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Abstract #0443

Quantitative Assessment of Geometric Distortions in MRI-Linac Sequences for Enhanced Radiotherapy Planning

Zaphanlene Kaffey1, Sam Mulder1, Brigid McDonald1, Kareem Wahid1, Serageldin Attia1, Nicole O'Connell2, Dan Thill2, Alex Dresner2, John Christodouleas2, Mohammed Naser1, Clifton David Fuller1, and Brigid McDonald1
1MD Anderson, Houston, TX, United States, 2Elekta, Houston, TX, United States

Synopsis

Keywords: DWI/DTI/DKI, Diffusion/other diffusion imaging techniques, Deformable Image Registration, MR-Linac, Geometric Distortion

Motivation: Geometric distortion in MRI-Linac sequences remains insufficiently characterized, impacting the precision of radiotherapy treatment planning. This study aims to quantify such distortions in EPI, TSE, and SPLICE sequences.

Goal(s): The goal of this study is to quantitatively assess and compare geometric distortion across three common MRI-Linac sequences using deformable image registration and DICE score analysis.

Approach: An in vivo study employed patient T2 and DWI B0 scans. Deformable image registration was conducted using ADMIRE and Elekta-based software, generating deformation vector fields. A Python algorithm calculated RMS values.

Results: The sequences exhibited distinct DSC scores and RMS distortions, revealing registration effectiveness and sequence-dependent variability.

Impact: These findings set the stage for future research on minimizing distortions in MRI-Linac sequences. The developed Python algorithm could be adapted for real-time monitoring, advancing the precision and safety of MRI-guided radiotherapy.

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Keywords