Penalized Likelihood Research Articles

Assessing the relative performance of fast molecular dating methods for phylogenomic data

Advances in genome sequencing techniques produced a significant growth of phylogenomic datasets. This massive amount of data represents a computational challenge for molecular dating with Bayesian approaches. Rapid molecular dating methods have been proposed over the last few decades to overcome these issues. However, a comparative evaluation of their relative performance on empirical data sets is lacking. We analyzed 23 empirical phylogenomic datasets to investigate the performance of two commonly employed fast dating methodologies: penalized likelihood (PL), implemented in treePL, and the relative rate framework (RRF), implemented in RelTime. They were compared to Bayesian analyses using the closest possible substitution models and calibration settings. We found that RRF was computationally faster and generally provided node age estimates statistically equivalent to Bayesian divergence times. PL time estimates consistently exhibited low levels of uncertainty. Overall, to approximate Bayesian approaches, RelTime is an efficient method with significantly lower computational demand, being more than 100 times faster than treePL. Thus, to alleviate the computational burden of Bayesian divergence time inference in the era of massive genomic data, molecular dating can be facilitated using the RRF, allowing evolutionary hypotheses to be tested more quickly and efficiently.

Reducing residual-motion artifacts in iterative 3D CBCT reconstruction in image-guided radiation therapy.

Recent evaluations of a 3D iterative cone-beam computed tomography (iCBCT) reconstruction method available on Varian radiation treatment devices demonstrated that iCBCT provides superior image quality when compared to analytical Feldkamp-Davis-Kress (FDK) method. However, iCBCT employs statistical penalized likelihood (PL) that is known to be highly sensitive to inconsistencies due to physiological motion occurring during the acquisition. We propose a computationally inexpensive extension of iCBCT addressing thisdeficiency. During the iterative process, the gradients of PL are modified to avoid the generation of motion-related artifacts. To assess the impact of this modification, we propose a motion simulation generating CBCT projections of a moving anatomy together with artifact-free images used as ground truth. Contrast-to-noise ratio and power spectra of difference images are computed to quantify the impact of the motion on reconstructed CBCT volumes as well as the effect of the proposedmodification. Using both simulated and clinical data, it is shown that the motion of patient's abdominal wall during the acquisition results in artifacts that can be quantified as low-frequency components in volumes reconstructed with iCBCT. Further, a quantitative evaluation demonstrates that the proposed modification of PL reduces these low-frequency components. While preserving the advantages of PL, it effectively suppresses the propagation of motion-related artifacts into clinically important regions, thus increasing the motion resiliency ofiCBCT. The proposed modified iterative reconstruction method significantly improves the quality of CBCT images of anatomies suffering from residual motion.

Penalized Least Squares for Structural Equation Modeling with Ordinal Responses

Statistical modeling with sparsity has become an active research topic in the fields of statistics and machine learning. Because the true sparsity pattern of a model is generally unknown aforehand, it is often explored by a sparse estimation procedure, like least absolute shrinkage and selection operator (lasso). In this study, a penalized least squares (PLS) method for structural equation modeling (SEM) with ordinal data is developed. PLS describes data generation by an underlying response approach, and uses a least squares (LS) fitting function to construct a penalized estimation criterion. A numerical simulation was used to compare PLS with existing penalized likelihood (PL) in terms of averaged mean square error, absolute bias, and the correctness of the model. Based on these empirical findings, a hybrid PLS was also proposed to improve both PL and PLS. The hybrid PLS first chooses an optimal sparsity pattern by PL, then estimates model parameters by an unpenalized LS under the model selected by PL. We also extended PLS to cases of mixed type data and multi-group analysis. All proposed methods could be realized in the R package lslx.

