Abstract

.Purpose: Automation of organ segmentation, via convolutional neural networks (CNNs), is key to facilitate the work of medical practitioners by ensuring that the adequate radiation dose is delivered to the target area while avoiding harmful exposure of healthy organs. The issue with CNNs is that they require large amounts of data transfer and storage which makes the use of image compression a necessity. Compression will affect image quality which in turn affects the segmentation process. We address the dilemma involved with handling large amounts of data while preserving segmentation accuracy.Approach: We analyze and improve 2D and 3D U-Net robustness against JPEG 2000 compression for male pelvic organ segmentation. We conduct three experiments on 56 cone beam computed tomography (CT) and 74 CT scans targeting bladder and rectum segmentation. The two objectives of the experiments are to compare the compression robustness of 2D versus 3D U-Net and to improve the 3D U-Net compression tolerance via fine-tuning.Results: We show that a 3D U-Net is 50% more robust to compression than a 2D U-Net. Moreover, by fine-tuning the 3D U-Net, we can double its compression tolerance compared to a 2D U-Net. Furthermore, we determine that fine-tuning the network to a compression ratio of 64:1 will ensure its flexibility to be used at compression ratios equal or lower.Conclusions: We reduce the potential risk involved with using image compression on automated organ segmentation. We demonstrate that a 3D U-Net can be fine-tuned to handle high compression ratios while preserving segmentation accuracy.

Highlights

  • Radiotherapy cancer treatment is essentially made up of two phases: treatment planning and delivery

  • We reduce the potential risk involved with using image compression on automated organ segmentation

  • We demonstrate that a 3D U-Net can be fine-tuned to handle high compression ratios while preserving segmentation accuracy

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Summary

Introduction

Radiotherapy cancer treatment is essentially made up of two phases: treatment planning and delivery. During the planning phase, which is done once at the beginning of the treatment, a computed tomography (CT) scan is taken, and after visual inspection, physicians manually outline the target and the surrounding healthy organs to compute a specific dose distribution. During the delivery phase, which is done daily for a period of up to 20 days, a cone beam computed tomography (CBCT) scan is acquired to determine the specific position in which a patient should be aligned before delivering each fraction of the required dose. Dose fractionation limits the patient’s health risks due to sudden large exposures. The process allows healthy cells to recuperate in time for the dose delivery. The daily variations of organ size, shape, and position in Journal of Medical Imaging

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