金井 貴幸
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Original article
Language English
Peer review Peer reviewed
Title Prediction of radiation pneumonitis with machine learning using 4D-CT based dose-function features.
Journal Formal name:Journal of radiation research
Abbreviation:J Radiat Res
ISSN code:13499157/04493060
Domestic / ForeginDomestic
Volume, Issue, Page 63(1),pp.71-79
Author and coauthor Katsuta Yoshiyuki, Kadoya Noriyuki, Mouri Shina, Tanaka Shohei, Kanai Takayuki, Takeda Kazuya, Yamamoto Takaya, Ito Kengo, Kajikawa Tomohiro, Nakajima Yujiro, Jingu Keiichi
Publication date 2022/01
Summary In this article, we highlight the fundamental importance of the simultaneous use of dose-volume histogram (DVH) and dose-function histogram (DFH) features based on functional images calculated from 4-dimensional computed tomography (4D-CT) and deformable image registration (DIR) in developing a multivariate radiation pneumonitis (RP) prediction model. The patient characteristics, DVH features and DFH features were calculated from functional images by Hounsfield unit (HU) and Jacobian metrics, for an RP grade ≥ 2 multivariate prediction models were computed from 85 non-small cell lung cancer patients. The prediction model is developed using machine learning via a kernel-based support vector machine (SVM) machine. In the patient cohort, 21 of the 85 patients (24.7%) presented with RP grade ≥ 2. The median area under curve (AUC) was 0.58 for the generated 50 prediction models with patient clinical features and DVH features. When HU metric and Jacobian metric DFH features were added, the AUC improved to 0.73 and 0.68, respectively. We conclude that predictive RP models that incorporate DFH features were successfully developed via kernel-based SVM. These results demonstrate that effectiveness of the simultaneous use of DVH features and DFH features calculated from 4D-CT and DIR on functional image-guided radiotherapy.
DOI 10.1093/jrr/rrab097
PMID 34718683