Results for “IMAGE” — Page 8

DOE OSTI2015

SU-E-J-10: Imaging Dose and Cancer Risk in Image-Guided Radiotherapy of Cancers

Purpose: To systematically evaluate imaging doses and cancer risks to organs-at-risk as a Result of cumulative doses from various radiological imaging procedures in image-guided radiotherapy (IGRT) in a large cohort of cancer patients. Methods: With IRB approval, imaging procedures (computed tomography, kilo-voltage portal imaging, megavoltage portal imaging and kilo-voltage cone-beam computed tomography) of 4832 cancer patients treated during 4.5 years were collected with their gender, age and circumference. Correlations between patient’s circumference and Monte Carlo simulated-organ dose were applied to estimate organ doses while the cancer risks were reported as 1+ERR using BEIR VII models. Results: 80 cGy or more doses were deposited to brain, lungs and RBM in 273 patients (maximum 136, 278 and 267 cGy, respectively), due largely to repetitive imaging procedures and non-personalized imaging settings. Regardless of gender, relative cancer risk estimates for brain, lungs, and RBM were 3.4 (n = 55), 2.6 (n = 49), 1.8 (n = 25) for age group of 0–19; 1.2 (n = 87), 1.4 (n = 98), 1.3 (n = 51) for age group of 20–39; 1.0 (n = 457), 1.1 (n = 880), 1.8 (n=360) for age group of 40–59; 1.0 (n = 646), 1.1 (n = 1400), 2.3 (n = 716) for age group of 60–79 and 1.0 (n = 108),1.1 (n = 305),1.6 (n = 147) for age group of 80–99. Conclusion: The cumulative imaging doses and associated cancer risks from multi-imaging procedures were patient-specific and site-dependent, with up to 2.7 Gy imaging dose deposited to critical structures in some pediatric patients. The associated cancer risks in brain and lungs for children of age 0 to 19 were 2–3 times larger than those for adults. This study indicated a pressing need for personalized imaging protocol to maximize its clinical benefits while reducing associated cancer risks. Sichuan University Scholarship.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

MO-DE-202-00: Image-Guided Interventions: Advances in Intraoperative Imaging, Guidance, and An Emerging Role for Medical Physics in Surgery

At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques. The four speakers are: Keyvan Farahani, “Image-guided focused ultrasound surgery and therapy” Jeffrey H. Siewerdsen, “Advances in image registration and reconstruction for image-guided neurosurgery” Tina Kapur, “Image-guided surgery and interventions in the advanced multimodality image-guided operating (AMIGO) suite” Raj Shekhar, “Multimodality image-guided interventions: Multimodality for the rest of us” Learning Objectives: Understand the principles and applications of HIFU in surgical ablation. Learn about recent advances in 3D–2D and 3D deformable image registration in support of surgical safety and precision. Learn about recent advances in model-based 3D image reconstruction in application to intraoperative 3D imaging. Understand the multi-modality imaging technologies and clinical applications investigated in the AMIGO suite. Understand the emerging need and techniques to implement multi-modality image guidance in surgical applications such as neurosurgery, orthopaedic surgery, vascular surgery, and interventional radiology. Research supported by the NIH and Siemens Healthcare.; J. Siewerdsen; Grant Support - National Institutes of Health; Grant Support - Siemens Healthcare; Grant Support - Carestream Health; Advisory Board - Carestream Health; Licensing Agreement - Carestream Health; Licensing Agreement - Elekta Oncology.; T. Kapur, P41EB015898; R. Shekhar, Funding: R42CA137886 and R41CA192504 Disclosure and CoI: IGI Technologies, small-business partner on the grants.

