Ruan D, Fessler J A, Balter J M, Keall P J
Department of Radiation Oncology, Stanford University, Stanford, CA 94305-5304, USA.
Phys Med Biol. 2009 Aug 7;54(15):4777-92. doi: 10.1088/0031-9155/54/15/009. Epub 2009 Jul 22.
To precisely ablate tumor in radiation therapy, it is important to locate the tumor position in real time during treatment. However, respiration-induced tumor motions are difficult to track. They are semi-periodic and exhibit variations in baseline, frequency and fundamental pattern (oscillatory amplitude and shape). In this study, we try to decompose the above-mentioned components from discrete observations in real time. Baseline drift, frequency (equivalently phase) variation and fundamental pattern change characterize different aspects of respiratory motion and have distinctive clinical indications. Furthermore, smoothness is a valid assumption for each one of these components in their own spaces, and facilitates effective extrapolation for the purpose of estimation and prediction. We call this process 'profiling' to reflect the integration of information extraction, decomposition, processing and recovery. The proposed method has three major ingredients: (1) real-time baseline and phase estimation based on elliptical shape tracking in augmented state space and Poincaré sectioning principle; (2) estimation of the fundamental pattern by unwarping the observation with phase estimate from the previous step; (3) filtering of individual components and assembly in the original temporal-displacement signal space. We tested the proposed method with both simulated and clinical data. For the purpose of prediction, the results are comparable to what one would expect from a human operator. The proposed approach is fully unsupervised and data driven, making it ideal for applications requiring economy, efficiency and flexibility.
在放射治疗中精确消融肿瘤时,在治疗过程中实时定位肿瘤位置非常重要。然而,呼吸引起的肿瘤运动很难追踪。它们是半周期性的,并且在基线、频率和基本模式(振荡幅度和形状)方面存在变化。在本研究中,我们试图从离散观测中实时分解上述成分。基线漂移、频率(等效为相位)变化和基本模式变化表征了呼吸运动的不同方面,并具有独特的临床指征。此外,在各自的空间中,平滑性是这些成分中每一个的有效假设,并且有助于为估计和预测目的进行有效的外推。我们将这个过程称为“剖析”,以反映信息提取、分解、处理和恢复的整合。所提出的方法有三个主要要素:(1)基于增强状态空间中的椭圆形状跟踪和庞加莱截面原理进行实时基线和相位估计;(2)通过用上一步的相位估计对观测进行去扭曲来估计基本模式;(3)在原始时间位移信号空间中对各个成分进行滤波和组装。我们用模拟数据和临床数据测试了所提出的方法。出于预测目的,结果与人类操作员的预期相当。所提出的方法是完全无监督且数据驱动的,使其非常适合需要经济性、效率和灵活性的应用。