Sorting lung tumor volumes from 4D-MRI data using an automatic tumor-based signal reduces stitching artifacts.

4D-MRI NSCLC principal components respiratory sorting stitching artifacts

Journal

Journal of applied clinical medical physics
ISSN: 1526-9914
Titre abrégé: J Appl Clin Med Phys
Pays: United States
ID NLM: 101089176

Informations de publication

Date de publication:
17 Jan 2024
Historique:
revised: 30 10 2023
received: 31 08 2023
accepted: 18 12 2023
medline: 18 1 2024
pubmed: 18 1 2024
entrez: 18 1 2024
Statut: aheadofprint

Résumé

To investigate whether a novel signal derived from tumor motion allows more precise sorting of 4D-magnetic resonance (4D-MR) image data than do signals based on normal anatomy, reducing levels of stitching artifacts within sorted lung tumor volumes. (4D-MRI) scans were collected for 10 lung cancer patients using a 2D T2-weighted single-shot turbo spin echo sequence, obtaining 25 repeat frames per image slice. For each slice, a tumor-motion signal was generated using the first principal component of movement in the tumor neighborhood (TumorPC1). Signals were also generated from displacements of the diaphragm (DIA) and upper and lower chest wall (UCW/LCW) and from slice body area changes (BA). Pearson r coefficients of correlations between observed tumor movement and respiratory signals were determined. TumorPC1, DIA, and UCW signals were used to compile image stacks showing each patient's tumor volume in a respiratory phase. Unsorted image stacks were also built for comparison. For each image stack, the presence of stitching artifacts was assessed by measuring the roughness of the compiled tumor surface according to a roughness metric (Rg). Statistical differences in weighted means of Rg between any two signals were determined using an exact permutation test. The TumorPC1 signal was most strongly correlated with superior-inferior tumor motion, and had significantly higher Pearson r values (median 0.86) than those determined for correlations of UCW, LCW, and BA with superior-inferior tumor motion (p < 0.05). Weighted means of ratios of Rg values in TumorPC1 image stacks to those in unsorted, UCW, and DIA stacks were 0.67, 0.69, and 0.71, all significantly favoring TumorPC1 (p = 0.02-0.05). For other pairs of signals, weighted mean ratios did not differ significantly from one. Tumor volumes were smoother in 3D image stacks compiled using the first principal component of tumor motion than in stacks compiled with signals based on normal anatomy.

Identifiants

pubmed: 38234116
doi: 10.1002/acm2.14262
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e14262

Subventions

Organisme : Cancer Research UK
ID : 28990
Pays : United Kingdom

Informations de copyright

© 2024 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, LLC on behalf of The American Association of Physicists in Medicine.

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Auteurs

Mark Warren (M)

School of Health Sciences, Institute of Population Health, University of Liverpool, Liverpool, UK.

Alexander Barrett (A)

The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.

Neeraj Bhalla (N)

The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.

Michael Brada (M)

Molecular & Clinical Cancer Medicine, Institute of Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.

Robert Chuter (R)

Christie Medical Physics and Engineering, The Christie NHS Foundation Trust, Manchester, UK.
Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

David Cobben (D)

The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.
Department of Health Data Science, Institute of Population Health, University of Liverpool, Liverpool, UK.

Cynthia L Eccles (CL)

Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Radiotherapy, The Christie NHS Foundation Trust, Manchester, UK.

Clare Hart (C)

The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.

Ehab Ibrahim (E)

The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.

Jamie McClelland (J)

Department of Medical Physics and Bioengineering, University College London, London, UK.

Marc Rea (M)

The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.

Louise Turtle (L)

The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.

John D Fenwick (JD)

Department of Medical Physics and Bioengineering, University College London, London, UK.

Classifications MeSH