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Quality evaluation of synthetic CT using a gamma analysis for prostate cancer MR-only radiotherapy

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F25%3A10502990" target="_blank" >RIV/00179906:_____/25:10502990 - isvavai.cz</a>

  • Alternative codes found

    RIV/61383082:_____/25:00001556

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ms6.2j1ZoG" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ms6.2j1ZoG</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.5603/rpor.105857" target="_blank" >10.5603/rpor.105857</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Quality evaluation of synthetic CT using a gamma analysis for prostate cancer MR-only radiotherapy

  • Original language description

    Background: This study evaluates the quality of synthetic computed tomography (sCT) images for MR-only radiotherapy in prostate cancer using gamma analysis. A software tool, MRGamma, was developed to address challenges like the absence of electron density maps and registration uncertainties between magnetic resonance imaging (MRI) and planning CT (pCT). Materials and methods: Aplication developed in MATLAB assesses Hounsfield units (HU) discrepancies between CT and sCT images via 2D and 3D gamma analysis (GA). GA computes a gamma index (gamma) for each voxel based on HU differences and distance to agreement (DTA). The study analyzed prostate cancer patients using the MRCAT algorithm to generate sCT images. Preprocessing included registration, resampling, and cropping to standardize image dimensions. GA was performed with thresholds of 100 HU and 70 HU for HU differences and 3 mm for DTA to evaluate image quality. Results: Aplication demonstrated high agreement between sCT and CT images. For 3D GA (100 HU, 3 mm), 95.5 +/- 1.8% of voxels passed the threshold, with slightly lower rates for 70 HU. Discrepancies were most pronounced at tissue interfaces and air cavities, where HU variations were more significant. Mean gamma values for 3D GA were 0.19 +/- 0.04 (milder parameters) and 0.23 +/- 0.05 (stricter parameters), showing consistent trends in 2D GA. Maximum gamma values confirmed good overall agreement. Conclusions: Aplication effectively evaluates sCT quality, supporting the feasibility of MR-only radiotherapy. By providing detailed HU comparisons, the tool enhances MR-based treatment planning, reducing costs and ionizing radiation exposure. Its implementation may improve workflow efficiency and patient safety in clinical practice.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30204 - Oncology

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Reports of Practical Oncology and Radiotherapy

  • ISSN

    1507-1367

  • e-ISSN

    2083-4640

  • Volume of the periodical

    30

  • Issue of the periodical within the volume

    2

  • Country of publishing house

    PL - POLAND

  • Number of pages

    8

  • Pages from-to

    298-305

  • UT code for WoS article

    001563416300001

  • EID of the result in the Scopus database

    2-s2.0-105021519015