61 RADIATION PROTECTION AND DOSIMETRY↗

DOE OSTI2016

MO-DE-202-02: Advances in Image Registration and Reconstruction for Image-Guided Neurosurgery

At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques. The four speakers are: Keyvan Farahani, “Image-guided focused ultrasound surgery and therapy” Jeffrey H. Siewerdsen, “Advances in image registration and reconstruction for image-guided neurosurgery” Tina Kapur, “Image-guided surgery and interventions in the advanced multimodality image-guided operating (AMIGO) suite” Raj Shekhar, “Multimodality image-guided interventions: Multimodality for the rest of us” Learning Objectives: Understand the principles and applications of HIFU in surgical ablation. Learn about recent advances in 3D–2D and 3D deformable image registration in support of surgical safety and precision. Learn about recent advances in model-based 3D image reconstruction in application to intraoperative 3D imaging. Understand the multi-modality imaging technologies and clinical applications investigated in the AMIGO suite. Understand the emerging need and techniques to implement multi-modality image guidance in surgical applications such as neurosurgery, orthopaedic surgery, vascular surgery, and interventional radiology. Research supported by the NIH and Siemens Healthcare.; J. Siewerdsen; Grant Support - National Institutes of Health; Grant Support - Siemens Healthcare; Grant Support - Carestream Health; Advisory Board - Carestream Health; Licensing Agreement - Carestream Health; Licensing Agreement - Elekta Oncology.; T. Kapur, P41EB015898; R. Shekhar, Funding: R42CA137886 and R41CA192504 Disclosure and CoI: IGI Technologies, small-business partner on the grants.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

MO-DE-202-03: Image-Guided Surgery and Interventions in the Advanced Multimodality Image-Guided Operating (AMIGO) Suite

At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques. The four speakers are: Keyvan Farahani, “Image-guided focused ultrasound surgery and therapy” Jeffrey H. Siewerdsen, “Advances in image registration and reconstruction for image-guided neurosurgery” Tina Kapur, “Image-guided surgery and interventions in the advanced multimodality image-guided operating (AMIGO) suite” Raj Shekhar, “Multimodality image-guided interventions: Multimodality for the rest of us” Learning Objectives: Understand the principles and applications of HIFU in surgical ablation. Learn about recent advances in 3D–2D and 3D deformable image registration in support of surgical safety and precision. Learn about recent advances in model-based 3D image reconstruction in application to intraoperative 3D imaging. Understand the multi-modality imaging technologies and clinical applications investigated in the AMIGO suite. Understand the emerging need and techniques to implement multi-modality image guidance in surgical applications such as neurosurgery, orthopaedic surgery, vascular surgery, and interventional radiology. Research supported by the NIH and Siemens Healthcare.; J. Siewerdsen; Grant Support - National Institutes of Health; Grant Support - Siemens Healthcare; Grant Support - Carestream Health; Advisory Board - Carestream Health; Licensing Agreement - Carestream Health; Licensing Agreement - Elekta Oncology.; T. Kapur, P41EB015898; R. Shekhar, Funding: R42CA137886 and R41CA192504 Disclosure and CoI: IGI Technologies, small-business partner on the grants.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

Sci-Thur AM: YIS – 07: Optimizing dual-energy x-ray parameters using a single filter for both high and low-energy images to enhance soft-tissue imaging

Objective: To optimize dual-energy parameters of ExacTrac stereoscopic x-ray imaging system for lung SBRT patients Methods: Simulated spectra and a lung phantom were used to optimize filter material, thickness, kVps, and weighting factors to obtain bone subtracted dual-energy images. Spektr simulations were used to identify material in the atomic number (Z) range [3–83] based on a metric defined to separate spectrums of high and low energies. Both energies used the same filter due to time constraints of image acquisition in lung SBRT imaging. A lung phantom containing bone, soft tissue, and a tumor mimicking material was imaged with filter thicknesses range [0–1] mm and kVp range [60–140]. A cost function based on contrast-to-noise-ratio of bone, soft tissue, and tumor, as well as image noise content, was defined to optimize filter thickness and kVp. Using the optimized parameters, dual-energy images of anthropomorphic Rando phantom were acquired and evaluated for bone subtraction. Imaging dose was measured with dual-energy technique using tin filtering. Results: Tin was the material of choice providing the best energy separation, non-toxicity, and non-reactiveness. The best soft-tissue-only image in the lung phantom was obtained using 0.3 mm tin and [140, 80] kVp pair. Dual-energy images of the Rando phantom had noticeable bone elimination when compared to no filtration. Dose was lower with tin filtering compared to no filtration. Conclusions: Dual-energy soft-tissue imaging is feasible using ExacTrac stereoscopic imaging system utilizing a single tin filter for both high and low energies and optimized acquisition parameters.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

