Deformable image registration

DEFORMABLE REGISTRATION

Deformable image registration (DIR)

Truly painless cancer treatment, realized through medical image analysis.

Deformable registration captures organ motion and shape change, supporting high-precision delivery.

Provide high-precision non-linear 3D registration.

Achieve high-speed calculation!

Due to the complexity and high cost of DIR calculations, the problem was the increased computation time. To address this, parallel computing with CPUs, GPUs, and CPU/GPU hybrid computing was implemented to achieve faster speeds. Additionally, the computation algorithm was optimized for further acceleration.

Innovative error estimation method

The error evaluation of DIR is most easily done through visual evaluation using difference images. While quantitative evaluations such as ICE (inverse consistency error) have been proposed, they assume that the error of the inverse transformation of image registration is infinitely small. However, this product developed its own error evaluation method to represent errors on the image, achieving both quantitative and visual evaluations.

Two approaches available

Our DIR offers two approaches: an analytical method and an AI-based method. The analytical method estimates deformation from a physical model and gives stable results without depending on training data. The AI-based method uses deep learning to estimate deformation quickly and handles large deformations and complex shapes. The two can be chosen according to the anatomical site and purpose. With either method, loading the ROI contours of a reference respiratory phase automatically calculates the contours for the other phases, which can then be refined through an intuitive interface.

How DIR works

Diagram of the DIR principle

DIR (deformable image registration) accurately overlays two 3D images that have been deformed by breathing or changes in body position, taking the deformation into account. One image is used as the reference and the other as the moving image; the moving image is locally deformed to compute, at the pixel level, the deformation field (deformation vector field: DVF) that best matches the reference. Organ deformations that rigid registration—translation and rotation only—cannot resolve are corrected non-linearly by the DVF, achieving precise alignment.

An easy-to-read error map

Diagram of the DIR error map overlaid on a CT image

Evaluating DIR error is laborious and time-consuming, which makes tuning the optimal DIR parameters difficult. Our DIR overlays the error map directly onto the CT image so the error can be grasped at a glance. This lets you instantly check the DIR error in regions relevant to treatment and makes parameter tuning far easier.

An easy-to-use interface

We also provide an intuitive graphical user interface (GUI). Reviewing and editing ROI shapes, adjusting DIR parameters, and displaying the various results can all be done smoothly on screen. The design aims to be approachable even for users who are not accustomed to specialized operations.

Computing the time-integrated dose distribution

Diagram of aligning each respiratory-phase dose distribution to the reference phase to compute the time-integrated dose

When the dose distribution is calculated for each respiratory phase using 4D CT images, some regions are irradiated and others are not depending on the time, and even the same region may receive a different dose at different times. The distribution at each time point alone does not allow a comprehensive dose evaluation. Therefore, the deformation of the CT image at each respiratory phase is computed by DIR and warped to the reference phase, so the same voxel can be tracked over time and its dose summed across all time points. A weighted average along the time axis then yields the time-integrated dose distribution (heavy-ion beams require additional considerations). Accurately computing such a dose distribution depends on high-precision DIR.

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