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基于射束通道和生成对抗网络的调强放射治疗剂量预测方法

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目的 基于射束通道实现调强放射治疗(放疗)剂量的精准预测.方法 选取行调强放疗的鼻咽癌Ⅲ期患者137例.随机抽取102例为训练集,24例为验证集,11例为测试集.基于Pix2pix模型,引入剂量预计算结果作为射束通道,预测患者个体化放疗剂量分布.采用剂量体积直方图(DVH)、处方剂量参数和计划综合评分对预测结果进行评估.结果 11个测试病例的预测剂量和人工计划剂量综合评分分别为70/60、40/50、10/30、70/60、70/60、80/80、80/70、70/60、60/70、80/60和60/60.随机选取4个测试病例,DVH显示,模型对脑干和脊髓的预测剂量曲线整体位于人工计划剂量曲线的左侧,而对眼球和腮腺的预测剂量曲线整体位于人工计划剂量曲线的右侧.结论 基于射束通道和Pix2pix模型,可对鼻咽癌放疗患者进行有效剂量预测,从而为放射物理师的计划设计目标提供参考.
A Dose Prediction Method for Intensity Modulated Radiation Therapy Based on Beam Channel and Generative Adversarial Network
Objective To provide accurate dose prediction for intensity-modulated radiation thera-py based on beam channels.Methods 137 cases of stage Ⅲ nasopharyngeal carcinoma who underwent intensity-modulated radiotherapy were selected as the dataset.102 cases were randomly selected as the training set,24 cases as the validation set,and 11 cases as the test set.Based on the Pix2pix model,the pre-dose calculation results were introduced as the beam channel to predict the individualized radiotherapy dose distribution of patients.Dose volume histogram and dose parameters were used to evaluate the results.Results The predicted and manually planned dose composite scores for the 11 test cases were 70/60,40/50,10/30,70/60,70/60,80/80,80/70,70/60,60/70,80/60,and 60/60,respectively.4 test cases were randomly selected,and the dose volume histogram showed that the overall predicted dose curves of the model for the brainstem and spinal cord were located on the left side of the manually planned dose curve,while the predicted dose curves for the eye and parotid gland lie overall on the right side of the manually planned dose curve.Conclusion Based on beam channel and Pix2pix model,effective dose prediction of intensity modulated radiotherapy for nasopharyngeal carcinoma can be achieved,and it can provide a reference for physicists to design radiotherapy plans.

Pix2pix modelbeam channelnasopharyngeal carcinomadose prediction

陈君、蓝林臻、柳炫宇、陈舒影、邱玲娜、李贵、关苗苗、章桦、郭飞宝

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福建医科大学附属第一医院肿瘤中心放疗科,福州 350005

福建医科大学附属第一医院滨海院区国家区域医疗中心放疗科,福州 350212

北京连心医疗股份有限公司,北京 100089

放射生物福建省高等学校重点实验室,福州 350005

福建医科大学医学影像学院,福州 350122

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Pix2pix模型 射束通道 鼻咽癌 剂量预测

福建省科技计划引导性项目

2023Y0017

2024

福建医科大学学报
福建医科大学

福建医科大学学报

CSTPCD
影响因子:0.442
ISSN:1672-4194
年,卷(期):2024.58(2)