A hybrid method for reliable registration of digitally reconstructed radiographs and kV X-ray images for image-guided radiation therapy for prostate cancer

Yulin Song, Boris Mueller, Maria F. Chan, Sang E. Sim, Borys Mychalczak, Xiaolei Huang

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Prostate cancer is the most common tumor site treated with intensity modulated radiation therapy (IMRT). However, due to patient and organ motions, treatment-induced physiological changes, and different daily filling in the bladder and rectum, the position of the prostate in relation to the fixed pelvic bone can change significantly. Without a reliable guiding technique, this could result in underdosing the target and overdosing the critical organs. Therefore, image-guided localization of the prostate must be performed prior to each treatment, which led to the development of a new radiation treatment modality, the image-guided radiation therapy (1GRT). One form of IGRT is to implant three gold seed markers into the prostate gland to serve as a fixed reference system. Daily patient setup verification is performed by using the gold seed markers-based image registration rather than the commonly used bony landmarks-based approach. In this paper, we present an efficient and automated method for registering digitally reconstructed radiographs (DRR) and kV X-ray images of the prostate with high accuracy using a hybrid method. Our technique relies on both internal fiducial markers (i.e. gold seed markers) implanted into the prostate and a robust, hybrid 2D registration method using a salient-region based image registration technique. The registration procedure consists of several novel steps. Validation experiments were performed to register DRR and kV X-ray images in anterior-posterior (AP) or lateral views and the results were reviewed by experienced radiation oncology physicists.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2008 - Visualization, Image-Guided Procedures, and Modeling
DOIs
StatePublished - 2008
EventMedical Imaging 2008 - Visualization, Image-Guided Procedures, and Modeling - San Diego, CA, United States
Duration: Feb 17 2008Feb 19 2008

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume6918
ISSN (Print)1605-7422

Other

OtherMedical Imaging 2008 - Visualization, Image-Guided Procedures, and Modeling
Country/TerritoryUnited States
CitySan Diego, CA
Period2/17/082/19/08

All Science Journal Classification (ASJC) codes

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging

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