{"title":"Effectiveness of 4-dimensional maximum intensity projection (4D-MIP) for respiratory motion management with uncertain interobserver delineation.","authors":"Satoki Hinai, Keisuke Usui, Yusuke Obara, Toshiya Maebayashi, Satoshi Ookubo, Atsushi Ichikawa, Yoshihisa Sasaki, Kazuo Ozawa","doi":"10.1016/j.meddos.2024.11.001","DOIUrl":null,"url":null,"abstract":"<p><p>This study was conducted to evaluate the use of 4-dimensional (4D) maximum intensity projection (4D-MIP) to compensate for the disadvantages of average intensity projection (AIP), which is used to determine the internal target volume (ITV) in lung tumors. A respiratory motion phantom with a simulated tumor was imaged using 4D computed tomography (4D-CT). AIP and 4D-MIP were generated based on 10 phases of 4D-CT, followed by contouring of the ITV<sub>AIP</sub> and ITV<sub>MIP</sub>; these were compared with the ITV contoured in 10 phases of 4D-CT (ITV<sub>10</sub>). Additionally, the profile curves of the ITV<sub>AIP</sub> and ITV<sub>MIP</sub> were obtained, and the full width at half maximum (FWHM) was measured. There was no significant difference between the ITV<sub>10</sub> and ITV<sub>MIP</sub>; however, the ITV<sub>AIP</sub> demonstrated a lower value. The FWHM values of the ITV<sub>AIP</sub> were smaller than those of ITV<sub>MIP</sub> owing to decreased CT values in the superior-inferior margin. 4D-MIP may contribute to improving the consistency of the ITV delineation.</p>","PeriodicalId":49837,"journal":{"name":"Medical Dosimetry","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Dosimetry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.meddos.2024.11.001","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
This study was conducted to evaluate the use of 4-dimensional (4D) maximum intensity projection (4D-MIP) to compensate for the disadvantages of average intensity projection (AIP), which is used to determine the internal target volume (ITV) in lung tumors. A respiratory motion phantom with a simulated tumor was imaged using 4D computed tomography (4D-CT). AIP and 4D-MIP were generated based on 10 phases of 4D-CT, followed by contouring of the ITVAIP and ITVMIP; these were compared with the ITV contoured in 10 phases of 4D-CT (ITV10). Additionally, the profile curves of the ITVAIP and ITVMIP were obtained, and the full width at half maximum (FWHM) was measured. There was no significant difference between the ITV10 and ITVMIP; however, the ITVAIP demonstrated a lower value. The FWHM values of the ITVAIP were smaller than those of ITVMIP owing to decreased CT values in the superior-inferior margin. 4D-MIP may contribute to improving the consistency of the ITV delineation.
期刊介绍:
Medical Dosimetry, the official journal of the American Association of Medical Dosimetrists, is the key source of information on new developments for the medical dosimetrist. Practical and comprehensive in coverage, the journal features original contributions and review articles by medical dosimetrists, oncologists, physicists, and radiation therapy technologists on clinical applications and techniques of external beam, interstitial, intracavitary and intraluminal irradiation in cancer management. Articles dealing primarily with physics will be reviewed by a specially appointed team of experts in the field.