Evidence map›Paper›PMID 41216929›Full record

ArticleMedical physics2025

Prior-adapted progressive time-resolved CBCT reconstruction using a dynamic reconstruction and motion estimation method.

Ruizhi Zuo, Hua-Chieh Shao, You Zhang

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Ruizhi ZuoThe Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Hua-Chieh ShaoThe Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
You ZhangThe Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Funding

Artificial Intelligence-Based Quality Assurance for Online Adaptive RadiotherapyR01CA258987 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Steve Bin Jiang, Dan Nguyen · 2022 to 2026
$2.8M
High-Precision Proton Therapy for Liver Cancer: Developing an End-to-end Strategy with Real-time Liver Tumor Localization and On-the-fly Plan Delivery AdaptationR01CA280135 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Weiguo Lu, You Zhang · 2024 to 2026
$1.8M
High-Precision Lung Radiotherapy by Intra-treatment Dynamic Cone-beam CT imaging and Dosimetry-guided Plan AdaptationR01EB034691 · NIBIB · UT SOUTHWESTERN MEDICAL CENTER · PI Weiguo Lu, You Zhang · 2024 to 2026
$1.5M
Accurate 4D Liver Tumor Localization for Radiotherapy using Contrast-Agent-Free X-ray Imaging and Liver Biomechanical ModelingR01CA240808 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI ZHANG, YOU · 2020 to 2024
$1.5M
NCI NIH HHS R01 CA240808NCI NIH HHS R01 CA258987NCI NIH HHS R01 CA280135NIBIB NIH HHS R01 EB034691NIH HHS R01 CA240808NIH HHS R01 CA258987NIH HHS R01 CA280135NIH HHS R01 EB034691Varian Medical Systems
6 · The paper itself

Abstract

backgroundCone-beam CT (CBCT) captures on-board volumetric anatomy for image guidance and treatment adaptation in radiotherapy. To compensate for respiration-induced anatomical motion, time-resolved CBCT is highly desired to capture the spatiotemporal anatomical variations but faces challenges in accuracy and efficiency due to substantial optimization needed in image reconstruction and motion modeling. PURPOSE: We proposed a fast time-resolved CBCT reconstruction framework, based on a dynamic reconstruction and motion estimation method with new reconstructions initialized and conditioned on prior reconstructions in an adaptive fashion (DREME-adapt). MATERIALS AND

methodsDREME-adapt reconstructs a time-resolved CBCT sequence from a fractional standard CBCT scan while simultaneously generating a machine learning-based motion model that allows single-projection-driven intra-treatment CBCT estimation and motion tracking. Via DREME-adapt, a virtual fraction is generated from a pre-treatment 4D-CT set of each patient for a clean, "cold-start" reconstruction. For subsequent fractions of the same patient, DREME-adapt uses pre-derived motion models and reference CBCTs as initializations to drive a "warm-start" reconstruction, based on a lower-cost refining strategy. Three strategies: DREME-cs which drops the "warm-start" component, DREME-adapt-vfx which uses a fixed initialization (virtual fraction's reconstruction results), and DREME-adapt-pro which initialize reconstructions through a progressive daisy chain scheme (virtual fraction for fraction 1, fraction 1 for fraction 2, and so on), were evaluated on a digital phantom study (7 motion/anatomical scenarios) and a patient study (seven patients).

resultsDREME-adapt allows fast and accurate time-resolved CBCT reconstruction. For the XCAT simulation study, DREME-adapt-pro achieves image reconstruction relative error of 0.14 ± 0.01 and tumor center-of-mass tracking error of 0.92 ± 0.62 mm (mean ± s.d.), compared to 0.15 ± 0.01 and 1.06 ± 0.73 mm for DREME-adapt-vfx, and 0.18 ± 0.01 and 1.96 ± 1.35 mm for DREME-cs. For the real-time motion inference test dataset of the patient study, DREME-adapt-pro localizes moving lung landmarks to a mean ± s.d. error of 2.21 ± 1.79 mm. In comparison, the corresponding values for DREME-adapt-vfx and DREME-cs were 2.53 ± 1.93 mm and 3.22 ± 2.88 mm, respectively. The DREME-adapt-pro training takes 11 min, only 15% of the original DREME algorithm.

conclusionsWith high efficiency and accuracy, DREME-adapt-pro allows on-board time-resolved CBCT reconstruction and enhances the clinical adoption potential of the DREME framework.

Indexed as

Cone-Beam Computed TomographyImage Processing, Computer-AssistedHumansMachine LearningMovementPhantoms, ImagingRespirationTime Factorsfine‐tuningimage reconstructionmotion estimationmotion modeltime‐resolved dynamic CBCT

Identifiers

PMID41216929
PMCPMC12640564

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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.