Fission gas bubble identification using MATLAB's image processing toolbox

Automated image processing routines have the potential to aid in the fuel performance evaluation process by eliminating bias in human judgment that may vary from person-to-person or sample-to-sample. This study presents several MATLAB based image analysis routines designed for fission gas void identification in post-irradiation examination of uranium molybdenum (U–Mo) monolithic-type plate fuels. Frequency domain filtration, enlisted as a pre-processing technique, can eliminate artifacts from the image without compromising the critical features of interest. This process is coupled with a bilateral filter, an edge-preserving noise removal technique aimed at preparing the image for optimal segmentation. Adaptive thresholding proved to be the most consistent gray-level feature segmentation technique for U–Mo fuel microstructures. The Sauvola adaptive threshold technique segments the image based on histogram weighting factors in stable contrast regions and local statistics in variable contrast regions. Once all processing is complete, the algorithm outputs the total fission gas void count, the mean void size, and the average porosity. The final results demonstrate an ability to extract fission gas void morphological data faster, more consistently, and at least as accurately as manual segmentation methods. - Highlights: •Automated image processing can aid in the fuel qualification process. •Routines are developed to characterize fission gas bubbles in irradiated U–Mo fuel. •Frequency domain filtration effectively eliminates FIB curtaining artifacts. •Adaptive thresholding proved to be the most accurate segmentation method. •The techniques established are ready to be applied to large scale data extraction testing.

36 MATERIALS SCIENCE↗

DOE OSTI2017

Spatial-Spectral Representation for X-Ray Fluorescence Image Super-Resolution

X-ray fluorescence (XRF) scanning of works of art is becoming an increasing popular nondestructive analyticalmethod. The high quality XRF spectra is necessary to obtain significant information on both major and minor elements used for characterization and provenance analysis. However, there is a tradeoff between the spatial resolution of an XRF scan and the signalto- noise ratio (SNR) of each pixel’s spectrum, due to the limited scanning time. In this project, we propose an XRF image super-resolution method to address this tradeoff; thus, obtaining a high spatial resolution XRF scan with high SNR. We fuse a lowresolution XRF image and a conventional RGB high-resolution image into a product of both high spatial and high spectral resolution XRF image. There is no guarantee of a one to one mapping between XRF spectrum and RGB color since, for instance, paintings with hidden layers cannot be detected in visible but can in X-ray wavelengths. We separate the XRF image into the visible and nonvisible components. The spatial resolution of the visible component is increased utilizing the high-resolution RGB image, whereas the spatial resolution of the non-visible component is increased using a total variation super-resolution method. Finally, the visible and nonvisible components are combined to obtain the final result.

Dai, Qiqin↗

DOE OSTI2021

Optical Imaging on Z LDRD: Design and Development of Self-Emission and Debris Imagers

