author_facet Zhu, M
Warmerdam, G
Steininger, P
Neuner, M
Sharp, G
Shih, H
Winey, B
Zhu, M
Warmerdam, G
Steininger, P
Neuner, M
Sharp, G
Shih, H
Winey, B
author Zhu, M
Warmerdam, G
Steininger, P
Neuner, M
Sharp, G
Shih, H
Winey, B
spellingShingle Zhu, M
Warmerdam, G
Steininger, P
Neuner, M
Sharp, G
Shih, H
Winey, B
Medical Physics
SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
General Medicine
author_sort zhu, m
spelling Zhu, M Warmerdam, G Steininger, P Neuner, M Sharp, G Shih, H Winey, B 0094-2405 2473-4209 Wiley General Medicine http://dx.doi.org/10.1118/1.4814234 <jats:p><jats:bold>Purpose:</jats:bold> To implement and validate the accuracy of an intensity‐based 2D to 3D rigid registration algorithm for proton treatment systems. <jats:bold>Methods:</jats:bold> A 2D‐3D rigid registration algorithm (REG23) was previously validated for linac machines. We adapted REG23 for use in both gantry‐based and Stereotactic Alignment in Radiosurgery (STAR) proton treatment systems. REG23 registration was run on NVIDIA Quadra600 GPU card using NCC metrics and AMOEBA optimizer and validated using dual orthogonal kV images acquired during cranial target treatments: 66 fractions to 7 patients in gantry system and 135 fractions to 9 patients in STAR. Rectangle ROIs covering the whole region superior to the base‐of‐skull were used for REG23 registration and the accuracy was evaluated using clinical utilized fiducial‐based 2D‐3D ray back‐projection rigid registration as the baseline. <jats:bold>Results:</jats:bold> For the gantry system, the differences between REG23 and baseline were ‐ 0.01±0.63 mm, 0.43±0.61 mm, 0.12±0.60 mm in the left‐right, superior‐inferior, and anterior‐posterior directions; 0.15±0.44°, 0.11±0.23°, and 0.19±0.37° in pitch, roll, and yaw, respectively. The vector difference was 1.04±0.48 mm. For STAR system, the REG23 results were − 0.34±0.45 mm, −0.10±0.36 mm, −0.38±0.75 mm, −0.14±0.54°, 0.04±0.18°, and 0.03±0.35° different than the baseline in the left‐right, superior‐inferior, and anterior‐posterior directions, pitch, roll, and yaw. The vector difference was 0.93±0.53 mm. The time for REG23 automatic registration was 29.7±9.5 seconds. <jats:bold>Conclusion:</jats:bold> We demonstrated that the intensity based 2D‐3D rigid registration algorithm REG23 provided sub‐millimeter accuracy and better than 0.5° for both gantry‐based and STAR proton treatment systems for cranial patients. This accuracy is within patient setup tolerance for current fractionated proton treatment systems. Given its accuracy and efficiency, we believe REG23 has great potential for clinical utilization in proton radiation therapy by replacing the implanted fiducial or anatomic feature based patient setup method.</jats:p><jats:p>The project was supported by the Federal Share of program income earned by Massachusetts General Hospital on C06 CA059267, Proton Therapy Research and Treatment Center.</jats:p> SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems Medical Physics
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title SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_unstemmed SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_full SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_fullStr SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_full_unstemmed SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_short SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_sort su‐e‐j‐22: implementation and validation of a 2d‐3d rigid registration algorithm for proton gantry and stereotactic radiosurgery systems
topic General Medicine
url http://dx.doi.org/10.1118/1.4814234
publishDate 2013
physical 154-154
