Texture analysis on the edge-enhanced fluence of VMAT

Cited 15 time in Web of Science Cited 14 time in Scopus
Park, So-Yeon; Park, Jong Min; Sung, Wonmo; Kim, Il Han; Ye, Sung-Joon
Issue Date
BioMed Central
Radiation Oncology, 10(1):74
Texture analysisVolumetric modulated arc therapyModulation indexFluence
Textural features of edge-enhanced fluence were analysed to quantify modulation degree of volumetric modulated arc therapy (VMAT) plans.

Twenty prostate and twenty head and neck VMAT plans were retrospectively selected. Fluences of VMAT plans were generated by integration of monitor units shaped by multi-leaf collimators (MLCs) at each control point. When generating fluences, the values of pixels representing MLC tips were doubled to prevent smearing out of small or irregular fields (edge-enhancement). Six kinds of textural features, including angular second moment, inverse difference moment, contrast, variance, correlation and entropy, were calculated with particular displacement distances (d) of 1, 5 and 10. Plan delivery accuracy was evaluated by gamma-index method, mechanical parameter differences between plan and delivery and differences in dose-volumetric parameters between plan and delivery. Spearmans correlation coefficients (rs) were calculated between the values of textural features and VMAT delivery accuracy.

The rs values of contrast (d = 1) with edge-enhancement to global gamma passing rates with 2%/2 mm, 1%/2 mm and 2%/1 mm were 0.546 (p < 0.001), 0.744 (p < 0.001) and 0.487 (p = 0.001), respectively. Those with local 2%/2 mm, 1%/2 mm and 2%/1 mm were 0.588, 0.640 and 0.644, respectively (all with p < 0.001). The rs values of contrast (d = 1) to MLC and gantry angle errors were -0.853 and 0.655, respectively (all with p < 0.001). The contrast (d = 1) showed statistically significant rs values in 11 dose-volumetric parameter differences from a total of 35 cases, and generally showed better correlations to plan delivery accuracy than did previously suggested textural features with non-edge-enhanced fluences, as well as conventional modulation indices.

Contrast (d = 1) with edge-enhanced fluences could be used as modulation index for VMAT.
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College of Medicine/School of Medicine (의과대학/대학원)Radiation Oncology (방사선종양학전공)Journal Papers (저널논문_방사선종양학전공)
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