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Optimizing Technical Parameters for Using Atlas Based Automatic Segmentation for Evaluation of Contour Accuracy Experience with Cardiac Structures From NRG Oncology/RTOG 0617

J Yu

J Yu1*, Y Gong1 , V Bar-Ad1 , T Giaddui1 , C Hu2 , E Gore3 , M Wheatley3 , J Witt4 , C Robinson4 , F Kong5 , J Bradley4 , J Galvin1 , Y Xiao1 , (1) Thomas Jefferson University, Philadelphia, PA, (2) NRG oncology, Philadelphia, PA, (3) Medical College of Wisconsin, Milwaukee, WI, (4) Washington University in St. Louis School of Medicine, St. Louis, MO, (5) Georgia Regents University, Augusta, GA,


SU-E-J-134 (Sunday, July 12, 2015) 3:00 PM - 6:00 PM Room: Exhibit Hall

Purpose:Accurate contour delineation is crucial for radiotherapy. Atlas based automatic segmentation tools can be used to increase the efficiency of contour accuracy evaluation. This study aims to optimize technical parameters utilized in the tool by exploring the impact of library size and atlas number on the accuracy of cardiac contour evaluation.

Methods:Patient CT DICOMs from RTOG 0617 were used for this study. Five experienced physicians delineated the cardiac structures including pericardium, atria and ventricles following an atlas guideline. The consistency of cardiac structured delineation using the atlas guideline was verified by a study with four observers and seventeen patients. The CT and cardiac structure DICOM files were then used for the ABAS technique.
To study the impact of library size (LS) and atlas number (AN) on automatic contour accuracy, automatic contours were generated with varied technique parameters for five randomly selected patients.
Three LS (20, 60, and 100) were studied using commercially available software. The AN was four, recommended by the manufacturer. Using the manual contour as the gold standard, Dice Similarity Coefficient (DSC) was calculated between the manual and automatic contours. Five-patient averaged DSCs were calculated for comparison for each cardiac structure.
In order to study the impact of AN, the LS was set 100, and AN was tested from one to five. The five-patient averaged DSCs were also calculated for each cardiac structure.

Results: DSC values are highest when LS is 100 and AN is four. The DSC is 0.90±0.02 for pericardium, 0.75±0.06 for atria , and 0.86±0.02 for ventricles.

Conclusion:By comparing DSC values, the combination AN=4 and LS=100 gives the best performance.

Funding Support, Disclosures, and Conflict of Interest: This project was supported by NCI grants U24CA12014, U24CA180803, U10CA180868, U10CA180822, PA CURE grant and Bristol-Myers Squibb and Eli Lilly..

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