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Abstract #1400

Predicting Anatomical Tumor Growth in Pediatric High-grade Gliomas via Denoising Diffusion Models

Daria Laslo1, Maria Monzon1, Divya Ramakrishnan2, Marc von Reppert2, Schuyler Stoller3, Ana Sofia Guerreiro Stücklin4, Nicolas U. Gerber4, Andreas Rauschecker5, Javad Nazarian4, Sabine Mueller5, Catherine Jutzeler1, and Sarah Brueningk1
1ETH Zurich, Zurich, Switzerland, 2Yale University, New Haven, CT, United States, 3École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4Kinderspital Zurich, Zurich, Switzerland, 5University of California San Francisco, San Francisco, CA, United States

Synopsis

Keywords: AI Diffusion Models, Machine Learning/Artificial Intelligence, Oncology, Cancer, DMG, Diffuse Midline Glioma

Motivation: Pediatric diffuse midline gliomas are associated with a poor prognosis, leaving radiotherapy as standard of palliative care. Personalized radiation regimes could maximize the benefit for the patient, and consequently improve clinical outcomes.

Goal(s): This study explores a state-of-the-art computer vision method to predict the anatomical growth of tumors which could inform tailored radiotherapy treatments.

Approach: A denoising diffusion implicit model is employed to generate realistic, high-quality magnetic resonance imaging scans of enlarged tumor sizes starting from a baseline image.

Results: Our proof-of-concept study demonstrates promising results on an external longitudinal pediatric dataset, highlighting the method’s potential to realistically predict visual tumor growth.

Impact: We demonstrate realistic predictions of anatomical (pediatric) brain tumor growth using a generative denoising diffusion implicit model. This enables personalized predictions of tumor growth trajectories to guide localized therapies such as geometric dose shaping for radiotherapy delivery.

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Keywords