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首页> 外文期刊>Radiotherapy and oncology: Journal of the European Society for Therapeutic Radiology and Oncology >The use of probability maps to deal with the uncertainties in prostate cancer delineation.
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The use of probability maps to deal with the uncertainties in prostate cancer delineation.

机译:使用概率图来处理前列腺癌描绘中的不确定性。

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BACKGROUND AND PURPOSE: The use of dynamic contrast-enhanced (DCE) imaging for delineation of prostate tumors requires that decisions are made on a voxel wise basis about the presence of tumor. While the sensitivity and specificity of this technique is high, we propose a probabilistic approach to deal with the intrinsic imaging uncertainty. MATERIAL AND METHODS: Twenty-nine patients with biopsy-proven prostate cancer underwent a DCE-CT exam prior to radiotherapy. From a logistic regression on K(trans) values from healthy and diseased appearing prostate regions we obtained a probability function for the presence of tumor. K(trans) parameter maps were converted into probability maps and a stratification was applied at the 5% and 95% probability level, to identify low-, intermediate-, and high-risk areas for the presence of tumor. RESULTS: In all patients, regions with high-, intermediate-, and low-risk were identified, with median volume percentages of 7.6%, 40.0%, and 52.1%, respectively. The contiguous areas that resulted from the voxel wise stratification can be interpreted as GTV, high-risk CTV, and CTV. CONCLUSIONS: K(trans) parameter maps from a DCE-CT exam can be converted into probability maps for the presence of tumor. In this way, the intrinsic uncertainty that a voxel contains tumor can be incorporated into the treatment planning process.
机译:背景和目的:使用动态对比增强(DCE)成像来描绘前列腺肿瘤需要根据体素明智地确定肿瘤的存在。虽然该技术的灵敏度和特异性很高,但我们提出了一种概率方法来处理固有的成像不确定性。材料与方法:29名经活检证实为前列腺癌的患者在放疗前接受了DCE-CT检查。通过对来自健康和患病的出现前列腺区域的K(trans)值进行逻辑回归,我们获得了肿瘤存在的概率函数。将K(trans)参数图转换为概率图,并以5%和95%概率级别进行分层,以识别存在肿瘤的低,中和高风险区域。结果:在所有患者中,确定了高,中和低风险区域,中位体积百分比分别为7.6%,40.0%和52.1%。由体素明智分层产生的连续区域可以解释为GTV,高风险CTV和CTV。结论:DCE-CT检查的K(trans)参数图可以转换为肿瘤存在的概率图。这样,可以将体素包含肿瘤的内在不确定性纳入治疗计划过程。

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