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A web-based brain metastases segmentation and labeling platform for stereotactic radiosurgery.
Yang, Zi; Liu, Hui; Liu, Yan; Stojadinovic, Strahinja; Timmerman, Robert; Nedzi, Lucien; Dan, Tu; Wardak, Zabi; Lu, Weiguo; Gu, Xuejun.
Afiliación
  • Yang Z; Department of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
  • Liu H; Biomedical Engineering Graduate Program, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
  • Liu Y; Department of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
  • Stojadinovic S; College of Electrical Engineering, Sichuan University, Chengdu, 610065, China.
  • Timmerman R; Department of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
  • Nedzi L; Department of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
  • Dan T; Department of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
  • Wardak Z; Department of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
  • Lu W; Department of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
  • Gu X; Department of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Med Phys ; 47(8): 3263-3276, 2020 Aug.
Article en En | MEDLINE | ID: mdl-32333797
PURPOSE: Stereotactic radiosurgery (SRS) has become a standard of care for patients' with brain metastases (BMs). However, the manual multiple BMs delineation can be time-consuming and could create an efficiency bottleneck in SRS workflow. There is a clinical need for automatic delineation and quantitative evaluation tools. In this study, building on our previous developed deep learning-based segmentation algorithms, we developed a web-based automated BMs segmentation and labeling platform to assist the SRS clinical workflow. METHOD: This platform was developed based on the Django framework, including a web client and a back-end server. The web client enables interactions as database access, data import, and image viewing. The server performs the segmentation and labeling tasks including: skull stripping; deep learning-based BMs segmentation; and affine registration-based BMs labeling. Additionally, the client can display BMs contours with corresponding atlas labels, and allows further postprocessing tasks including: (a) adjusting window levels; (b) displaying/hiding specific contours; (c) removing false-positive contours; (d) exporting contours as DICOM RTStruct files; etc. RESULTS: We evaluated this platform on 10 clinical cases with BMs number varied from 12-81 per case. The overall operation took about 4-5 min per patient. The segmentation accuracy was evaluated between the manual contour and automatic segmentation with several metrics. The averaged center of mass shift was 1.55 ± 0.36 mm, the Hausdorff distance was 2.98 ± 0.63 mm, the mean of surface-to-surface distance (SSD) was 1.06 ± 0.31 mm, and the standard deviation of SSD was 0.80 ± 0.16 mm. In addition, the initial averaged false-positive over union (FPoU) and false-negative rate (FNR) were 0.43 ± 0.19 and 0.15 ± 0.10 respectively. After case-specific postprocessing, the averaged FPoU and FNR were 0.19 ± 0.10 and 0.15 ± 0.10 respectively. CONCLUSION: The evaluated web-based BMs segmentation and labeling platform can substantially improve the clinical efficiency compared to manual contouring. This platform can be a useful tool for assisting SRS treatment planning and treatment follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Radiocirugia Tipo de estudio: Guideline Límite: Humans Idioma: En Revista: Med Phys Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Radiocirugia Tipo de estudio: Guideline Límite: Humans Idioma: En Revista: Med Phys Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos