Evidence map›Paper›PMID 39625126›Full record

ArticleMedical physics2025

Deep learning based super-resolution for CBCT dose reduction in radiotherapy.

Adrian Thummerer, Lukas Schmidt, Jan Hofmaier, Stefanie Corradini, Claus Belka, Guillaume Landry, Christopher Kurz

Abstract read
In one paragraph

Article in Medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Adrian ThummererDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Lukas SchmidtDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Jan HofmaierDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Stefanie CorradiniDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Claus BelkaDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Guillaume LandryDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.
Christopher KurzDepartment of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany.

Funding

Deutsche Krebshilfe 70114849
6 · The paper itself

Abstract

backgroundCone-beam computed tomography (CBCT) is a crucial daily imaging modality in image-guided and adaptive radiotherapy. However, the use of ionizing radiation in CBCT imaging increases the risk of secondary cancers, which is particularly concerning for pediatric patients. Deep learning super-resolution has shown promising results in enhancing the resolution of photographic and medical images but has not yet been explored in the context of CBCT dose reduction. PURPOSE: To facilitate CBCT imaging dose reduction, we propose using an enhanced super-resolution generative adversarial network (ESRGAN) in both the projection and image domains to restore the image quality of low-dose CBCT.

methodsAn extensive projection database, containing 2997 CBCT scans from head and neck cancer patients, was used to train two different ESRGAN models to generate super-resolution CBCTs. One model operated in the projection domain, using pairs of simulated low-resolution (low-dose) and original high-resolution (high-dose) projections and yielded CBCT

resultsVisually, both super-resolution approaches in the projection and image domains improved the image quality of low-dose CBCTs. This was confirmed by the visual Turing test, that showed low accuracy, sensitivity, and specificity, indicating almost no perceptual difference between CBCT

conclusionsThis study demonstrates that deep learning can be a valuable tool for CBCT dose reduction in CBCT-guided radiotherapy by acquiring low-dose CBCTs and restoring the image quality using deep learning super-resolution. The results suggest that higher quality images can be generated when super-resolution is performed in the image domain compared to the projection domain.

Indexed as

Cone-Beam Computed TomographyDeep LearningRadiation DosageRadiotherapy, Image-GuidedHead and Neck NeoplasmsHumansImage Processing, Computer-AssistedRadiotherapy Dosagecone beam computed tomographydeep learningradiotherapysuper‐resolution

Identifiers

PMID39625126
PMCPMC11880651

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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.