Synthetic CT generation from CBCT and MRI using StarGAN in the Pelvic Region

Abstract Rationale and objectives This study evaluated StarGAN, a deep learning model designed to generate synthetic computed tomography (sCT) images from magnetic resonance imaging (MRI) and cone-beam computed tomography (CBCT) data using a single model. The goal was to provide accurate Hounsfield...

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Main Authors: Paritt Wongtrakool, Chanon Puttanawarut, Pimolpun Changkaew, Supakiet Piasanthia, Pareena Earwong, Nauljun Stansook, Suphalak Khachonkham
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Radiation Oncology
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Online Access:https://doi.org/10.1186/s13014-025-02590-2
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author Paritt Wongtrakool
Chanon Puttanawarut
Pimolpun Changkaew
Supakiet Piasanthia
Pareena Earwong
Nauljun Stansook
Suphalak Khachonkham
author_facet Paritt Wongtrakool
Chanon Puttanawarut
Pimolpun Changkaew
Supakiet Piasanthia
Pareena Earwong
Nauljun Stansook
Suphalak Khachonkham
author_sort Paritt Wongtrakool
collection DOAJ
description Abstract Rationale and objectives This study evaluated StarGAN, a deep learning model designed to generate synthetic computed tomography (sCT) images from magnetic resonance imaging (MRI) and cone-beam computed tomography (CBCT) data using a single model. The goal was to provide accurate Hounsfield unit (HU) data for dose calculation to enable MRI simulation and adaptive radiation therapy (ART) using CBCT or MRI. We also compared the performance and benefits of StarGAN to the commonly used CycleGAN. Materials and methods StarGAN and CycleGAN were employed in this study. The dataset comprised 53 cases of pelvic cancer. Evaluation involved qualitative and quantitative analyses, focusing on synthetic image quality and dose distribution calculation. Results For sCT generated from CBCT, StarGAN demonstrated superior anatomical preservation based on qualitative evaluation. Quantitatively, CycleGAN exhibited a lower mean absolute error (MAE) for the body (42.8 ± 4.3 HU) and bone (138.2 ± 20.3), whereas StarGAN produced a higher MAE for the body (50.8 ± 5.2 HU) and bone (153.4 ± 27.7 HU). Dosimetric evaluation showed a mean dose difference (DD) within 2% for the planning target volume (PTV) and body, with a gamma passing rate (GPR) > 90% under the 2%/2 mm criteria. For sCT generated from MRI, qualitative evaluation also favored the anatomical preservation provided by StarGAN. CycleGAN recorded a lower MAE (79.8 ± 14 HU for the body and 253.6 ± 30.9 HU for bone) compared with StarGAN (94.7 ± 7.4 HU for the body and 353.6 ± 34.9 HU for bone). Both models achieved a mean DD within 2% in the PTV and body, and GPR > 90%. Conclusion While CycleGAN exhibited superior quantitative metrics, StarGAN was better in anatomical preservation, highlighting its potential for sCT generation in radiotherapy.
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institution Kabale University
issn 1748-717X
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publisher BMC
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series Radiation Oncology
spelling doaj-art-ac113fb421e349bdb471fa4fa48a9edf2025-02-09T12:48:39ZengBMCRadiation Oncology1748-717X2025-02-0120111410.1186/s13014-025-02590-2Synthetic CT generation from CBCT and MRI using StarGAN in the Pelvic RegionParitt Wongtrakool0Chanon Puttanawarut1Pimolpun Changkaew2Supakiet Piasanthia3Pareena Earwong4Nauljun Stansook5Suphalak Khachonkham6Master of Science Program in Medical Physics, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDepartment of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDivision of Radiation and Oncology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDivision of Radiation and Oncology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityMaster of Science Program in Medical Physics, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDivision of Radiation and Oncology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDivision of Radiation and Oncology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityAbstract Rationale and objectives This study evaluated StarGAN, a deep learning model designed to generate synthetic computed tomography (sCT) images from magnetic resonance imaging (MRI) and cone-beam computed tomography (CBCT) data using a single model. The goal was to provide accurate Hounsfield unit (HU) data for dose calculation to enable MRI simulation and adaptive radiation therapy (ART) using CBCT or MRI. We also compared the performance and benefits of StarGAN to the commonly used CycleGAN. Materials and methods StarGAN and CycleGAN were employed in this study. The dataset comprised 53 cases of pelvic cancer. Evaluation involved qualitative and quantitative analyses, focusing on synthetic image quality and dose distribution calculation. Results For sCT generated from CBCT, StarGAN demonstrated superior anatomical preservation based on qualitative evaluation. Quantitatively, CycleGAN exhibited a lower mean absolute error (MAE) for the body (42.8 ± 4.3 HU) and bone (138.2 ± 20.3), whereas StarGAN produced a higher MAE for the body (50.8 ± 5.2 HU) and bone (153.4 ± 27.7 HU). Dosimetric evaluation showed a mean dose difference (DD) within 2% for the planning target volume (PTV) and body, with a gamma passing rate (GPR) > 90% under the 2%/2 mm criteria. For sCT generated from MRI, qualitative evaluation also favored the anatomical preservation provided by StarGAN. CycleGAN recorded a lower MAE (79.8 ± 14 HU for the body and 253.6 ± 30.9 HU for bone) compared with StarGAN (94.7 ± 7.4 HU for the body and 353.6 ± 34.9 HU for bone). Both models achieved a mean DD within 2% in the PTV and body, and GPR > 90%. Conclusion While CycleGAN exhibited superior quantitative metrics, StarGAN was better in anatomical preservation, highlighting its potential for sCT generation in radiotherapy.https://doi.org/10.1186/s13014-025-02590-2RadiotherapySynthetic CTDeep learningStarGANCycleGANCBCT
spellingShingle Paritt Wongtrakool
Chanon Puttanawarut
Pimolpun Changkaew
Supakiet Piasanthia
Pareena Earwong
Nauljun Stansook
Suphalak Khachonkham
Synthetic CT generation from CBCT and MRI using StarGAN in the Pelvic Region
Radiation Oncology
Radiotherapy
Synthetic CT
Deep learning
StarGAN
CycleGAN
CBCT
title Synthetic CT generation from CBCT and MRI using StarGAN in the Pelvic Region
title_full Synthetic CT generation from CBCT and MRI using StarGAN in the Pelvic Region
title_fullStr Synthetic CT generation from CBCT and MRI using StarGAN in the Pelvic Region
title_full_unstemmed Synthetic CT generation from CBCT and MRI using StarGAN in the Pelvic Region
title_short Synthetic CT generation from CBCT and MRI using StarGAN in the Pelvic Region
title_sort synthetic ct generation from cbct and mri using stargan in the pelvic region
topic Radiotherapy
Synthetic CT
Deep learning
StarGAN
CycleGAN
CBCT
url https://doi.org/10.1186/s13014-025-02590-2
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