Therapy operating characteristic (TOC) curves and their application to the evaluation of segmentation algorithms

Harrison H. Barrett, Donald W. Wilson, Matthew A. Kupinski, Kasarachi Aguwa, Lars Ewell, Robert Hunter, Stefan Müller

Research output: Chapter in Book/Report/Conference proceedingConference contribution

7 Scopus citations

Abstract

This paper presents a general framework for assessing imaging systems and image-analysis methods on the basis of therapeutic rather than diagnostic efficacy. By analogy to receiver operating characteristic (ROC) curves, it introduces the Therapy Operating Characteristic or TOC curve, which is a plot of the probability of tumor control vs. the probability of normal-tissue complications as the overall level of a radiotherapy treatment beam is varied. The proposed figure of merit is the area under the TOC, denoted AUTOC. If the treatment planning algorithm is held constant, AUTOC is a metric for the imaging and image-analysis components, and in particular for segmentation algorithms that are used to delineate tumors and normal tissues. On the other hand, for a given set of segmented images, AUTOC can also be used as a metric for the treatment plan itself. A general mathematical theory of TOC and AUTOC is presented and then specialized to segmentation problems. Practical approaches to implementation of the theory in both simulation and clinical studies are presented. The method is illustrated with a a brief study of segmentation methods for prostate cancer.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2010
Subtitle of host publicationImage Perception, Observer Performance, and Technology Assessment
DOIs
StatePublished - Dec 1 2010
EventMedical Imaging 2010: Image Perception, Observer Performance, and Technology Assessment - San Diego, CA, United States
Duration: Feb 17 2010Feb 18 2010

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume7627
ISSN (Print)1605-7422

Other

OtherMedical Imaging 2010: Image Perception, Observer Performance, and Technology Assessment
CountryUnited States
CitySan Diego, CA
Period2/17/102/18/10

Keywords

  • Radiation therapy
  • operating characteristic
  • registration
  • segmentation

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging

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