Error detection using a multi-channel hybrid network with a low-resolution detector in patient-specific quality assurance

© 2024 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, LLC on behalf of The American Association of Physicists in Medicine..

PURPOSE: This study aimed to develop a hybrid multi-channel network to detect multileaf collimator (MLC) positional errors using dose difference (DD) maps and gamma maps generated from low-resolution detectors in patient-specific quality assurance (QA) for Intensity Modulated Radiation Therapy (IMRT).

METHODS: A total of 68 plans with 358 beams of IMRT were included in this study. The MLC leaf positions of all control points in the original IMRT plans were modified to simulate four types of errors: shift error, opening error, closing error, and random error. These modified plans were imported into the treatment planning system (TPS) to calculate the predicted dose, while the PTW seven29 phantom was utilized to obtain the measured dose distributions. Based on the measured and predicted dose, DD maps and gamma maps, both with and without errors, were generated, resulting in a dataset with 3222 samples. The network's performance was evaluated using various metrics, including accuracy, sensitivity, specificity, precision, F1-score, ROC curves, and normalized confusion matrix. Besides, other baseline methods, such as single-channel hybrid network, ResNet-18, and Swin-Transformer, were also evaluated as a comparison.

RESULTS: The experimental results showed that the multi-channel hybrid network outperformed other methods, demonstrating higher average precision, accuracy, sensitivity, specificity, and F1-scores, with values of 0.87, 0.89, 0.85, 0.97, and 0.85, respectively. The multi-channel hybrid network also achieved higher AUC values in the random errors (0.964) and the error-free (0.946) categories. Although the average accuracy of the multi-channel hybrid network was only marginally better than that of ResNet-18 and Swin Transformer, it significantly outperformed them regarding precision in the error-free category.

CONCLUSION: The proposed multi-channel hybrid network exhibits a high level of accuracy in identifying MLC errors using low-resolution detectors. The method offers an effective and reliable solution for promoting quality and safety of IMRT QA.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of applied clinical medical physics - (2024) vom: 15. März, Seite e14327

Sprache:

Englisch

Beteiligte Personen:

Yan, Bing [VerfasserIn]
Shi, Jun [VerfasserIn]
Xue, Xudong [VerfasserIn]
Peng, Hu [VerfasserIn]
Wu, Aidong [VerfasserIn]
Wang, Xiao [VerfasserIn]
Ma, Chi [VerfasserIn]

Links:

Volltext

Themen:

Deep learning
Error detection
Intensity modulated radiation therapy
Journal Article
Multi-channel hybrid network
Patient-specific QA

Anmerkungen:

Date Revised 15.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1002/acm2.14327

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369783441