Lslx: Semi-Confirmatory Structural Equation Modeling via Penalized Likelihood

Sparse estimation via penalized likelihood (PL) is now a popular approach to learn the associations among a large set of variables. This paper describes an R package called lslx that implements PL methods for semi-confirmatory structural equation modeling (SEM). In this semi-confirmatory approach, each model parameter can be specified as free/fixed for theory testing, or penalized for exploration. By incorporating either a L1 or minimax concave penalty, the sparsity pattern of the parameter matrix can be efficiently explored. Package lslx minimizes the PL criterion through a quasi-Newton method. The algorithm conducts line search and checks the first-order condition in each iteration to ensure the optimality of the obtained solution. A numerical comparison between competing packages shows that lslx can reliably find PL estimates with the least time. The current package also supports other advanced functionalities, including a two-stage method with auxiliary variables for missing data handling and a reparameterized multi-group SEM to explore population heterogeneity.

Performance Analysis for Nonlinear Tomographic Data Processing.

Image quality analysis of nonlinear algorithms is challenging due to numerous dependencies on the imaging system, algorithmic parameters, object, and stimulus. In particular, traditional notions of linearity and local linearity are of limited utility when the system response is dependent on the stimulus itself. In this work, we analyze the performance of nonlinear systems using perturbation response - the difference between the mean output with and without a stimulus, and introduce a new metric to examine variation of the responses in individual images. We applied the analysis to four algorithms with different degrees of nonlinearity for a spherical stimulus of varying contrast. For model-based reconstruction methods [penalized-likelihood (PL) reconstruction with a quadratic penalty and a Huber penalty], perturbation response analysis reaffirmed known trends in terms of object- and location-dependence. For a CNN denoising network, the response exhibits highly nonlinear behavior as the contrast increases - from the stimulus completely disappearing, to appearing at the right contrast but smaller in size, to being fully admitted by the algorithm. Furthermore, the variation metric for PL reconstruction with a Huber penalty and the CNN network reveals high variation at the edge of the stimulus, i.e., perturbation response computed from the mean images is a smoothed version of individual responses due to "jitter" in edges. This behavior suggests that the mean response alone may not be representative of performance in individual images and image quality metrics traditionally defined based on the mean response may be inappropriate for certain nonlinear algorithms. This work demonstrates the potential utility of perturbation response and response variation in the analysis and optimization of nonlinear imaging algorithms.

Predicting image properties in penalized-likelihood reconstructions of flat-panel CBCT.

Model-based iterative reconstruction (MBIR) algorithms such as penalized-likelihood (PL) methods exhibit data-dependent and shift-variant properties. Image quality predictors have been derived to prospectively estimate local noise and spatial resolution, facilitating both system hardware design and tuning of reconstruction methods. However, current MBIR image quality predictors rely on idealized system models, ignoring physical blurring effects and noise correlations found in real systems. In this work, we develop and validate a new set of predictors using a physical system model specific to flat-panel cone-beam CT (FP-CBCT). Physical models appropriate for integration with MBIR analysis are developed and parameterized to represent nonidealities in FP projection data including focal spot blur, scintillator blur, detector aperture effect, and noise correlations. Flat-panel-specific predictors for local spatial resolution and local noise properties in PL reconstructions are developed based on these realistic physical models. Estimation accuracy of conventional (idealized) and FP-specific predictors is investigated and validated against experimental CBCT measurements using specialized phantoms. Validation studies show that flat-panel-specific predictors can accurately estimate the local spatial resolution and noise properties, while conventional predictors show significant deviations in the magnitude and scale of the spatial resolution and local noise. The proposed predictors show accurate estimations over a range of imaging conditions including varying x-ray technique and regularization strength. The conventional spatial resolution prediction is sharper than ground truth. Using conventional spatial resolution predictor, the full width at half maximum (FWHM) of local point spread function (PSF) is underestimated by 0.2 mm. This mismatch is mostly eliminated in FP-specific prediction. The general shape and amplitude of local noise power spectrum (NPS) FP-specific predictions are consistent with measurement, while the conventional predictions underestimated the noise level by 70%. The proposed image quality predictors permit accurate estimation of local spatial resolution and noise properties for PL reconstruction, accounting for dependencies on the system geometry, x-ray technique, and patient-specific anatomy in real FP-CBCT. Such tools enable prospective analysis of image quality for a range of goals including novel system and acquisition design, adaptive and task-driven imaging, and tuning of MBIR for robust and reliable behavior.

