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  • Accurate registration of CT and CBCT images is key for adaptive radiotherapy. A particular challenge is the alignment of flexible organs, such as bladder or rectum, that often yield extreme deformations. In this work we analyze the impact of so-called structure guidance for learning based registration when additional segmentation information is provided to a neural network. We present a novel weakly supervised deep learning based method for multi-modal 3D deformable CT-CBCT registration with structure guidance constraints. Our method is not supervised by ground-truth deformations and we use the energy functional of a variational registration approach as loss for training. Incorporating structure guidance constraints in our learning based approach results in an average Dice score of [Formula: see text] compared to a score of [Formula: see text] for the same method without constraints. An iterative registration approach with structure guidance results in a comparable average Dice score of [Formula: see text]. However, learning based registration requires only a single pass through the network, yielding computation of a deformation fields in less than 0.1 s which is more than 100 times faster than the runtime of iterative registration.
subject
  • Urinary system
  • Medical physics
  • X-ray computed tomography
  • Multi-dimensional geometry
  • Pelvis
  • Artificial neural networks
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