CloverNet – Leveraging Planning Annotations for Enhanced Procedural MR Segmentation: An Application to Adaptive Radiation Therapy

Francesca De Benetti, Yousef Yaganeh, Claus Belka, Stefanie Corradini, Nassir Navab, Christopher Kurz, Guillaume Landry, Shadi Albarqouni, Thomas Wendler

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

In radiation therapy (RT), an accurate delineation of the regions of interest (ROI) and organs at risk (OAR) allows for a more targeted irradiation with reduced side effects. The current clinical workflow for combined MR-linear accelerator devices (MR-linacs) requires the acquisition of a planning MR volume (MR-P), in which the ROI and OAR are accurately segmented by the clinical team. These segmentation maps (S-P) are transferred to the MR acquired on the day of the RT fraction (MR-Fx) using registration, followed by time-consuming manual corrections. The goal of this paper is to enable accurate automatic segmentation of MR-Fx using S-P without clinical workflow disruption. We propose a novel UNet-based architecture, CloverNet, that takes as inputs MR-Fx and S-P in two separate encoder branches, whose latent spaces are concatenated in the bottleneck to generate an improved segmentation of MP-Fx. CloverNet improves the absolute Dice Score by 3.73% (relative +4.34%, p<0.001) when compared with conventional 3D UNet. Moreover, we believe this approach is potentially applicable to other longitudinal use cases in which a prior segmentation of the ROI is available.

Original languageEnglish
Title of host publicationClinical Image-Based Procedures - 13th International Workshop, CLIP 2024, Held in Conjunction with MICCAI 2024, Proceedings
EditorsKlaus Drechsler, Cristina Oyarzun Laura, Stefan Wesarg, Moti Freiman, Yufei Chen, Marius Erdt
PublisherSpringer Science and Business Media Deutschland GmbH
Pages1-10
Number of pages10
ISBN (Print)9783031730825
DOIs
StatePublished - 2024
Event13th International Workshop on Clinical Image-based Procedures: Towards Holistic Patient Models for Personalized Healthcare, CLIP 2024 held in conjunction with the International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2024 - Marrakesh, Morocco
Duration: 6 Oct 20246 Oct 2024

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume15196 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference13th International Workshop on Clinical Image-based Procedures: Towards Holistic Patient Models for Personalized Healthcare, CLIP 2024 held in conjunction with the International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2024
Country/TerritoryMorocco
CityMarrakesh
Period6/10/246/10/24

Keywords

  • MR-linac
  • MRI
  • Patient-specific Segmentation
  • Radiation Therapy

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