We present an overview of the design and development of optical self-emission and debris imaging diagnostics for the Z Machine at Sandia National Laboratories. These diagnostics were designed and implemented to address several gaps in our understanding of visibly emitting phenomenon on Z and the post-shot debris environment. Optical emission arises from plasmas that form on the transmission line that delivers energy to Z loads and on the Z targets themselves; however, the dynamics of these plasmas are difficult to assess without imaging data. Addressing this, we developed a new optical imager called SEGOI (Self-Emission Gated Optical Imager) that leverages the eight gated optical imagers and two streak cameras of the Z Line VISAR system. SEGOI is a low cost, side-on imager with a 1 cm field of view and 30-50 µm spatial resolution, sensitive to green light (540-600 nm). This report outlines the design considerations and development of this diagnostic and presents an overview of the first diagnostic data acquired from four experimental campaigns. SEGOI was fielded on power flow experiments to image plasmas forming on and between transmission lines, on an inertial confinement fusion experiment called the Dynamic Screw Pinch to image low density plasmas forming on return current posts, on an experiment designed to measure the magneto Rayleigh-Taylor instability to image the instability bubble trajectory and self-emission structures, and finally on a Magnetized Liner Inertial Fusion (MagLIF) experiment to image the emission from the target. The second diagnostic developed, called DINGOZ (Debris ImagiNG on Z), was designed to improve our understanding of the post-shot debris environment. DINGOZ is an airtight enclosure that houses electronics and batteries to operate a high-speed (10-400 kfps) camera in the Z Machine center section. We report on the design considerations of this new diagnostic and present the first high-speed imaging data of the post-shot debris environment on Z.

42 ENGINEERING↗

NASA NTRS2019

Image Labeler: Label Earth Science Images for Machine Learning

The application of machine learning for image-based classification of earth science phenomena, such as hurricanes, is relatively new. While extremely useful, the techniques used for image-based phenomena classification require storing and managing an abundant supply of labeled images in order to produce meaningful results. Existing methods for dataset management and labeling include maintaining categorized folders on a local machine, a process that can be cumbersome and not scalable. Image Labeler is a fast and scalable web-based tool that facilitates the rapid development of image-based earth science phenomena datasets, in order to aid deep learning application and automated image classification/detection. Image Labeler is built with modern web technologies to maximize the scalability and availability of the platform. It has a user-friendly interface that allows tagging multiple images relatively quickly. Essentially, Image Labeler improves upon existing techniques by providing researchers with a shareable source of tagged earth science images for all their machine learning needs. Here, we demonstrate Image Labeler’s current image extraction and labeling capabilities including supported data sources, spatiotemporal subsetting capabilities, individual project management and team collaboration for large scale projects.

Acharya, Ashish↗

DOE OSTI2019

From optical to X-ray ghost imaging

Recent advances in ghost imaging techniques and X-ray sources such as synchrotrons and, more recently, X-ray free-electron lasers (XFEL) have made X-ray ghost imaging a growing topic of interest. One specific type of ghost imaging utilizes thermal radiation and the measurement of intensity fluctuation correlation to form a true image without the need of a lens. This technique allows for much higher resolution than traditional X-ray imaging for a mesoscopic or even a microscopic object. In addition to this benefit of not requiring a lens, a surprising experiment has shown that, when set up correctly, this type of ghost imaging can provide clear images through the measurement of intensity fluctuation correlation when traditional images through measurements of intensity are blurred due to optical turbulence and vibrations. This turbulence-free technique will help maintain the high resolution of X-ray ghost imaging. How is an image formed from fluctuations in light? And what makes it turbulence-free? Using the concept of two-photon interference, this article provides an introduction to these fundamentally interesting concepts and X-ray ghost imaging.

ghost imaging↗

DOE OSTI2014

SU-D-17A-04: The Impact of Audiovisual Biofeedback On Image Quality During 4D Functional and Anatomic Imaging: Results of a Prospective Clinical Trial