A Penalized Likelihood Framework for High-Dimensional Phylogenetic Comparative Methods and an Application to New-World Monkeys Brain Evolution.

Working with high-dimensional phylogenetic comparative data sets is challenging because likelihood-based multivariate methods suffer from low statistical performances as the number of traits $p $ approaches the number of species $n $ and because some computational complications occur when $p $ exceeds $n$. Alternative phylogenetic comparative methods have recently been proposed to deal with the large $p $ small $n $ scenario but their use and performances are limited. Herein, we develop a penalized likelihood (PL) framework to deal with high-dimensional comparative data sets. We propose various penalizations and methods for selecting the intensity of the penalties. We apply this general framework to the estimation of parameters (the evolutionary trait covariance matrix and parameters of the evolutionary model) and model comparison for the high-dimensional multivariate Brownian motion (BM), Early-burst (EB), Ornstein-Uhlenbeck (OU), and Pagel's lambda models. We show using simulations that our PL approach dramatically improves the estimation of evolutionary trait covariance matrices and model parameters when $p$ approaches $n$, and allows for their accurate estimation when $p$ equals or exceeds $n$. In addition, we show that PL models can be efficiently compared using generalized information criterion (GIC). We implement these methods, as well as the related estimation of ancestral states and the computation of phylogenetic principal component analysis in the R package RPANDA and mvMORPH. Finally, we illustrate the utility of the new proposed framework by evaluating evolutionary models fit, analyzing integration patterns, and reconstructing evolutionary trajectories for a high-dimensional 3D data set of brain shape in the New World monkeys. We find a clear support for an EB model suggesting an early diversification of brain morphology during the ecological radiation of the clade. PL offers an efficient way to deal with high-dimensional multivariate comparative data.

Reconstruction-of-difference (RoD) imaging for cone-beam CT neuro-angiography

Timely evaluation of neurovasculature via CT angiography (CTA) is critical to the detection of pathology such as ischemic stroke. Cone-beam CTA (CBCT-A) systems provide potential advantages in the timely use at the point-of-care, although challenges of a relatively slow gantry rotation speed introduce tradeoffs among image quality, data consistency and data sparsity. This work describes and evaluates a new reconstruction-of-difference (RoD) approach that is robust to such challenges.A fast digital simulation framework was developed to test the performance of the RoD over standard reference reconstruction methods such as filtered back-projection (FBP) and penalized likelihood (PL) over a broad range of imaging conditions, grouped into three scenarios to test the trade-off between data consistency, data sparsity and peak contrast. Two experiments were also conducted using a CBCT prototype and an anthropomorphic neurovascular phantom to test the simulation findings in real data. Performance was evaluated primarily in terms of normalized root mean square error (NRMSE) in comparison to truth, with reconstruction parameters chosen to optimize performance in each case to ensure fair comparison.The RoD approach reduced NRMSE in reconstructed images by up to 50%–53% compared to FBP and up to 29%–31% compared to PL for each scenario. Scan protocols well suited to the RoD approach were identified that balance tradeoffs among data consistency, sparsity and peak contrast—for example, a CBCT-A scan with 128 projections acquired in 8.5 s over a 180° + fan angle half-scan for a time attenuation curve with ~8.5 s time-to-peak and 600 HU peak contrast. With imaging conditions such as the simulation scenarios of fixed data sparsity (i.e. varying levels of data consistency and peak contrast), the experiments confirmed the reduction of NRMSE by 34% and 17% compared to FBP and PL, respectively.The RoD approach demonstrated superior performance in 3D angiography compared to FBP and PL in all simulation and physical experiments, suggesting the possibility of CBCT-A on low-cost, mobile imaging platforms suitable to the point-of-care. The algorithm demonstrated accurate reconstruction with a high degree of robustness against data sparsity and inconsistency.

Spatial Resolution and Noise Prediction in Flat-Panel Cone-Beam CT Penalized-likelihood Reconstruction.

