How to contour the different heart subregions for future deep-learning modeling of the heart: A practical pictorial proposal for radiation oncologists

Loig Vaugier; Elvire Martin-Mervoyer; Loic Ah-Thiane; Martin Langé; Luc Ollivier; Tanguy Perennec; Stéphane Supiot; Loig Duvergé; François Lucia; Pierre Trémolières; Roshanack Movassaghi; Karine Fresse-Warin; Alexandra Moignier; Francois Thillays

doi:10.1016/j.ctro.2023.100718

How to contour the different heart subregions for future deep-learning modeling of the heart: A practical pictorial proposal for radiation oncologists

Clin Transl Radiat Oncol. 2023 Dec 18:45:100718. doi: 10.1016/j.ctro.2023.100718. eCollection 2024 Mar.

Authors

Affiliations

¹ Department of Radiation Oncology, Institut de Cancérologie de l'Ouest, 44800 Saint Herblain, France.
² Department of Cardiology, Institut de Cancérologie de l'Ouest, 44800 Saint Herblain, France.
³ Laboratoire US2B, Unité en Sciences Biologiques et Biotechnologies, UMR CNRS 6286, UFR Sciences et Techniques, 2, rue de la Houssinière, 44322 Nantes, France.
⁴ Department of Radiation Oncology, Centre Eugène Marquis, 35000 Rennes, France.
⁵ Department of Radiation Oncology, Centre Hospitalo-Universitaire (CHU), 29200 Brest, France.
⁶ Department of Radiation Oncology, Institut de Cancérologie de l'Ouest, 49000 Angers, France.
⁷ Department of Radiology, Institut de Cancérologie de l'Ouest, 44800 Saint Herblain, France.
⁸ Department of Radiology - Non-invasive Cardiovascular Imaging, Centre Hospitalo-Universitaire (CHU), 44000 Nantes, France.
⁹ Department of Medical Physics, Institut de Cancérologie de l'Ouest, 44800 Saint Herblain, France.

Abstract

There are currently no accurate rules for manually delineating the subregions of the heart (cavities, vessels, aortic/mitral valves, Planning organ at Risk Volumes for coronary arteries) with the perspective of deep-learning based modeling. Our objective was to present a practical pictorial view for radiation oncologists, based on the RTOG atlas and anatomical complementary considerations for the cases where the RTOG guidelines are missing.

Keywords: Automatic modeling; Delineation; Heart subregions; Radio-induced cardiotoxicity; Radiotherapy.