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基于四维CT的相位与幅值重建算法在肺靶体积确定中的临床评估 被引量:4
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作者 戴红娅 钟良志 +1 位作者 杨定强 周一兵 《医疗卫生装备》 CAS 2015年第2期71-74,共4页
目的:比较四维CT(4DCT)的2种重建算法在肺部靶区勾画中的差异。方法 :选取20例经病理确认为肺癌的患者,外周型9例、中央型11例。每名患者分别扫描重建方式为相位(phase-binning)算法和幅值(amplitude-binning)算法的2组4DCT。... 目的:比较四维CT(4DCT)的2种重建算法在肺部靶区勾画中的差异。方法 :选取20例经病理确认为肺癌的患者,外周型9例、中央型11例。每名患者分别扫描重建方式为相位(phase-binning)算法和幅值(amplitude-binning)算法的2组4DCT。同一医师分别在每组4DCT的10个时相和最大密度投影(maximum intensity projections,MIP)图像上勾画GTV10_p、GTVMIP_p、GTV10_a、GTVMIP_a,比较四者的体积和中心坐标差异。结果 :外周型:GTV10_p/GTVMIP_p、GTV10_a/GTVMIP_a、GTV10_p/GTV10_a、GTVMIP_p/GTVMIP_a分别为1.17±0.05、1.16±0.05、1.02±0.02、1.01±0.02;四者中心点在X、Y、Z轴上的差异小于1 mm且无统计学意义(P〉0.05)。中央型:GTV10_p/GTVMIP_p、GTV10_a/GTVMIP_a、GTV10_p/GTV10_a、GTVMIP_p/GTVMIP_a分别为1.20±0.53、1.17±0.20、1.34±0.66、1.32±0.32;四者中心位置差异最大超过10 mm,无统计学意义(P〉0.05)。结论 :对于外周型病灶,amplitude-binning与phase-binning重建算法无明显差异,但不同的勾画方式表现出在10组CT上勾画融合的GTV10比在MIP图像上勾画的GTVMIP大16%~17%;对于中央型病灶,amplitude-binning与phase-binning算法有明显差异,在呼吸不平稳时,amplitude-binning算法比phase-binning算法去伪影效果好,因此建议当患者呼吸平稳时采用phase-binning算法,当呼吸不平稳时采用amplitude-binning算法。外周型病灶在MIP图像上勾画GTV可靠;中央型病灶,由于MIP图像上勾画的GTV MIP对高密度组织区分不精确,因此建议采用GTV10方式勾画。 展开更多
关键词 四维CT 最大密度投影 phase-binning amplitude-binning
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Phantom-based evaluations of two binning algorithms for four-dimensional CT reconstruction in lung cancer radiation therapy
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作者 Fuli Zhang Huayong Jiang +5 位作者 Weidong Xu Yadi Wang Qingzhi Liu Na Lu Diandian Chen Bo Yao 《The Chinese-German Journal of Clinical Oncology》 CAS 2014年第12期563-566,共4页
Objective: The purpose of this study was to evaluate the performance of the phase-binning algorithm and amplitude-binning algorithm for four-dimensional computed tomography(4DCT) reconstruction in lung cancer radiatio... Objective: The purpose of this study was to evaluate the performance of the phase-binning algorithm and amplitude-binning algorithm for four-dimensional computed tomography(4DCT) reconstruction in lung cancer radiation therapy. Methods: Quasar phantom data were used for evaluation. A phantom of known geometry was mounted on a four-dimensional(4D) motion platform programmed with twelve respiratory waves(twelve lung patients trajectories) and scanned with a Philips Brilliance Big bore 16-slice CT simulator. The 4DCT images were reconstructed using both phase- and amplitude-binning algorithms. Internal target volumes(ITVs) of the phase- and amplitude-binned image sets were compared by evaluation of shape and volume distortions. Results: The phantom experiments illustrated that, as expected, maximum inhalation occurred at the 0% amplitude and maximum exhalation occurred at the 50% amplitude of the amplitude-binned 4DCT image sets. The amplitude-binned algorithm rendered smaller ITV than the phase-binning algorithm. Conclusion: The amplitude-binning algorithm for 4DCT reconstruction may have a potential advantage in reducing the margin and protecting normal lung tissue from unnecessary irradiation. 展开更多
关键词 four-dimensional computed tomography (4DCT) phase-binning algorithm amplitude-binning algorithm lung cancer
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