Model based iterative reconstruction (MBIR) algorithms such as penalized-likelihood (PL) methods have data-dependent and shift-variant image properties. Predictors of local reconstructed noise and resolution have found application in a number of methods that seek to understand, control, and optimize CT data acquisition and reconstruction parameters in a prospective fashion (as opposed to studies based on exhaustive evaluation). However, previous MBIR prediction methods have relied on idealized system models. In this work, we develop and validate new predictors using accurate physical models specific to flat-panel CT systems. Novel predictors for estimation of local spatial resolution and noise properties are developed for PL reconstruction that include a physical model for blur and correlated noise in flat-panel cone-beam CT (CBCT) acquisitions. Prospective predictions (e.g., without reconstruction) of local point spread function and and local noise power spectrum (NPS) model are applied, compared, and validated using a flat-panel CBCT test bench. Comparisons between prediction and physical measurements show excellent agreement for both spatial resolution and noise properties. In comparison, traditional prediction methods (that ignore blur/correlation found in flat-panel data) fail to capture important data characteristics and show significant mismatch. Novel image property predictors permit prospective assessment of flat-panel CBCT using MBIR. Such predictors enable standard and task-based performance assessments, and are well-suited to evaluation, control, and optimization of the CT imaging chain (e.g., x-ray technique, reconstruction parameters, novel data acquisition methods, etc.) for improved imaging performance and/or dose utilization.

A penalized likelihood method for multi‐group structural equation modelling

In the past two decades, statistical modelling with sparsity has become an active research topic in the fields of statistics and machine learning. Recently, Huang, Chen and Weng (2017, Psychometrika, 82, 329) and Jacobucci, Grimm, and McArdle (2016, Structural Equation Modeling: A Multidisciplinary Journal, 23, 555) both proposed sparse estimation methods for structural equationmodelling (SEM). These methods, however, are restricted to performing single-group analysis. The aim of the present work is to establish a penalized likelihood (PL) method for multi-group SEM. Our proposed method decomposes each group model parameter into a common reference component and a group-specific increment component. By penalizing the increment components, the heterogeneity of parameter values across the population can be explored since the null group-specific effects are expected to diminish. We developed an expectation-conditional maximization algorithm to optimize the PL criteria. A numerical experiment and a real data example are presented to demonstrate the potential utility of the proposed method.

Regularization parameter selection for penalized-likelihood list-mode image reconstruction in PET

Penalized likelihood (PL) reconstruction has demonstrated potential to improve image quality of positron emission tomography (PET) over unregularized ordered-subsets expectation-maximization (OSEM) algorithm. However, selecting proper regularization parameters in PL reconstruction has been challenging due to the lack of ground truth and variation of penalty functions. Here we present a method to choose regularization parameters using a cross-validation log-likelihood (CVLL) function. This new method does not require any knowledge of the true image and is directly applicable to list-mode PET data. We performed statistical analysis of the mean and variance of the CVLL. The results show that the CVLL provides an unbiased estimate of the log-likelihood function calculated using the noise free data. The predicted variance can be used to verify the statistical significance of the difference between CVLL values. The proposed method was validated using simulation studies and also applied to real patient data. The reconstructed images using optimum parameters selected by the proposed method show good image quality visually.

A Penalized Likelihood Method for Structural Equation Modeling.

A penalized likelihood (PL) method for structural equation modeling (SEM) was proposed as a methodology for exploring the underlying relations among both observed and latent variables. Compared to the usual likelihood method, PL includes a penalty term to control the complexity of the hypothesized model. When the penalty level is appropriately chosen, the PL can yield an SEM model that balances the model goodness-of-fit and model complexity. In addition, the PL results in a sparse estimate that enhances the interpretability of the final model. The proposed method is especially useful when limited substantive knowledge is available for model specifications. The PL method can be also understood as a methodology that links the traditional SEM to the exploratory SEM (Asparouhov & Muthén in Struct Equ Model Multidiscipl J 16:397-438, 2009). An expectation-conditional maximization algorithm was developed to maximize the PL criterion. The asymptotic properties of the proposed PL were also derived. The performance of PL was evaluated through a numerical experiment, and two real data illustrations were presented to demonstrate its utility in psychological research.

