Title
Multi-atlas-based Segmentation of the Parotid Glands of MR Images in Patients Following Head-and-neck Cancer Radiotherapy.
Abstract
Xerostomia (dry mouth), resulting from radiation damage to the parotid glands, is one of the most common and distressing side effects of head-and-neck cancer radiotherapy. Recent MRI studies have demonstrated that the volume reduction of parotid glands is an important indicator for radiation damage and xerostomia. In the clinic, parotid-volume evaluation is exclusively based on physicians' manual contours. However, manual contouring is time-consuming and prone to inter-observer and intra-observer variability. Here, we report a fully automated multi-atlas-based registration method for parotid-gland delineation in 3D head-and-neck MR images. The multi-atlas segmentation utilizes a hybrid deformable image registration to map the target subject to multiple patients' images, applies the transformation to the corresponding segmented parotid glands, and subsequently uses the multiple patient-specific pairs (head-and-neck MR image and transformed parotid-gland mask) to train support vector machine (SVM) to reach consensus to segment the parotid gland of the target subject. This segmentation algorithm was tested with head-and-neck MRIs of 5 patients following radiotherapy for the nasopharyngeal cancer. The average parotid-gland volume overlapped 85% between the automatic segmentations and the physicians' manual contours. In conclusion, we have demonstrated the feasibility of an automatic multi-atlas based segmentation algorithm to segment parotid glands in head-and-neck MR images.
Year
DOI
Venue
2013
10.1117/12.2007783
Proceedings of SPIE
Keywords
Field
DocType
Image registration,support vector machine,segmentation,MRI,parotid gland,head-and-neck cancer,radiation toxicity,xerostomia
Computer vision,Segmentation,Radiation therapy,Atlas (anatomy),Artificial intelligence,Radiology,Contouring,Head and neck cancer,Parotid gland,Image registration,Magnetic resonance imaging,Physics
Conference
Volume
Issue
ISSN
8670
null
0277-786X
Citations 
PageRank 
References 
1
0.36
0
Authors
7
Name
Order
Citations
PageRank
Guanghui Cheng121.40
Xiaofeng Yang2121.98
Ning Wu310.36
Zhijian Xu410.70
Hongfu Zhao510.36
Yuefeng Wang610.36
Tian Liu710.36