Respiratory motion estimation from cone-beam projections using a prior model

Med Image Comput Comput Assist Interv. 2009;12(Pt 2):365-72. doi: 10.1007/978-3-642-04271-3_45.

Abstract

Respiratory motion introduces uncertainties when planning and delivering radiotherapy for lung cancer patients. Cone-beam projections acquired in the treatment room could provide valuable information for building motion models, useful for gated treatment delivery or motion compensated reconstruction. We propose a method for estimating 3D+T respiratory motion from the 2D+T cone-beam projection sequence by including prior knowledge about the patient's breathing motion. Motion estimation is accomplished by maximizing the similarity of the projected view of a patient specific model to observed projections of the cone-beam sequence. This is done semi-globally, considering entire breathing cycles. Using realistic patient data, we show that the method is capable of good prediction of the internal patient motion from cone-beam data, even when confronted with interfractional changes in the breathing motion.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Artifacts*
  • Cone-Beam Computed Tomography / methods*
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Lung / diagnostic imaging*
  • Lung / physiology*
  • Movement / physiology
  • Radiographic Image Enhancement / methods
  • Radiographic Image Interpretation, Computer-Assisted / methods*
  • Reproducibility of Results
  • Respiratory Mechanics / physiology*
  • Sensitivity and Specificity