Joint Optimization of Fluence Field Modulation and Regularization in Task-Driven Computed Tomography.

This work presents a task-driven joint optimization of fluence field modulation (FFM) and regularization in quadratic penalized-likelihood (PL) reconstruction. Conventional FFM strategies proposed for filtered-backprojection (FBP) are evaluated in the context of PL reconstruction for comparison. We present a task-driven framework that leverages prior knowledge of the patient anatomy and imaging task to identify FFM and regularization. We adopted a maxi-min objective that ensures a minimum level of detectability index (d') across sample locations in the image volume. The FFM designs were parameterized by 2D Gaussian basis functions to reduce dimensionality of the optimization and basis function coefficients were estimated using the covariance matrix adaptation evolutionary strategy (CMA-ES) algorithm. The FFM was jointly optimized with both space-invariant and spatially-varying regularization strength (β) - the former via an exhaustive search through discrete values and the latter using an alternating optimization where β was exhaustively optimized locally and interpolated to form a spatially-varying map. The optimal FFM inverts as β increases, demonstrating the importance of a joint optimization. For the task and object investigated, the optimal FFM assigns more fluence through less attenuating views, counter to conventional FFM schemes proposed for FBP. The maxi-min objective homogenizes detectability throughout the image and achieves a higher minimum detectability than conventional FFM strategies. The task-driven FFM designs found in this work are counter to conventional patterns for FBP and yield better performance in terms of the maxi-min objective, suggesting opportunities for improved image quality and/or dose reduction when model-based reconstructions are applied in conjunction with FFM.

Evaluation of lesion detectability in positron emission tomography when using a convergent penalized likelihood image reconstruction method.

We have previously developed a convergent penalized likelihood (PL) image reconstruction algorithm using the relative difference prior (RDP) and showed that it achieves more accurate lesion quantitation compared to ordered subsets expectation maximization (OSEM). We evaluated the detectability of low-contrast liver and lung lesions using the PL-RDP algorithm compared to OSEM. We performed a two-alternative forced choice study using a channelized Hotelling observer model that was previously validated against human observers. Lesion detectability showed a stronger dependence on lesion size for PL-RDP than OSEM. Lesion detectability was improved using time-of-flight (TOF) reconstruction, with greater benefit for the liver compared to the lung and with increasing benefit for decreasing lesion size and contrast. PL detectability was statistically significantly higher than OSEM for 20mm liver lesions when contrast was [Formula: see text] ([Formula: see text]), and TOF PL detectability was statistically significantly higher than TOF OSEM for 15 and 20mm liver lesions with contrast [Formula: see text] and [Formula: see text], respectively. For all other cases, there was no statistically significant difference between PL and OSEM ([Formula: see text]). For the range of studied lesion properties, lesion detectability using PL-RDP was equivalent or improved compared to using OSEM.

WE‐AB‐BRA‐08: Correction of Patient Motion in C‐Arm Cone‐Beam CT Using 3D‐2D Registration

Purpose:Intraoperative C‐arm cone‐beam CT (CBCT) is subject to artifacts arising from patient motion during the fairly long (∼5–20 s) scan times. We present a fiducial free method to mitigate motion artifacts using 3D‐2D image registration that simultaneously corrects residual errors in geometric calibration.Methods:A 3D‐2D registration process was used to register each projection to DRRs computed from the 3D image by maximizing gradient orientation (GO) using the CMA‐ES optimizer. The resulting rigid 6 DOF transforms were applied to the system projection matrices, and a 3D image was reconstructed via model‐based image reconstruction (MBIR, which accommodates the resulting noncircular orbit). Experiments were conducted using a Zeego robotic C‐arm (20 s, 200°, 496 projections) to image a head phantom undergoing various types of motion: 1) 5° lateral motion; 2) 15° lateral motion; and 3) 5° lateral motion with 10 mm periodic inferior‐superior motion. Images were reconstructed using a penalized likelihood (PL) objective function, and structural similarity (SSIM) was measured for axial slices of the reconstructed images. A motion‐free image was acquired using the same protocol for comparison.Results:There was significant improvement (p < 0.001) in the SSIM of the motion‐corrected (MC) images compared to uncorrected images. The SSIM in MC‐PL images was >0.99, indicating near identity to the motion‐free reference. The point spread function (PSF) measured from a wire in the phantom was restored to that of the reference in each case.Conclusion:The 3D‐2D registration method provides a robust framework for mitigation of motion artifacts and is expected to hold for applications in the head, pelvis, and extremities with reasonably constrained operative setup. Further improvement can be achieved by incorporating multiple rigid components and non‐rigid deformation within the framework. The method is highly parallelizable and could in principle be run with every acquisition.Research supported by National Institutes of Health Grant No. R01‐EB‐017226 and academic‐industry partnership with Siemens Healthcare (AX Division, Forcheim, Germany).

