1. An additional tilted-scan-based CT metal-artifact-reduction method for radiation therapy planning
- Author
-
Seungryong Cho, Jungwon Kwak, Byungchul Cho, Rizza Pua, Chung-Hwan Lee, Changhwan Kim, Da-in Choi, and Sang-wook Lee
- Subjects
Organs at Risk ,Computer science ,Universal solution ,Image processing ,Imaging phantom ,030218 nuclear medicine & medical imaging ,metal artifact reduction ,Reduction (complexity) ,03 medical and health sciences ,Metal Artifact ,0302 clinical medicine ,Neoplasms ,Image Processing, Computer-Assisted ,Humans ,Radiation Oncology Physics ,Radiology, Nuclear Medicine and imaging ,Computer vision ,Radiation treatment planning ,Instrumentation ,radiotherapy ,Radiation ,Phantoms, Imaging ,business.industry ,Radiotherapy Planning, Computer-Assisted ,Radiotherapy Dosage ,87.57.q ,Metals ,030220 oncology & carcinogenesis ,Ct scanners ,Beam direction ,Radiotherapy, Intensity-Modulated ,Artificial intelligence ,Artifacts ,Tomography, X-Ray Computed ,business ,87.57.cp ,CT - Abstract
Purpose As computed tomography (CT) imaging is the most commonly used modality for treatment planning in radiation therapy, metal artifacts in the planning CT images may complicate the target delineation and reduce the dose calculation accuracy. Although current CT scanners do provide certain correction steps, it is a common understanding that there is not a universal solution yet to the metal artifact reduction (MAR) in general. Particularly noting the importance of MAR for radiation treatment planning, we propose a novel MAR method in this work that recruits an additional tilted CT scan and synthesizes nearly metal‐artifact‐free CT images. Methods The proposed method is based on the facts that the most pronounced metal artifacts in CT images show up along the x‐ray beam direction traversing multiple metallic objects and that a tilted CT scan can provide complementary information free of such metal artifacts in the earlier scan. Although the tilted CT scan would contain its own metal artifacts in the images, the artifacts may manifest in a different fashion leaving a chance to concatenate the two CT images with the metal artifacts much suppressed. We developed an image processing technique that uses the structural similarity (SSIM) for suppressing the metal artifacts. On top of the additional scan, we proposed to use an existing MAR method for each scan if necessary to further suppress the metal artifacts. Results The proposed method was validated by a simulation study using the pelvic region of an XCAT numerical phantom and also by an experimental study using the head part of the Rando phantom. The proposed method was found to effectively reduce the metal artifacts. Quantitative analyses revealed that the proposed method reduced the mean absolute percentages of the error by up to 86% and 89% in the simulation and experimental studies, respectively. Conclusions It was confirmed that the proposed method, using complementary information acquired from an additional tilted CT scan, can provide nearly metal‐artifact‐free images for the treatment planning.
- Published
- 2018
- Full Text
- View/download PDF