Added value of non-rigid image registration for intrafraction dose accumulation in magnetic resonance imaging-guided prostate radiotherapy

Publication date

2025-01

Authors

Tsekas, G
Zachiu, Cornel
Bol, G HORCID 0000-0002-7393-167XISNI 0000000392489626
de Boer, Johannes C J
Raaymakers, Bas WORCID 0000-0002-8036-6808ISNI 0000000392005337

Editors

Advisors

Supervisors

Document Type

Article

Collections

Open Access logo

License

cc_by

Abstract

This work investigates potential advantages of non-rigid versus rigid image registration for intrafraction dose reconstruction in hypofractionated prostate radiotherapy. The data of 15 patients were analyzed using 3D cine magnetic resonance imaging (MRI) in combination with machine log files and the accumulated dose distributions were compared to the planned ones. Both image registration methods resulted in comparable results for the majority ( ∼ 95%) of patient fractions. However, better image alignment was reported for the non-rigid method compared to rigid in cases of transient gas pockets, indicating better image registration quality in the presence of large intrafraction deformations.

Keywords

Adaptive radiotherapy, Deformable image registration, Hypofractionated radiotherapy, Intrafraction motion, Prostate cancer, Rigid image registration, Radiation, Oncology, Radiology Nuclear Medicine and imaging

Citation

Tsekas, G, Zachiu, C, Bol, G H, de Boer, J C J & Raaymakers, B W 2025, 'Added value of non-rigid image registration for intrafraction dose accumulation in magnetic resonance imaging-guided prostate radiotherapy', Physics and Imaging in Radiation Oncology, vol. 33, 100711. https://doi.org/10.1016/j.phro.2025.100711