Purpose: The ability of audiovisual (AV) biofeedback to improve breathing regularity has not previously been investigated for functional imaging studies. The purpose of this study was to investigate the impact of AV biofeedback on 4D-PET and 4D-CT image quality in a prospective clinical trial. We hypothesized that motion blurring in 4D-PET images and the number of artifacts in 4D-CT images are reduced using AV biofeedback. Methods: AV biofeedback is a real-time, interactive and personalized system designed to help a patient self-regulate his/her breathing using a patient-specific representative waveform and musical guides. In an IRB-approved prospective clinical trial, 4D-PET and 4D-CT images of 10 lung cancer patients were acquired with AV biofeedback (AV) and free breathing (FB). The 4D-PET images in 6 respiratory bins were analyzed for motion blurring by: (1) decrease of GTVPET and (2) increase of SUVmax in 4-DPET compared to 3D-PET. The 4D-CT images were analyzed for artifacts by: (1) comparing normalized cross correlation-based scores (NCCS); and (2) quantifying a visual assessment score (VAS). A two-tailed paired t-test was used to test the hypotheses. Results: The impact of AV biofeedback on 4D-PET and 4D-CT images varied widely between patients, suggesting inconsistent patient comprehension and capability. Overall, the 4D-PET decrease of GTVPET was 2.0±3.0cm3 with AV and 2.3±3.9cm{sup 3} for FB (p=0.61). The 4D-PET increase of SUVmax was 1.6±1.0 with AV and 1.1±0.8 with FB (p=0.002). The 4D-CT NCCS were 0.65±0.27 with AV and 0.60±0.32 for FB (p=0.32). The 4D-CT VAS was 0.0±2.7 (p=ns). Conclusion: A 10-patient study demonstrated a statistically significant reduction of motion blurring of AV over FB for 1/2 functional 4D-PET imaging metrics. No difference between AV and FB was found for 2 anatomic 4D-CT imaging metrics. Future studies will focus on optimizing the human-computer interface and including patient training sessions for improved comprehension and capability. Supported by NIH/NCI R01 CA 093626, Stanford BioX Interdisciplinary Initiatives Program, NHMRC Australia Fellowship, and Kwanjeong Educational Foundation. GE Healthcare provided the Respiratory Gating Toolbox for 4D-PET image reconstruction. Stanford University owns US patent #E7955270 which is unlicensed to any commercial entity.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2014

SU-E-J-256: Dual Energy Planar Image Based Localization in the Absence of On-Board CT Images

Purpose: To develop a tool enabling soft tissue based image guidance using dual energy radiographs for cases when on-board CT is not available. Method: Dual energy planar radiographs can be applied to image guidance for targeting lung lesions because the bone based alignment only may not be sufficient as the lesions move. We acquired images of an anthropomorphic thorax phantom at 120 and 60 KVp respectively. Using a weighted logarithmic subtraction of these dual energy images, a soft tissue enhanced and a bone enhanced image were generated and they could be used for the image guidance purpose. Similar processing was also applied to a dual energy image set acquired for a patient undergoing a proton therapy. Results: The soft tissue enhanced images suppressed bones (ribs and scapula) overlying on lung, thus enabling a better visualization of soft tissue and lesion, while the bone enhanced image suppressed the soft tissue. These enhanced effects were visually apparent without further processing for display enhancements, such as using histogram or edge enhancement technique. Conclusions: The phantom image processing was encouraging. The initial test on the patient image set showed that other post processing might still be able to add value in visualizing soft tissues in addition to the dual energy soft tissue enhancement. More evaluations are needed to determine the potential benefit of this technique in the clinic.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

Geometry planning and image registration in magnetic particle imaging using bimodal fiducial markers

Purpose: Magnetic particle imaging (MPI) is a quantitative imaging modality that allows the distribution of superparamagnetic nanoparticles to be visualized. Compared to other imaging techniques like x-ray radiography, computed tomography (CT), and magnetic resonance imaging (MRI), MPI only provides a signal from the administered tracer, but no additional morphological information, which complicates geometry planning and the interpretation of MP images. The purpose of the authors’ study was to develop bimodal fiducial markers that can be visualized by MPI and MRI in order to create MP–MR fusion images. Methods: A certain arrangement of three bimodal fiducial markers was developed and used in a combined MRI/MPI phantom and also during in vivo experiments in order to investigate its suitability for geometry planning and image fusion. An algorithm for automated marker extraction in both MR and MP images and rigid registration was established. Results: The developed bimodal fiducial markers can be visualized by MRI and MPI and allow for geometry planning as well as automated registration and fusion of MR–MP images. Conclusions: To date, exact positioning of the object to be imaged within the field of view (FOV) and the assignment of reconstructed MPI signals to corresponding morphological regions has been difficult. The developed bimodal fiducial markers and the automated image registration algorithm help to overcome these difficulties.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

