Semi-supervised learning is a sound measure to relieve the strict demand of abundant annotated datasets, especially for challenging multi-organ segmentation . However, most existing SSL methods predict pixels in a single image independently, ignoring the relations among images and categories. In this paper, we propose a two-stage Dual Contrastive Learning Network for semi-supervised MoS, which utilizes global and local contrastive learning to strengthen the relations among images and classes. Concretely, in Stage 1, we develop a similarity-guided global contrastive learning to explore the implicit continuity and similarity among images and learn global context. Then, in Stage 2, we present an organ-aware local contrastive learning to further attract the class representations. To ease the computation burden, we introduce a mask center computation algorithm to compress the category representations for local contrastive learning. Experiments conducted on the public 2017 ACDC dataset and an in-house RC-OARs dataset has demonstrated the superior performance of our method.
Radiotherapy is a primary treatment for cancers with the aim of applying sufficient radiation dose to the planning target volume (PTV) while minimizing dose hazards to the organs at risk (OARs). Convolutional neural networks (CNNs) have automated the radiotherapy plan-making by predicting the dose maps. However, current CNN-based methods ignore the remarkable dose difference in the dose map, i.e., high dose value in the interior PTV while low value in the exterior PTV, leading to a suboptimal prediction. In this paper, we propose a triplet-constraint transformer (TCtrans) with multi-scale refinement to predict the high-quality dose distribution. Concretely, a novel PTV-guided triplet constraint is designed to refine dose feature representations in the interior and exterior PTV by utilizing the explicit geometry of PTV. Furthermore, we introduce a multi-scale refinement (MSR) module to effectively fulfill the triplet constraint in different decoding layers with multiple scales. Besides, a transformer encoder is devised to learn the important global dosimetric knowledge. Experiments on a clinical cervical cancer dataset demonstrate the superiority of our method.
Deep learning (DL) has successfully automated dose distribution prediction in radiotherapy planning, enhancing both efficiency and quality. However, existing methods suffer from the over-smoothing problem for their commonly used L1 or L2 loss with posterior average calculations. To alleviate this limitation, we propose a diffusion model-based method (DiffDose) for predicting the radiotherapy dose distribution of cancer patients. Specifically, the DiffDose model contains a forward process and a reverse process. In the forward process, DiffDose transforms dose distribution maps into pure Gaussian noise by gradually adding small noise and a noise predictor is simultaneously trained to estimate the noise added at each timestep. In the reverse process, it removes the noise from the pure Gaussian noise in multiple steps with the well-trained noise predictor and finally outputs the predicted dose distribution maps...
Currently, deep learning (DL) has achieved the automatic prediction of dose distribution in radiotherapy planning, enhancing its efficiency and quality. However, existing methods suffer from the over-smoothing problem for their commonly used L_1 or L_2 loss with posterior average calculations. To alleviate this limitation, we innovatively introduce a diffusion-based dose prediction (DiffDP) model for predicting the radiotherapy dose distribution of cancer patients. Specifically, the DiffDP model contains a forward process and a reverse process. In the forward process, DiffDP gradually transforms dose distribution maps into Gaussian noise by adding small noise and trains a noise predictor to predict the noise added in each timestep. In the reverse process, it removes the noise from the original Gaussian noise in multiple steps with the well-trained noise predictor and finally outputs the predicted dose distribution map. To ensure the accuracy of the prediction, we further design a structure encoder to extract anatomical information from patient anatomy images and enable the noise predictor to be aware of the dose constraints within several essential organs, i.e., the planning target volume and organs at risk. Extensive experiments on an in-house dataset with 130 rectum cancer patients demonstrate the s