Evidence map›Paper›PMID 38980065›Full record

ArticleMedical physics2024

Patient-specific deep learning for 3D protoacoustic image reconstruction and dose verification in proton therapy.

Yankun Lang, Zhuoran Jiang, Leshan Sun, Phuoc Tran, Sina Mossahebi, Liangzhong Xiang, Lei Ren

Abstract read
In one paragraph

Article in Medical physics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Volumetric FLASH dosimetryPhysics in medicine and biology · 2026
    Article
  5. Automatic specific absorption rate (SAR) prediction for hyperthermia treatment planning using deep learning method.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2025
    Article
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yankun LangDepartment of Radiation Oncology Physics, University of Maryland, Baltimore, Maryland, USA.
Zhuoran JiangDepartment of Radiation Oncology, Duke University, Durham, North Carolina, USA.
Leshan SunDepartment of Biomedical Engineering and Radiology, University of California, Irnive, California, USA.
Phuoc TranDepartment of Radiation Oncology Physics, University of Maryland, Baltimore, Maryland, USA.
Sina MossahebiDepartment of Radiation Oncology Physics, University of Maryland, Baltimore, Maryland, USA.
Liangzhong XiangDepartment of Biomedical Engineering and Radiology, University of California, Irnive, California, USA.
Lei RenDepartment of Radiation Oncology Physics, University of Maryland, Baltimore, Maryland, USA.

Funding

Academic-Industry Partnership for the Translation of a 4D in vivo Dosimetry Approach for Radiation TherapyR37CA240806 · NCI · UNIVERSITY OF OKLAHOMA · PI CHEN, YONG, IVANOV, VASSILI · 2019 to 2025
$2.9M
eXtended Modular ANthropomorphic (XMAN) phantom for Imaging and Treatment Optimization in Radiotherapy.R01EB032680 · NIBIB · UNIVERSITY OF MARYLAND BALTIMORE · PI REN, LEI, YANG, XIAOFENG · 2022 to 2025
$2.4M
Hybrid virtual-MRI/CBCT: A new paradigm for image guidance in liver SBRTR01EB028324 · NIBIB · UNIVERSITY OF MARYLAND BALTIMORE · PI REN, LEI, YIN, FANG-FANG · 2019 to 2022
$2.1M
3D In vivo dosimetry for FLASH proton therapyU01CA288351 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Yong Chen, Lei Ren · 2024 to 2026
$1.8M
NCI NIH HHS R37 CA240806NCI NIH HHS U01 CA288351NIBIB NIH HHS R01 EB028324NIBIB NIH HHS R01 EB032680NIH HHS R01 EB028324NIH HHS R01 EB032680
6 · The paper itself

Abstract

backgroundProtoacoustic (PA) imaging has the potential to provide real-time 3D dose verification of proton therapy. However, PA images are susceptible to severe distortion due to limited angle acquisition. Our previous studies showed the potential of using deep learning to enhance PA images. As the model was trained using a limited number of patients' data, its efficacy was limited when applied to individual patients. PURPOSE: In this study, we developed a patient-specific deep learning method for protoacoustic imaging to improve the reconstruction quality of protoacoustic imaging and the accuracy of dose verification for individual patients.

methodsOur method consists of two stages: in the first stage, a group model is trained from a diverse training set containing all patients, where a novel deep learning network is employed to directly reconstruct the initial pressure maps from the radiofrequency (RF) signals; in the second stage, we apply transfer learning on the pre-trained group model using patient-specific dataset derived from a novel data augmentation method to tune it into a patient-specific model. Raw PA signals were simulated based on computed tomography (CT) images and the pressure map derived from the planned dose. The reconstructed PA images were evaluated against the ground truth by using the root mean squared errors (RMSE), structural similarity index measure (SSIM) and gamma index on 10 specific prostate cancer patients. The significance level was evaluated by t-test with the p-value threshold of 0.05 compared with the results from the group model.

resultsThe patient-specific model achieved an average RMSE of 0.014 (

conclusionsOur method demonstrated the feasibility of achieving 3D high-precision PA-based dose verification using patient-specific deep-learning approaches, which can potentially be used to guide the treatment to mitigate the impact of range uncertainty and improve the precision. Further studies are needed to validate the clinical impact of the technique.

Indexed as

Deep LearningImaging, Three-DimensionalProton TherapyRadiotherapy DosageAcousticsHumansImage Processing, Computer-AssistedMaleProstatic NeoplasmsRadiation Dosagedose verificationpatient specific modelingprotoacoustic reconstruction

Identifiers

PMID38980065
PMCPMC11479840

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.