Abstract

To protect the spinal cord from radiotoxicity, it is necessary to carefully delineate the spinal canal when delivering therapeutic radiation to any target contained in the thorax, abdomen, or pelvis. The current clinical practice of manually segmenting the spinal cord on selected images and applying interleaved extrapolations to the entire spinal cord is not always accurate and frequently requires manual adjustment. We previously demonstrated the feasibility and validation of a fully automatic atlas-based segmentation system to the brain in patients with intracranial tumors [1].

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