2017 AAPM Annual Meeting
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Session Title: Auto-segmentation for Thoracic Radiation Treatment Planning: A Grand Challenge
Question 1: Grand challenges provide value to the medical imaging research community by:
Reference:Armato SG III, Drukker K, Li F, Hadjiiski L, Tourassi GD, Engelmann RM, Giger ML, Redmond G, Farahani K, Kirby JS, Clarke LP: The LUNGx Challenge for computerized lung nodule classification. Journal of Medical Imaging 3: 044506-1–044506-9, 2016.
Choice A:Making available a common set of images to all participating groups.
Choice B:Advertising a specific clinical need.
Choice C:Increasing the intellectual property value of participants’ methods.
Choice D:Connecting academic groups with industry partners.
Question 2: An atlas-based segmentation algorithm uses _____ to align the atlas with a query image?
Reference:T. Rohlfing, R. Brandt, R. Menzel, D. B. Russakoff, and C. R. Maurer, Jr., Quo Vadis, Atlas-Based Segmentation? The Handbook of Medical Image Analysis – Volume III: Registration Models. Kluwer Academic / Plenum Publishers, 2005, pp. 435–486.
Choice A:Deformable registration.
Choice B:Shape models.
Choice C:Atlas selection.
Choice D:Majority voting.
Choice E:Hausdorff distance.
Question 3: Atlas selection would be best performed according to which of the following strategies?
Reference:Langerak TR, Berendsen FF, Van der Heide UA, Kotte AN, Pluim JP. Multiatlas-based segmentation with preregistration atlas selection. Med Phys. 2013 Sep;40(9):091701. doi: 10.1118/1.4816654.
Choice A:Majority voting.
Choice B:Random selection.
Choice C:The atlas with the lowest Dice similarity.
Choice D:The atlas with the highest inter-observer variability.
Choice E:Rigid registration followed by Mutual information.
Question 4: One advantage of the Hausdorff distance as an evaluation metric is:
Reference:http://autocontouringchallenge.org
Choice A:Does not require completely segmented organs.
Choice B:It is easily and consistently implemented.
Choice C:It is less sensitive to islands and holes.
Choice D:Works well for tubular structures contoured at different lengths.
Choice E:Generates accuracy measurements in millimeters.
Question 5: When using a state-of-the-art algorithm, what Dice similarity would you expect to receive for the parotid gland?
Reference:Sharp G, Fritscher KD, Pekar V, Peroni M, Shusharina N, Veeraraghavan H, Yang J. Vision 20/20: perspectives on automated image segmentation for radiotherapy. Med Phys 41(5):050902, 5/2014.
Choice A:1.00
Choice B:0.95
Choice C:0.85
Choice D:0.65
Choice E:0.30
Question 6: Most radiation treatment planning systems import/export the normal tissue structures through......
Reference:Law MY, Liu B. DICOM-RT and Its Utilization in Radiation Therapy. Radiographics. 2009 May; 29(3): 655-67.
Choice A:DICOM RT structure set.
Choice B:Metadata image.
Choice C:Binary image.
Choice D:Triangular mesh.
Question 7: In contouring the OARs for treatment planning, a margin is usually applied to an OAR with __________ structure; and it is important to contour the whole organ of a __________ structure.
Reference:INTERNATIONAL ATOMIC ENERGY AGENCY, Accuracy Requirements and Uncertainties in Radiotherapy, IAEA Human Health Series No. 31, IAEA, Vienna (2016).
Choice A:serial-like; serial-like.
Choice B:serial-like; parallel-like.
Choice C:parallel-like; serial-like.
Choice D:parallel-like; parallel-like.
Question 8: The spatial uncertainty of normal tissue contouring in external beam radiotherapy has a range about....
Reference:INTERNATIONAL ATOMIC ENERGY AGENCY, Accuracy Requirements and Uncertainties in Radiotherapy, IAEA Human Health Series No. 31, IAEA, Vienna (2016).
Choice A:1-3 mm.
Choice B:2-5 mm.
Choice C:5-20 mm.
Choice D:10-50 mm.
Choice E:20-50 mm.
Question 9: In the following auto-segmentation methods, which one does NOT use the prior knowledge?
Reference:Sharp G, Fritscher KD, Pekar V, Peroni M, Shusharina N, Veeraraghavan H, Yang J. Vision 20/20: perspectives on automated image segmentation for radiotherapy. Med Phys 41(5):050902, 5/2014.
Choice A:Atlas-based segmentation.
Choice B:Segmentation using statistical models of shape and appearance.
Choice C:Segmentation using machine learning.
Choice D:Segmentation using level sets.
Choice E:All of the above.
Question 10: Which of the following measures will be affected by small outliers in the segmentation?
Reference:Menze BH, Jakab A, Bauer S, Kalpathy-Cramer J, Farahani K, Kirby J, et.al, “The Multimodal Brain Tumor Image Segmentation Benchmark (BRATS)”; IEEE Trans. Med Imaging: 2015; 34(10): 1993-2024.
Choice A:Hausdorff distance.
Choice B:Modified Hausdorff distance.
Choice C:Dice coefficient.
Choice D:None of the above.
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