description <jats:p><jats:bold>Purpose:</jats:bold> To implement and validate the accuracy of an intensity‐based 2D to 3D rigid registration algorithm for proton treatment systems. <jats:bold>Methods:</jats:bold> A 2D‐3D rigid registration algorithm (REG23) was previously validated for linac machines. We adapted REG23 for use in both gantry‐based and Stereotactic Alignment in Radiosurgery (STAR) proton treatment systems. REG23 registration was run on NVIDIA Quadra600 GPU card using NCC metrics and AMOEBA optimizer and validated using dual orthogonal kV images acquired during cranial target treatments: 66 fractions to 7 patients in gantry system and 135 fractions to 9 patients in STAR. Rectangle ROIs covering the whole region superior to the base‐of‐skull were used for REG23 registration and the accuracy was evaluated using clinical utilized fiducial‐based 2D‐3D ray back‐projection rigid registration as the baseline. <jats:bold>Results:</jats:bold> For the gantry system, the differences between REG23 and baseline were ‐ 0.01±0.63 mm, 0.43±0.61 mm, 0.12±0.60 mm in the left‐right, superior‐inferior, and anterior‐posterior directions; 0.15±0.44°, 0.11±0.23°, and 0.19±0.37° in pitch, roll, and yaw, respectively. The vector difference was 1.04±0.48 mm. For STAR system, the REG23 results were − 0.34±0.45 mm, −0.10±0.36 mm, −0.38±0.75 mm, −0.14±0.54°, 0.04±0.18°, and 0.03±0.35° different than the baseline in the left‐right, superior‐inferior, and anterior‐posterior directions, pitch, roll, and yaw. The vector difference was 0.93±0.53 mm. The time for REG23 automatic registration was 29.7±9.5 seconds. <jats:bold>Conclusion:</jats:bold> We demonstrated that the intensity based 2D‐3D rigid registration algorithm REG23 provided sub‐millimeter accuracy and better than 0.5° for both gantry‐based and STAR proton treatment systems for cranial patients. This accuracy is within patient setup tolerance for current fractionated proton treatment systems. Given its accuracy and efficiency, we believe REG23 has great potential for clinical utilization in proton radiation therapy by replacing the implanted fiducial or anatomic feature based patient setup method.</jats:p><jats:p>The project was supported by the Federal Share of program income earned by Massachusetts General Hospital on C06 CA059267, Proton Therapy Research and Treatment Center.</jats:p>
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author Zhu, M, Warmerdam, G, Steininger, P, Neuner, M, Sharp, G, Shih, H, Winey, B
author_facet Zhu, M, Warmerdam, G, Steininger, P, Neuner, M, Sharp, G, Shih, H, Winey, B, Zhu, M, Warmerdam, G, Steininger, P, Neuner, M, Sharp, G, Shih, H, Winey, B
author_sort zhu, m
container_issue 6Part6
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description <jats:p><jats:bold>Purpose:</jats:bold> To implement and validate the accuracy of an intensity‐based 2D to 3D rigid registration algorithm for proton treatment systems. <jats:bold>Methods:</jats:bold> A 2D‐3D rigid registration algorithm (REG23) was previously validated for linac machines. We adapted REG23 for use in both gantry‐based and Stereotactic Alignment in Radiosurgery (STAR) proton treatment systems. REG23 registration was run on NVIDIA Quadra600 GPU card using NCC metrics and AMOEBA optimizer and validated using dual orthogonal kV images acquired during cranial target treatments: 66 fractions to 7 patients in gantry system and 135 fractions to 9 patients in STAR. Rectangle ROIs covering the whole region superior to the base‐of‐skull were used for REG23 registration and the accuracy was evaluated using clinical utilized fiducial‐based 2D‐3D ray back‐projection rigid registration as the baseline. <jats:bold>Results:</jats:bold> For the gantry system, the differences between REG23 and baseline were ‐ 0.01±0.63 mm, 0.43±0.61 mm, 0.12±0.60 mm in the left‐right, superior‐inferior, and anterior‐posterior directions; 0.15±0.44°, 0.11±0.23°, and 0.19±0.37° in pitch, roll, and yaw, respectively. The vector difference was 1.04±0.48 mm. For STAR system, the REG23 results were − 0.34±0.45 mm, −0.10±0.36 mm, −0.38±0.75 mm, −0.14±0.54°, 0.04±0.18°, and 0.03±0.35° different than the baseline in the left‐right, superior‐inferior, and anterior‐posterior directions, pitch, roll, and yaw. The vector difference was 0.93±0.53 mm. The time for REG23 automatic registration was 29.7±9.5 seconds. <jats:bold>Conclusion:</jats:bold> We demonstrated that the intensity based 2D‐3D rigid registration algorithm REG23 provided sub‐millimeter accuracy and better than 0.5° for both gantry‐based and STAR proton treatment systems for cranial patients. This accuracy is within patient setup tolerance for current fractionated proton treatment systems. Given its accuracy and efficiency, we believe REG23 has great potential for clinical utilization in proton radiation therapy by replacing the implanted fiducial or anatomic feature based patient setup method.</jats:p><jats:p>The project was supported by the Federal Share of program income earned by Massachusetts General Hospital on C06 CA059267, Proton Therapy Research and Treatment Center.</jats:p>
