PURPOSE The incorporation of cone-beam CT (CBCT) has allowed for enhanced image-guided radiation therapy. While CBCT allows for daily 3D imaging, images suffer from severe artifacts, limiting the clinical potential… Click to show full abstract
PURPOSE The incorporation of cone-beam CT (CBCT) has allowed for enhanced image-guided radiation therapy. While CBCT allows for daily 3D imaging, images suffer from severe artifacts, limiting the clinical potential of CBCT. In this work, a deep-learning-based method for generating high quality corrected CBCT (CCBCT) images is proposed. METHODS The proposed method integrates a residual block concept into a cycle-consistent adversarial network (cycle-GAN) framework, called res-cycle GAN, to learn a mapping between CBCT images and paired planning CT images. Compared with a GAN, a cycle-GAN includes an inverse transformation from CBCT to CT images, which constrains the model by forcing calculation of both a CCBCT and a synthetic CBCT. A fully convolution neural network (FCN) with residual blocks is used in the generator to enable end-to-end CBCT-to-CT transformations. The proposed algorithm was evaluated using 24 sets of patient data in the brain and 20 sets of patient data in the pelvis. The mean absolute error (MAE), peak signal-to-noise ratio (PSNR), normalized cross-correlation (NCC) indices and spatial non-uniformity (SNU) were used to quantify the correction accuracy of the proposed algorithm. The proposed method is compared to both a conventional scatter correction and another machine learning-based CBCT correction method. RESULTS Overall, the MAE, PSNR, NCC and SNU were 13.0 HU, 37.5 dB, 0.99 and 0.05 in the brain, 16.1 HU, 30.7 dB, 0.98, and 0.09 in the pelvis for the proposed method, improvements of 45%, 16%, 1%, and 93% in the brain, and 71%, 38%, 2%, and 65% in the pelvis, over the CBCT image. The proposed method showed superior image quality as compared to the scatter correction method, reducing noise and artefact severity. The proposed method produced images with less noise and artifacts than the comparison machine learning-based method. CONCLUSIONS The authors have developed a novel deep learning-based method to generate high-quality corrected CBCT images. The proposed method increases on-board CBCT image quality, making it comparable to that of the planning CT. With further evaluation and clinical implementation, this method could lead to quantitative adaptive radiation therapy. This article is protected by copyright. All rights reserved.
               
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