Non-Coplanar Radiotherapy

Non-coplanar Intensity-Modulated Radiation Therapy (IMRT) goes a step further by orienting the gantry carrying the radiation beam and the patient couch in a non-coplanar manner to accurately target the cancer region and better avoid organs-at-risk. The use of a non-coplanar treatment trajectory significantly enhances the degree of freedom and flexibility but increases drastically the complexity of the optimization. In inverse planning optimization the dose contribution for all potential beam directions is usually pre-calculates and pre-loads into the Treatment Planning System (TPS). The size the dose matrix becomes more critical when moving from coplanar IMRT to non-coplanar IMRT since the number of beams increases drastically. A solution would be to calculate "on-the-fly" the dose contribution to each new candidate beam during optimization. This is only possible if a dose calculation engine is fast enough to be used online during optimization iterations, which is not the case in standard method. Therefore, in this work we propose an IMRT optimization scheme using deep learning based dose engine to compute the dose matrix on-line. The proposed deep learning approach will be combined into a simulated-annealing-based optimization method for non-coplanar IMRT. Since the dose engine will compute the dose contribution on-line during the optimization, the final main optimization method requires to keep in memory a very lightweight dose matrix. The proposed method was compared with clinical data showing a good agreement considering dosimetry of the treatment plans. The main advantage of the proposed method was the reduction of the memory storage from 9GB to 10MB during the optimization process.

physics.med-ph