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External validation of deep learning-based contouring of head and neck organs at risk.

作者信息

Brunenberg Ellen J L, Steinseifer Isabell K, van den Bosch Sven, Kaanders Johannes H A M, Brouwer Charlotte L, Gooding Mark J, van Elmpt Wouter, Monshouwer René

机构信息

Department of Radiation Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.

Department of Radiation Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

出版信息

Phys Imaging Radiat Oncol. 2020 Jul 10;15:8-15. doi: 10.1016/j.phro.2020.06.006. eCollection 2020 Jul.


DOI:10.1016/j.phro.2020.06.006
PMID:33458320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7807543/
Abstract

BACKGROUND AND PURPOSE: Head and neck (HN) radiotherapy can benefit from automatic delineation of tumor and surrounding organs because of the complex anatomy and the regular need for adaptation. The aim of this study was to assess the performance of a commercially available deep learning contouring (DLC) model on an external validation set. MATERIALS AND METHODS: The CT-based DLC model, trained at the University Medical Center Groningen (UMCG), was applied to an independent set of 58 patients from the Radboud University Medical Center (RUMC). DLC results were compared to the RUMC manual reference using the Dice similarity coefficient (DSC) and 95th percentile of Hausdorff distance (HD95). Craniocaudal spatial information was added by calculating binned measures. In addition, a qualitative evaluation compared the acceptance of manual and DLC contours in both groups of observers. RESULTS: Good correspondence was shown for the mandible (DSC 0.90; HD95 3.6 mm). Performance was reasonable for the glandular OARs, brainstem and oral cavity (DSC 0.78-0.85, HD95 3.7-7.3 mm). The other aerodigestive tract OARs showed only moderate agreement (DSC 0.53-0.65, HD95 around 9 mm). The binned measures displayed the largest deviations caudally and/or cranially. CONCLUSIONS: This study demonstrates that the DLC model can provide a reasonable starting point for delineation when applied to an independent patient cohort. The qualitative evaluation did not reveal large differences in the interpretation of contouring guidelines between RUMC and UMCG observers.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/230125b87c40/fx4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/e9a050435f9d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/fd8c254632f6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/915f66b97e54/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/3c8bb8c8178c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/bef2e134d71e/fx2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/df6eff008a77/fx3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/230125b87c40/fx4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/e9a050435f9d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/fd8c254632f6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/915f66b97e54/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/3c8bb8c8178c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/bef2e134d71e/fx2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/df6eff008a77/fx3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/142c/7807543/230125b87c40/fx4.jpg

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[9]
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本文引用的文献

[1]
Clinically Applicable Segmentation of Head and Neck Anatomy for Radiotherapy: Deep Learning Algorithm Development and Validation Study.

J Med Internet Res. 2021-7-12

[2]
Evaluation of measures for assessing time-saving of automatic organ-at-risk segmentation in radiotherapy.

Phys Imaging Radiat Oncol. 2019-12-17

[3]
Improving automatic delineation for head and neck organs at risk by Deep Learning Contouring.

Radiother Oncol. 2019-10-22

[4]
Benefits of deep learning for delineation of organs at risk in head and neck cancer.

Radiother Oncol. 2019-5-27

[5]
Clinical Evaluation of Commercial Atlas-Based Auto-Segmentation in the Head and Neck Region.

Front Oncol. 2019-4-9

[6]
An Evaluation of Atlas Selection Methods for Atlas-Based Automatic Segmentation in Radiotherapy Treatment Planning.

IEEE Trans Med Imaging. 2019-4-9

[7]
Deep Learning-Based Delineation of Head and Neck Organs at Risk: Geometric and Dosimetric Evaluation.

Int J Radiat Oncol Biol Phys. 2019-3-2

[8]
Outcomes of carotid-sparing IMRT for T1 glottic cancer: Comparison with conventional radiation.

Laryngoscope. 2019-2-12

[9]
Deep-learning-based detection and segmentation of organs at risk in nasopharyngeal carcinoma computed tomographic images for radiotherapy planning.

Eur Radiol. 2018-10-9

[10]
Comparative evaluation of autocontouring in clinical practice: A practical method using the Turing test.

Med Phys. 2018-10-12

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