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spelling Zhu, M Warmerdam, G Steininger, P Neuner, M Sharp, G Shih, H Winey, B 0094-2405 2473-4209 Wiley General Medicine http://dx.doi.org/10.1118/1.4814234 <jats:p><jats:bold>Purpose:</jats:bold> To implement and validate the accuracy of an intensity‐based 2D to 3D rigid registration algorithm for proton treatment systems. <jats:bold>Methods:</jats:bold> A 2D‐3D rigid registration algorithm (REG23) was previously validated for linac machines. We adapted REG23 for use in both gantry‐based and Stereotactic Alignment in Radiosurgery (STAR) proton treatment systems. REG23 registration was run on NVIDIA Quadra600 GPU card using NCC metrics and AMOEBA optimizer and validated using dual orthogonal kV images acquired during cranial target treatments: 66 fractions to 7 patients in gantry system and 135 fractions to 9 patients in STAR. Rectangle ROIs covering the whole region superior to the base‐of‐skull were used for REG23 registration and the accuracy was evaluated using clinical utilized fiducial‐based 2D‐3D ray back‐projection rigid registration as the baseline. <jats:bold>Results:</jats:bold> For the gantry system, the differences between REG23 and baseline were ‐ 0.01±0.63 mm, 0.43±0.61 mm, 0.12±0.60 mm in the left‐right, superior‐inferior, and anterior‐posterior directions; 0.15±0.44°, 0.11±0.23°, and 0.19±0.37° in pitch, roll, and yaw, respectively. The vector difference was 1.04±0.48 mm. For STAR system, the REG23 results were − 0.34±0.45 mm, −0.10±0.36 mm, −0.38±0.75 mm, −0.14±0.54°, 0.04±0.18°, and 0.03±0.35° different than the baseline in the left‐right, superior‐inferior, and anterior‐posterior directions, pitch, roll, and yaw. The vector difference was 0.93±0.53 mm. The time for REG23 automatic registration was 29.7±9.5 seconds. <jats:bold>Conclusion:</jats:bold> We demonstrated that the intensity based 2D‐3D rigid registration algorithm REG23 provided sub‐millimeter accuracy and better than 0.5° for both gantry‐based and STAR proton treatment systems for cranial patients. This accuracy is within patient setup tolerance for current fractionated proton treatment systems. Given its accuracy and efficiency, we believe REG23 has great potential for clinical utilization in proton radiation therapy by replacing the implanted fiducial or anatomic feature based patient setup method.</jats:p><jats:p>The project was supported by the Federal Share of program income earned by Massachusetts General Hospital on C06 CA059267, Proton Therapy Research and Treatment Center.</jats:p> SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems Medical Physics
spellingShingle Zhu, M, Warmerdam, G, Steininger, P, Neuner, M, Sharp, G, Shih, H, Winey, B, Medical Physics, SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems, General Medicine
title SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_full SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_fullStr SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_full_unstemmed SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_short SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
title_sort su‐e‐j‐22: implementation and validation of a 2d‐3d rigid registration algorithm for proton gantry and stereotactic radiosurgery systems
title_unstemmed SU‐E‐J‐22: Implementation and Validation of a 2D‐3D Rigid Registration Algorithm for Proton Gantry and Stereotactic Radiosurgery Systems
topic General Medicine
url http://dx.doi.org/10.1118/1.4814234