期刊
IEEE TRANSACTIONS ON MEDICAL IMAGING
卷 35, 期 10, 页码 2319-2328出版社
IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
DOI: 10.1109/TMI.2016.2560942
关键词
Image registration; radiotherapy; similarity measure; validation; visual assessment; volume visualization
类别
资金
- SUMMER Marie Curie Research Training Network - 7th Framework Programme of the European Commission [PITN-GA-2011-290148]
- VRVis Competence Center - Comet Program of the Austrian FFG
Deformable image registration (DIR) has the potential to improve modern radiotherapy in many aspects, including volume definition, treatment planning and image-guided adaptive radiotherapy. Studies have shown its possible clinical benefits. However, measuring DIR accuracy is difficult without known ground truth, but necessary before integration in the radiotherapy workflow. Visual assessment is an important step towards clinical acceptance. We propose a visualization framework which supports the exploration and the assessment of DIR accuracy. It offers different interaction and visualization features for exploration of candidate regions to simplify the process of visual assessment. The visualization is based on voxel-wise comparison of local image patches for which dissimilarity measures are computed and visualized to indicate locally the registration results. We performed an evaluation with three radiation oncologists to demonstrate the viability of our approach. In the evaluation, lung regions were rated by the participants with regards to their visual accuracy and compared to the registration error measured with expert defined landmarks. Regions rated as accepted had an average registration error of 1.8 mm, with the highest single landmark error being 3.3 mm. Additionally, survey results show that the proposed visualizations support a fast and intuitive investigation of DIR accuracy, and are suitable for finding even small errors.
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