Abstract
In this chapter, we evaluate the 3D tumor trajectories from patient-specific biomechanical model of the respiratory system, which takes into account the physiology of respiratory motion to simulate irregular motion. The behaviour of the lungs, driving directly by simulated actions of the breathing muscles, i.e. the diaphragm and the intercostal muscles (the rib cage). In this chapter, the lung model is monitored and controlled by a personalized lung pressure-volume relationship during a whole respiratory cycle. The lung pressure is patient specific and calculated by an optimization framework based on inverse finite element analysis. We have evaluated the motion estimation accuracy on two selected patients, with small and large breathing amplitudes (Patient 1 = 10.9 mm, Patient 10 = 26.06 mm). In this order, the lung tumor trajectories identified from 4D CT scan images were used as reference and compared with the 3D lung tumor trajectories estimated from finite element simulation during the whole cycle of breathing. Over all phases of respiration, the average mean error is less than 1.8 ± 1.3 mm. We believe that this model, despite of others takes into account the challenging problem of the respiratory variabilities and can potentially be incorporated effectively in Treatment Planning System (TPS) and as lung tumor motion tracking system during radiation treatment.
Keywords
- Biomechanics
- Respiratory motion
- Breathing mechanics
- Lung tumor tracking
- Radiation therapy
- Medical imaging
- Finite element method
This is a preview of subscription content, access via your institution.
Buying options








Notes
- 1.
ITK-SNAP is a software application used to segment structures in 3D medical images.
- 2.
EV: element volume and OEV: Optimal element volume is the volume of an equilateral tetrahedron with the same circumradius as the element. (The circumradius is the radius of the sphere passing through the four vertices of the tetrahedron.)
References
ICRU 50 Prescribing, Recording, and Reporting Photon Beam Therapy (ICRU Report, Technical Report vol. 50) (International Commission on Radiation Units and Measurements, Bethesda, 1993)
H. Shirato et al., Speed and amplitude of lung tumor motion precisely detected in four-dimensional setup and in real-time tumor-tracking radiotherapy. Int. J. Radiat. Oncol. Biol. Phys. 64(4), 1229–1236 (2006)
J. Ehrhardt, C. Lorenz, 4D Modeling and Estimation of Respiratory Motion for Radiation Therapy (Springer, Berlin/Heidelberg, 2013). ISBN: 978-3-642-36441-9
M. Behr, J. Pérès, M. Llari, Y. Godio, Y. Jammes, C. Brunet, A three-dimensional human trunk model for the analysis of respiratory mechanics. J. Biomech. Eng. 132, 014501-1–014501-4 (2010)
M. Pato et al., Finite element studies of the mechanical behaviour of the diaphragm in normal and pathological cases. Comput. Methods Biomech. Biomed. Eng. 14(6), 505–513 (2011)
A. Al-Mayah, J. Moseley, M. Velec, K. Brock, Toward efficient biomechanical-based deformable image registration of lungs for imageguided radiotherapy. Phys. Med. Biol. 56(15), 4701 (2011)
F. Vidal, P.-F. Villard, E. Lutton, Tuning of patient specific deformable models using an adaptive evolutionary optimization strategy. IEEE Trans. Biomed. Eng. 59(10), 2942–2949 (2012)
J. Eom et al., Predictive modelling of lung motion over the entire respiratory cycle using measured pressure-volume data, 4DCT images, and finite-element analysis. Med. Phys. 37(8), 4389–4400 (2010)
B. Fuerst, T. Mansi, F. Carnis, M. Saelzle, T. Zhang, J. Declerck, T. Boettger, J. Bayouth, N. Navab, A. Kamen, Patient-specific biomechanical model for the prediction of lung motion from 4D CT images. IEEE Trans. Med. Imaging 34(2), 599–607 (2015)
M. Giroux, H. Ladjal, M. Beuve, B. Shariat, in Biomechanical Patient-Specific Model of the Respiratory System Based on 4D CT Scans and Controlled by Personalized Physiological. Medical Image Computing and Computer Assisted Intervention – MICCAI 2017 – 20th International Conference, Quebec (Canada), 13 Sept 2017, pp. 216–223
H. Ladjal, B. Shariat, J. Azencot, M. Beuve, in Appropriate Biomechanics and Kinematics Modeling of the Respiratory System: Human Diaphragm and Thorax (IEEE, IROS, 2013)
H. Ladjal, J. Azencot, M. Beuve, P. Giraud, J.M. Moreau, B. Shariat, Biomechanical Modeling of the respiratory system: Human diaphragm and thorax In: Doyle B., Miller K., Wittek A., Nielsen P. (eds) Computational Biomechanics for Medicine. Springer, Cham, (2015) pp. 101–115 (15 p.) https://doi.org/10.1007/978-3-319-15503-6_10
P. Manescu, H. Ladjal, J. Azencot, M. Beuve, B. Shariat, Human liver multiphysics modeling for 4D dosimetry during hadrontherapy, in IEEE 10th International Symposium on Biomedical Imaging (ISBI), 2013, pp. 472–475
P. Manescu, H. Ladjal, J. Azencot, M. Beuve, E. Testa, B. Shariat, Four-dimensional radiotherapeutic dose calculation using biomechanical respiratory motion description. Int. J. Comput. Assist. Radiol. Surg. 9, 449–457 (2014)
A.L. Didier, P.F. Villard, J.Saade, J.M. Moreau, M. Beuve, B. Shariat, A chest wall model based on rib kinematics, in IEEE ICV, 2009, pp. 159–164
E. Castillo et al., Four-dimensional deformable image registration using trajectory modeling. Phys. Med. Biol. 55, 305–327 (2009)
Acknowledgements
This research is supported by the LABEX PRIMES (ANR-11-LABX-0063), within the program Investissements dAvenir(ANR-11-IDEX- 0007) operated by the French National Research Agency (ANR) and by France Hadron.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this paper
Cite this paper
Ladjal, H., Beuve, M., Shariat, B. (2020). Lung Tumor Tracking Based on Patient-Specific Biomechanical Model of the Respiratory System. In: Miller, K., Wittek, A., Joldes, G., Nash, M., Nielsen, P. (eds) Computational Biomechanics for Medicine. MICCAI MICCAI 2019 2018. Springer, Cham. https://doi.org/10.1007/978-3-030-42428-2_2
Download citation
DOI: https://doi.org/10.1007/978-3-030-42428-2_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-42427-5
Online ISBN: 978-3-030-42428-2
eBook Packages: Physics and AstronomyPhysics and Astronomy (R0)