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The Radiation Medicine Program at the Princess Margaret Cancer Centre treats cancer patients with Radiation Therapy (RT). RT relies on the principle that the cancer can be killed by delivering a high radiation dose to the tumor while sparing healthy tissues. Deformable image registration (DIR) is a cornerstone of modern RT, enabling the alignment of images across multiple treatment courses and imaging modalities. It plays an important role in clinical workflows such as image fusion, tumor tracking, and dose accumulation. However, in female pelvic radiotherapy, DIR methods face substantial challenges in managing complex anatomical changes. These include large deformations caused by different organ fillings such in the bladder, rectum or bowel, organ sliding, and tumor shrinkage or swelling, which can compromise the accuracy of registration. To address these challenges, there is a critical need for an automated DIR pipeline capable of handling such complexities in real time, facilitating more precise adaptive radiotherapy and improving clinical outcomes.
Aviad Levis
Princess Margaret Cancer Centre
Computer science
Health and Related Sciences & Technology
University of Toronto
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