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Bone marrow sparing for cervical cancer radiotherapy on multimodality medical images

2022/04/20 by Yuening Wang, Ying Sun, Wang, Yuening +11
Computer Science · Engineering · Physics and Astronomy · #Advanced Radiotherapy Techniques #FOS: Electrical engineering #Image and Video Processing (eess.IV) #Medical Image Segmentation Techniques #Medical Imaging and Analysis #electronic engineering #information engineering

paper · pdf · doi:10.48550/arxiv.2204.09278

openalex publication_date 2022/04/20 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

Cervical cancer threatens the health of women seriously. Radiotherapy is one of the main therapy methods but with high risk of acute hematologic toxicity. Delineating the bone marrow (BM) for sparing using computer tomography (CT) images to plan before radiotherapy can effectively avoid this risk. Comparing with magnetic resonance (MR) images, CT lacks the ability to express the activity of BM. Thus, in current clinical practice, medical practitioners manually delineate the BM on CT images by corresponding to MR images. However, the time?consuming delineating BM by hand cannot guarantee the accuracy due to the inconsistency of the CT-MR multimodal images. In this study, we propose a multimodal image oriented automatic registration method for pelvic BM sparing, which consists of three-dimensional bone point cloud reconstruction, a local spherical system iteration closest point registration for marking BM on CT images. Experiments on patient dataset reveal that our proposed method can enhance the multimodal image registration accuracy and efficiency for medical practitioners in sparing BM of cervical cancer radiotherapy. The method proposed in this contribution might also provide references for similar studies in other clinical application.

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