Optimal hyperparameters of CBCT-based synthetic CT using U-net deep learning to improve image quality for adaptive radiotherapy in the H&N region

Authors

  • Tipaporn Prakarnpilas Medical Physics Program, Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy
  • Sangutid Thongsawad Medical Physics Program, Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy
  • Kittipol Dachaworakul Medical Physics Program, Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy
  • Aphisara Deeharing Radiation Oncology Department, Chulabhorn hospital, Chulabhorn Royal Academy
  • Chirasak Khamfongkhruea Medical Physics Program, Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy

Keywords:

synthetic CT, cone-beam CT, deep learning, U-net, hyperparameters

Abstract

Background: Cone-beam CT (CBCT) imaging is used for adaptive radiation therapy (ART) in head and neck cancer (HNC) due to its more convenient image acquisition and no additional dose. However, CBCT limitations in Hounsfield (HU) accuracy and image quality have emerged for treatment planning. Recently, several studies have proposed using deep learning to generate synthetic CT (sCT) images from CBCT images. However, the quality of images depends on the hyperparameter setting.

Objectives: To determine the optimal hyperparameters of the U-net deep learning (DL) for generating sCT images for ART in HNC.

Material and methods: To generate sCT images, U-net DL with a mean absolute error loss function was used in this study. A total of 3491 image pairs from pCT and CBCT datasets from 40 HNC patients were split into 80% (2976 images from 32 patients) and 20% (515 images from 8 patients) for training and testing, respectively. Each parameter for tuning the U-net model, consisting of learning rates, batch sizes, and epochs, was investigated with various hyperparameter settings in a total of 45 conditions. The best model was assessed using four metrics, including a mean absolute error (MAE) and root mean square error (RMSE) for HU accuracy, peak signal-to-noise ratio (PSNR), and structural similarity index (SSIM) for image quality between sCT and pCT images, as well as a training time.

Results: For optimal hyperparameters, we found that the learning rate was set to 1e-3, batch size of 8, and  epoch of 200. According to this setting, MAE, RMSE, and PSNR improved from 53.15 ± 40.09, 153.99 ± 79.78, and 47.91 ± 4.98 to 41.47 ± 30.59, 130.39 ± 78.06, and 49.93 ± 6.00, respectively, while SSIM remained constant. The learning rate played an essential role in the training model. All models with various hyperparameters enhanced the reduction of artifacts and noise. The edges of the bone and the soft tissue boundary were clearly visible. The average training time of an optimal hyperparameter was 6 hours and 36.6 minutes (398 ms/step), while it took less than 10 seconds to generate sCT images.

Conclusion: Hyperparameter optimization can improve the quality of sCT images for treatment planning. This study demonstrates the potential of U-net to use CBCT images for ART in HNC. 

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Published

2023-05-17

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Prakarnpilas T, Thongsawad S, Dachaworakul K, Deeharing A, Khamfongkhruea C. Optimal hyperparameters of CBCT-based synthetic CT using U-net deep learning to improve image quality for adaptive radiotherapy in the H&N region. J Thai Assn of Radiat Oncol [Internet]. 2023 May 17 [cited 2024 Dec. 21];29(1):R34-R51. Available from: https://he01.tci-thaijo.org/index.php/jtaro/article/view/259719

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