Task-Driven Tube Current Modulation and Regularization Design in Computed Tomography with Penalized-Likelihood Reconstruction.

This work applies task-driven optimization to design CT tube current modulation and directional regularization in penalized-likelihood (PL) reconstruction. The relative performance of modulation schemes commonly adopted for filtered-backprojection (FBP) reconstruction were also evaluated for PL in comparison. We adopt a task-driven imaging framework that utilizes a patient-specific anatomical model and information of the imaging task to optimize imaging performance in terms of detectability index (d'). This framework leverages a theoretical model based on implicit function theorem and Fourier approximations to predict local spatial resolution and noise characteristics of PL reconstruction as a function of the imaging parameters to be optimized. Tube current modulation was parameterized as a linear combination of Gaussian basis functions, and regularization was based on the design of (directional) pairwise penalty weights for the 8 in-plane neighboring voxels. Detectability was optimized using a covariance matrix adaptation evolutionary strategy algorithm. Task-driven designs were compared to conventional tube current modulation strategies for a Gaussian detection task in an abdomen phantom. The task-driven design yielded the best performance, improving d' by ~20% over an unmodulated acquisition. Contrary to FBP, PL reconstruction using automatic exposure control and modulation based on minimum variance (in FBP) performed worse than the unmodulated case, decreasing d' by 16% and 9%, respectively. This work shows that conventional tube current modulation schemes suitable for FBP can be suboptimal for PL reconstruction. Thus, the proposed task-driven optimization provides additional opportunities for improved imaging performance and dose reduction beyond that achievable with conventional acquisition and reconstruction.

Reconstruction of difference in sequential CT studies using penalized likelihood estimation

Characterization of anatomical change and other differences is important in sequential computed tomography (CT) imaging, where a high-fidelity patient-specific prior image is typically present, but is not used, in the reconstruction of subsequent anatomical states. Here, we introduce a penalized likelihood (PL) method called reconstruction of difference (RoD) to directly reconstruct a difference image volume using both the current projection data and the (unregistered) prior image integrated into the forward model for the measurement data. The algorithm utilizes an alternating minimization to find both the registration and reconstruction estimates. This formulation allows direct control over the image properties of the difference image, permitting regularization strategies that inhibit noise and structural differences due to inconsistencies between the prior image and the current data. Additionally, if the change is known to be local, RoD allows local acquisition and reconstruction, as opposed to traditional model-based approaches that require a full support field of view (or other modifications). We compared the performance of RoD to a standard PL algorithm, in simulation studies and using test-bench cone-beam CT data. The performances of local and global RoD approaches were similar, with local RoD providing a significant computational speedup. In comparison across a range of data with differing fidelity, the local RoD approach consistently showed lower error (with respect to a truth image) than PL in both noisy data and sparsely sampled projection scenarios. In a study of the prior image registration performance of RoD, a clinically reasonable capture ranges were demonstrated. Lastly, the registration algorithm had a broad capture range and the error for reconstruction of CT data was 35% and 20% less than filtered back-projection for RoD and PL, respectively. The RoD has potential for delivering high-quality difference images in a range of sequential clinical scenarios including image-guided surgeries and treatments where accurate and quantitative assessments of anatomical change is desired.

