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A Machine Learning method for relabeling arbitrary DICOM structure sets to TG-263 defined labels.

William C Sleeman Iv1, Joseph Nalluri2, Khajamoinuddin Syed3

  • 1Virginia Commonwealth University, Department of Radiation Oncology, Richmond, VA, United States of America; Virginia Commonwealth University, Department of Computer Science, Richmond, VA, United States of America; National Radiation Oncology Program, Department of Veteran Affairs, Richmond, VA, United States of America.

Journal of Biomedical Informatics
|August 11, 2020
PubMed
Summary
This summary is machine-generated.

This study developed a Machine Learning pipeline to automatically relabel anatomical structures in DICOM images using standard nomenclature. The approach achieved high accuracy, enabling better data abstraction for research and quality improvement in cancer treatment.

Keywords:
Class imbalanceDICOMMachine LearningRadiation OncologyRandom ForestTG-263

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Area of Science:

  • Medical Imaging
  • Machine Learning
  • Radiotherapy

Background:

  • Standardizing anatomical structure nomenclature in Digital Imaging and Communications in Medicine (DICOM) is crucial for research and quality improvement.
  • Current manual relabeling is time-consuming and prone to errors.

Purpose of the Study:

  • To develop and validate a Machine Learning pipeline for automated relabeling of anatomical structures in DICOM format.
  • To standardize nomenclature according to American Association of Physics in Medicine's Task Group 263 (AAPM TG-263) guidelines.
  • To facilitate data abstraction for improved research and quality assessment in oncology.

Main Methods:

  • Utilized DICOM structure sets from approximately 1200 lung and prostate cancer patients.
  • Developed predictive models using volumetric bitmaps, bony anatomy data, and feature vectors.
  • Employed singular value decomposition for feature reduction and five classifier algorithms on Apache Spark.
  • Implemented 5-fold cross-validation and undersampling techniques to address class imbalance.

Main Results:

  • Random Forest achieved high F1 scores: 98.77% for lung and 95.06% for prostate on curated data.
  • Accuracies were 95.67% for lung and 90.22% for prostate on non-curated clinical data.
  • Incorporating bony anatomy and pooling patient data improved accuracy.
  • k-Means undersampling enhanced accuracy and significantly reduced runtime.

Conclusions:

  • The proposed Machine Learning pipeline accurately relabels anatomical structures, achieving over 95% accuracy on curated data.
  • The approach demonstrates robustness on non-curated clinical data, with some structures labeled correctly over 90% of the time.
  • Validation on an external test set suggests the models' generalizability to other clinical datasets.