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Sébastien Quetin

Doctorat - McGill
Superviseur⋅e principal⋅e
Shirin A. Enger
Sujets de recherche
Apprentissage automatique médical
Apprentissage de représentations
Vision par ordinateur

Publications

Automatic segmentation of Organs at Risk in Head and Neck cancer patients from CT and MRI scans
Sébastien Quetin
Andrew Heschl
Mauricio Murillo
Rohit Murali
Shirin A. Enger
Farhad Maleki
Background and purpose: Deep Learning (DL) has been widely explored for Organs at Risk (OARs) segmentation; however, most studies have focus… (voir plus)ed on a single modality, either CT or MRI, not both simultaneously. This study presents a high-performing DL pipeline for segmentation of 30 OARs from MRI and CT scans of Head and Neck (H&N) cancer patients. Materials and methods: Paired CT and MRI-T1 images from 42 H&N cancer patients alongside annotation for 30 OARs from the H&N OAR CT&MR segmentation challenge dataset were used to develop a segmentation pipeline. After cropping irrelevant regions, rigid followed by non-rigid registration of CT and MRI volumes was performed. Two versions of the CT volume, representing soft tissues and bone anatomy, were stacked with the MRI volume and used as input to an nnU-Net pipeline. Modality Dropout was used during the training to force the model to learn from the different modalities. Segmentation masks were predicted with the trained model for an independent set of 14 new patients. The mean Dice Score (DS) and Hausdorff Distance (HD) were calculated for each OAR across these patients to evaluate the pipeline. Results: This resulted in an overall mean DS and HD of 0.777 +- 0.118 and 3.455 +- 1.679, respectively, establishing the state-of-the-art (SOTA) for this challenge at the time of submission. Conclusion: The proposed pipeline achieved the best DS and HD among all participants of the H&N OAR CT and MR segmentation challenge and sets a new SOTA for automated segmentation of H&N OARs.
2024-05-17
ArXiv (prépublication)
doi.org
arxiv.org
Deep learning for high-resolution dose prediction in high dose rate brachytherapy for breast cancer treatment
Sébastien Quetin
Boris Bahoric
Farhad Maleki
Shirin A. Enger
Objective. Monte Carlo (MC) simulations are the benchmark for accurate radiotherapy dose calculations, notably in patient-specific high dose… (voir plus) rate brachytherapy (HDR BT), in cases where considering tissue heterogeneities is critical. However, the lengthy computational time limits the practical application of MC simulations. Prior research used deep learning (DL) for dose prediction as an alternative to MC simulations. While accurate dose predictions akin to MC were attained, graphics processing unit limitations constrained these predictions to large voxels of 3 mm × 3 mm × 3 mm. This study aimed to enable dose predictions as accurate as MC simulations in 1 mm × 1 mm × 1 mm voxels within a clinically acceptable timeframe. Approach. Computed tomography scans of 98 breast cancer patients treated with Iridium-192-based HDR BT were used: 70 for training, 14 for validation, and 14 for testing. A new cropping strategy based on the distance to the seed was devised to reduce the volume size, enabling efficient training of 3D DL models using 1 mm × 1 mm × 1 mm dose grids. Additionally, novel DL architecture with layer-level fusion were proposed to predict MC simulated dose to medium-in-medium (D m,m ). These architectures fuse information from TG-43 dose to water-in-water (D w,w ) with patient tissue composition at the layer-level. Different inputs describing patient body composition were investigated. Main results. The proposed approach demonstrated state-of-the-art performance, on par with the MC D m,m maps, but 300 times faster. The mean absolute percent error for dosimetric indices between the MC and DL-predicted complete treatment plans was 0.17% ± 0.15% for the planning target volume V 100, 0.30% ± 0.32% for the skin D 2cc , 0.82% ± 0.79% for the lung D 2cc , 0.34% ± 0.29% for the chest wall D 2cc and 1.08% ± 0.98% for the heart D 2cc . Significance. Unlike the time-consuming MC simulations, the proposed novel strategy efficiently converts TG-43 D w,w maps into precise D m,m maps at high resolution, enabling clinical integration.
2024-04-11
Physics in Medicine and Biology (publié)
doi.org
Deep learning for high-resolution dose prediction in high dose rate brachytherapy for breast cancer treatment.
Sébastien Quetin
Boris Bahoric
Farhad Maleki
Shirin A. Enger
OBJECTIVE Monte Carlo (MC) simulations are the benchmark for accurate radiotherapy dose calculations, notably in patient-specific high dose … (voir plus)rate brachytherapy (HDR BT), in cases where considering tissue heterogeneities is critical. However, the lengthy computational time limits the practical application of MC simulations. Prior research used Deep Learning (DL) for dose prediction as an alternative to MC simulations. While accurate dose predictions akin to MC were attained, GPU limitations constrained these predictions to large voxels of 3mm × 3mm × 3mm. This study aimed to enable dose predictions as accurate as MC simulations in 1mm × 1mm × 1mm voxels within a clinically acceptable timeframe. Approach: Computed tomography scans of 98 breast cancer patients treated with Iridium-192-based HDR BT were used: 70 for training, 14 for validation, and 14 for testing. A new cropping strategy based on the distance to the seed was devised to reduce the volume size, enabling efficient training of 3D DL models using 1 mm × 1 mm × 1 mm dose grids. Additionally, novel DL architecture with layer-level fusion were proposed to predict MC simulated dose to medium-in-medium (Dm,m). These architectures fuse information from TG-43 dose to water-in-water (Dw,w) with patient tissue composition at the layer-level. Different inputs describing patient body composition were investigated. Main results: The proposed approach demonstrated state-of-the-art performance, on par with the MC Dm,m maps, but 300 times faster. The mean absolute percent error for dosimetric indices between the MC and DL-predicted complete treatment plans was 0.17%±0.15% for the planning target volume V100, 0.30%±0.32% for the skin D2cc, 0.82%±0.79% for the lung D2cc, 0.34%±0.29% for the chest wall D2cc and 1.08%±0.98% for the heart D2cc. Significance: Unlike the time-consuming MC simulations, the proposed novel strategy efficiently converts TG-43 Dw,w maps into precise Dm,m maps at high resolution, enabling clinical integration.
2024-04-11
Physics in Medicine and Biology (publié)
doi.org