Contour Propagation for Radiotherapy Treatment Planning Using Nonrigid Registration and Parameter Optimization: Case Studies in Liver and Breast Cancer

Abstract

Radiotherapy treatments are carried out using computerized axial tomography. In radiation therapy planning, the radiation oncologist must do a manual segmentation of volumes of interest to delineate the organs that should be irradiated. This way of carrying out the process generates long execution times and introduces a subjective component. In this study, a contour-propagation algorithm is formulated to automate the segmentation, based on elastic registration or nonrigid demon registration. A heuristic algorithm to find the parameters that optimize the registration is also proposed. The parameters found along with the contour-propagation algorithm are able to estimate contours of scans with Dice similarity coefficients (DSC) greater than (Formula presented.) and maintain stability with B-spline registration, which takes in the parameters found as input. The study allows for validating the results using the correlation coefficient (CC) to compare the similarity between the voxels’ gray-scale intensity of the estimated tomography and the original tomography, obtaining values greater than (Formula presented.). These values were validated under medical criteria and applied to liver and breast CT scans, indicating good performance for radiation therapy planning.