SU-F-J-76: Evaluation of the Performance of Different Deformable Image Registration Algorithms in Helical, Axial and Cone-Beam CT Images of a Mobile Phantom

Purpose: To investigate quantitatively the performance of different deformable-image-registration algorithms (DIR) with helical (HCT), axial (ACT) and cone-beam CT (CBCT) by evaluating the variations in the CT-numbers and lengths of targets moving with controlled motion-patterns. Methods: Four DIR-algorithms including demons, fast-demons, Horn-Schunk and Locas-Kanade from the DIRART-software are used to register CT-images of a mobile-phantom. A mobile-phantom is scanned with different imaging techniques that include helical, axial and cone-beam CT. The phantom includes three targets with different lengths that are made from water-equivalent material and inserted in low-density-foam which is moved with adjustable motion-amplitudes and frequencies. Results: Most of the DIR-algorithms are able to produce the lengths of the stationary-targets, however, they do not produce the CT-number values in CBCT. The image-artifacts induced by motion are more regular in CBCT imaging where the mobile-target elongation increases linearly with motion-amplitude. In ACT and HCT, the motion-artifacts are irregular where some mobile -targets are elongated or shrunk depending on the motion-phase during imaging. The DIR-algorithms are successful in deforming the images of the mobile-targets to the images of the stationary-targets producing the CT-number values and length of the target for motion-amplitudes < 20 mm. Similarly in ACT, all DIR-algorithms produced the actual CT-number and length of the stationary-targets for motion-amplitudes < 15 mm. As stronger motion-artifacts are induced in HCT and ACT, DIR-algorithms fail to produce CT-values and shape of the stationary-targets and fast-demons-algorithm has worst performance. Conclusion: Most of DIR-algorithms produce the CT-number values and lengths of the stationary-targets in HCT and ACT images that has motion-artifacts induced by small motion-amplitudes. As motion-amplitudes increase, the DIR-algorithms fail to deform mobile-target images to the stationary-images in HCT and ACT. In CBCT, DIR-algorithms are successful in producing length and shape of the stationary-targets, however, they fail to produce the accurate CT-number level.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2018

Characteristics of a New X-Ray Imaging System for Interventional Procedures: Improved Image Quality and Reduced Radiation Dose

PurposeTo compare image quality and radiation exposure between a new angiographic imaging system and the preceding generation system during uterine artery embolization (UAE).Materials and MethodsIn this retrospective, IRB-approved two-arm study, 54 patients with symptomatic uterine fibroids were treated with UAE on two different angiographic imaging systems. The new system includes optimized acquisition parameters and real-time image processing algorithms. Air kerma (AK), dose area product (DAP) and acquisition time for digital fluoroscopy (DF) and digital subtraction angiography (DSA) were recorded. Body mass index was noted as well. DF image quality was assessed objectively by image noise measurements. DSA image quality was rated by two blinded, independent readers on a four-rank scale. Statistical differences were assessed with unpaired t tests and Wilcoxon rank-sum tests.ResultsThere was no significant difference between the patients treated on the new (n = 36) and the old system (n = 18) regarding age (p = 0.10), BMI (p = 0.18), DF time (p = 0.35) and DSA time (p = 0.17). The new system significantly reduced the cumulative AK and DAP by 64 and 72%, respectively (median 0.58 Gy and 145.9 Gy*cm{sup 2} vs. 1.62 Gy and 526.8 Gy*cm{sup 2}, p < 0.01 for both). Specifically, DAP for DF and DSA decreased by 59% (75.3 vs. 181.9 Gy*cm{sup 2}, p < 0.01) and 78% (67.6 vs. 312.2 Gy*cm{sup 2}, p < 0.01), respectively. The new system achieved a significant decrease in DF image noise (p < 0.01) and a significantly better DSA image quality (p < 0.01).ConclusionsThe new angiographic imaging system significantly improved image quality and reduced radiation exposure during UAE procedures.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

