Fully automatic multi-organ segmentation for head and neck cancer radiotherapy using shape representation model constrained fully convolutional neural networks.

Journal: Medical physics
Published Date:

Abstract

PURPOSE: Intensity modulated radiation therapy (IMRT) is commonly employed for treating head and neck (H&N) cancer with uniform tumor dose and conformal critical organ sparing. Accurate delineation of organs-at-risk (OARs) on H&N CT images is thus essential to treatment quality. Manual contouring used in current clinical practice is tedious, time-consuming, and can produce inconsistent results. Existing automated segmentation methods are challenged by the substantial inter-patient anatomical variation and low CT soft tissue contrast. To overcome the challenges, we developed a novel automated H&N OARs segmentation method that combines a fully convolutional neural network (FCNN) with a shape representation model (SRM).

Authors

  • Nuo Tong
    Key Lab of Intelligent Perception and Image Understanding of Ministry of Education, Xidian University, Xi'an, Shaanxi, 710071, China.
  • Shuiping Gou
    Key Lab of Intelligent Perception and Image Understanding of Ministry of Education, Xidian University, Xi'an, Shaanxi, 710071, China.
  • Shuyuan Yang
    Key Lab of Intelligent Perception and Image Understanding of Ministry of Education, Xidian University, Xi'an, Shaanxi, 710071, China.
  • Dan Ruan
    Departments of Radiation Oncology, Biomedical Physics and Bioengineering, UCLA, Los Angeles, CA, 90095, USA.
  • Ke Sheng
    Department of Radiation Oncology, University of California-Los Angeles, Los Angeles, CA, 90095, USA.