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Imaging Studies III: Computed Tomography01:27

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DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
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Multi-omic feature reliability of deformable image registration-based images.

Owen Paetkau1, Ekaterina Tchistiakova1, Charles Kirkby1

  • 1Department of Physics and Astronomy University of Calgary, 2500, University Dr NW, Calgary, AB, T2N 1N4, Canada.

Biomedical Physics & Engineering Express
|May 12, 2025
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Summary

Radiomic features showed lower reliability than dosiomic features when extracted from synthetic CT images using different deformable image registration workflows. This highlights the need for caution when developing predictive models based on these features.

Keywords:
deformable image registrationdosiomicshead and neckradiomicsradiotherapyreliability

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Area of Science:

  • Medical Physics
  • Radiotherapy Oncology
  • Image Analysis

Background:

  • Synthetic CT (sCT) images are crucial for adaptive radiotherapy, enabling contour propagation and dose recalculation.
  • Deformable image registration (DIR) workflows are essential for generating accurate sCTs from planning CTs.
  • Evaluating the reliability of radiomic and dosiomic features derived from sCTs is vital for clinical implementation.

Purpose of the Study:

  • To assess the reliability of radiomic and dosiomic features extracted from sCTs generated by two commercial DIR workflows.
  • To compare the performance of MIM and Velocity DIR systems in generating reliable multi-omic features.
  • To guide the selection of appropriate features for predictive modeling in head and neck radiotherapy.

Main Methods:

  • Extracted multi-omic features from organs at risk (OARs) in 58 head and neck cancer patients.
  • Propagated contours from planning CT to sCTs using MIM and Velocity DIR workflows.
  • Evaluated feature reliability using intraclass correlation coefficient (ICC), with >0.75 considered moderately reliable.

Main Results:

  • MIM and Velocity DIR workflows produced statistically similar OAR volumes and mean doses on sCTs.
  • Gamma analysis confirmed plan quality with 83% of plans achieving >95% passing rate at 3%/3 mm.
  • Dosiomic features (59% moderate reliability) were more reliable than radiomic features (21% moderate reliability) across workflows.

Conclusions:

  • Radiomic features demonstrate lower reliability compared to dosiomic features across different sCT DIR workflows.
  • The spinal cord exhibited the highest reliability for both radiomic (46%) and dosiomic (85%) features.
  • Caution is advised when implementing predictive models using features from varying sCT DIR workflows due to reliability differences.