DOE OSTI2015

Chitah: Strong-gravitational-lens hunter in imaging surveys

Strong gravitationally lensed quasars provide powerful means to study galaxy evolution and cosmology. Current and upcoming imaging surveys will contain thousands of new lensed quasars, augmenting the existing sample by at least two orders of magnitude. To find such lens systems, we built a robot, Chitah, that hunts for lensed quasars by modeling the configuration of the multiple quasar images.

79 ASTRONOMY AND ASTROPHYSICS↗

DOE OSTI2014

TU-B-19A-01: Image Registration II: TG132-Quality Assurance for Image Registration

AAPM Task Group 132 was charged with a review of the current approaches and solutions for image registration in radiotherapy and to provide recommendations for quality assurance and quality control of these clinical processes. As the results of image registration are always used as the input of another process for planning or delivery, it is important for the user to understand and document the uncertainty associate with the algorithm in general and the Result of a specific registration. The recommendations of this task group, which at the time of abstract submission are currently being reviewed by the AAPM, include the following components. The user should understand the basic image registration techniques and methods of visualizing image fusion. The disclosure of basic components of the image registration by commercial vendors is critical in this respect. The physicists should perform end-to-end tests of imaging, registration, and planning/treatment systems if image registration is performed on a stand-alone system. A comprehensive commissioning process should be performed and documented by the physicist prior to clinical use of the system. As documentation is important to the safe implementation of this process, a request and report system should be integrated into the clinical workflow. Finally, a patient specific QA practice should be established for efficient evaluation of image registration results. The implementation of these recommendations will be described and illustrated during this educational session. Learning Objectives: Highlight the importance of understanding the image registration techniques used in their clinic. Describe the end-to-end tests needed for stand-alone registration systems. Illustrate a comprehensive commissioning program using both phantom data and clinical images. Describe a request and report system to ensure communication and documentation. Demonstrate an clinically-efficient patient QA practice for efficient evaluation of image registration.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

SU-F-J-209: Quantification of Image-Guidance Benefit in Image-Guided Radiotherapy of Cancers

Purpose: Image-guidance has been widely used in radiation oncology for accurate radiotherapy. The goal of this study is to quantify the benefit of image-guidance in image-guided radiotherapy (IGRT) of cancers. Methods: In this study, a new index termed image-guidance benefit (IGB), was proposed to quantify the benefit of image-guidance in cancer radiotherapy. It is calculated as a ratio of the square sum of dose differences between planning dose matrix and actual delivery dose matrix post image-guidance to the square sum of dose summation between the two matrixes, summing over all dose scoring voxels. Ranging from 0 to 1, larger IGB values indicate larger benefit out of image-guidance. With IRB approval, the DICOM RT files and 3D couch shifts applied during IGRT of 2219 patients were collected, based on which patient-specific IGB values were calculated with an in-house MATLAB code. Results: In this study, the mean IGB value was found to be 0.0398 (0.000583–0.999) with a positive correlation between IGB value and 3D couch shift vector at 0.0435 per cm (P<0.0001). With 2 mm shift as a threshold above which an image-guidance is deemed clinically necessary, the corresponding mean IGB value was 0.00457, much less than 0.0398 (P<0.001). However, the IGB values of 56 cases based on couch shifts were less than those based on 2 mm shift. Conclusion: The IGB values were patient-specific and site-dependent. Using 2 mm shifts as criterion for applying image-guidance, the applied image-guidance procedures were found clinically necessary and highly beneficial in 97.5% of cancer patients. However, image-guidance procedures were found over-used in about 2.5% of cancer patients in our current practices of IGRT, which should be avoided as they added no benefit in improving delivery accuracy while increasing cancer risk.

60 APPLIED LIFE SCIENCES↗