스플라인 정칙자를 사용한 투과 단층촬영을 위한 벌점우도 영상재구성

Recently, model-based iterative reconstruction (MBIR) has played an important role in transmission tomography by significantly improving the quality of reconstructed images for low-dose scans. MBIR is based on the penalized-likelihood (PL) approach, where the penalty term (also known as the regularizer) stabilizes the unstable likelihood term, thereby suppressing the noise. In this work we further improve MBIR by using a more expressive regularizer which can restore the underlying image more accurately. Here we used a spline regularizer derived from a linear combination of the two-dimensional splines with first- and second-order spatial derivatives and applied it to a non-quadratic convex penalty function. To derive a PL algorithm with the spline regularizer, we used a separable paraboloidal surrogates algorithm for convex optimization. The experimental results demonstrate that our regularization method improves reconstruction accuracy in terms of both regional percentage error and contrast recovery coefficient by restoring smooth edges as well as sharp edges more accurately.

Quantitative comparison of OSEM and penalized likelihood image reconstruction using relative difference penalties for clinical PET

Ordered subset expectation maximization (OSEM) is the most widely used algorithm for clinical PET image reconstruction. OSEM is usually stopped early and post-filtered to control image noise and does not necessarily achieve optimal quantitation accuracy. As an alternative to OSEM, we have recently implemented a penalized likelihood (PL) image reconstruction algorithm for clinical PET using the relative difference penalty with the aim of improving quantitation accuracy without compromising visual image quality. Preliminary clinical studies have demonstrated visual image quality including lesion conspicuity in images reconstructed by the PL algorithm is better than or at least as good as that in OSEM images. In this paper we evaluate lesion quantitation accuracy of the PL algorithm with the relative difference penalty compared to OSEM by using various data sets including phantom data acquired with an anthropomorphic torso phantom, an extended oval phantom and the NEMA image quality phantom; clinical data; and hybrid clinical data generated by adding simulated lesion data to clinical data. We focus on mean standardized uptake values and compare them for PL and OSEM using both time-of-flight (TOF) and non-TOF data. The results demonstrate improvements of PL in lesion quantitation accuracy compared to OSEM with a particular improvement in cold background regions such as lungs.

SU‐E‐J‐133: Autosegmentation of Linac CBCT: Improved Accuracy Via Penalized Likelihood Reconstruction

Purpose:To improve the quality of kV X‐ray cone beam CT (CBCT) for use in radiotherapy delivery assessment and re‐planning by using penalized likelihood (PL) iterative reconstruction and auto‐segmentation accuracy of the resulting CBCTs as an image quality metric.Methods:Present filtered backprojection (FBP) CBCT reconstructions can be improved upon by PL reconstruction with image formation models and appropriate regularization constraints. We use two constraints: 1) image smoothing via an edge preserving filter, and 2) a constraint minimizing the differences between the reconstruction and a registered prior image. Reconstructions of prostate therapy CBCTs were computed with constraint 1 alone and with both constraints. The prior images were planning CTs(pCT) deformable‐registered to the FBP reconstructions. Anatomy segmentations were done using atlas‐based auto‐segmentation (Elekta ADMIRE).Results:We observed small but consistent improvements in the Dice similarity coefficients of PL reconstructions over the FBP results, and additional small improvements with the added prior image constraint. For a CBCT with anatomy very similar in appearance to the pCT, we observed these changes in the Dice metric: +2.9% (prostate), +8.6% (rectum), −1.9% (bladder). For a second CBCT with a very different rectum configuration, we observed +0.8% (prostate), +8.9% (rectum), −1.2% (bladder). For a third case with significant lateral truncation of the field of view, we observed: +0.8% (prostate), +8.9% (rectum), −1.2% (bladder). Adding the prior image constraint raised Dice measures by about 1%.Conclusion:Efficient and practical adaptive radiotherapy requires accurate deformable registration and accurate anatomy delineation. We show here small and consistent patterns of improved contour accuracy using PL iterative reconstruction compared with FBP reconstruction. However, the modest extent of these results and the pattern of differences across CBCT cases suggest that significant further development will be required to make CBCT useful to adaptive radiotherapy.