Publications by authors named "A Fenster"

Background: Poor needle placement in prostate high-dose-rate brachytherapy (HDR-BT) results in sub-optimal dosimetry and mentally predicting these effects during HDR-BT is difficult, creating a barrier to widespread availability of high-quality prostate HDR-BT.

Purpose: To provide earlier feedback on needle implantation quality, we trained machine learning models to predict 2D dosimetry for prostate HDR-BT on axial TRUS images.

Methods And Materials: Clinical treatment plans from 248 prostate HDR-BT patients were retrospectively collected and randomly split 80/20 for training/testing.

View Article and Find Full Text PDF
Article Synopsis
  • The study introduces the Auto-VWV framework, a fully automatic system for measuring the vessel-wall-volume (VWV) in carotid artery ultrasound images, aiming to enhance carotid atherosclerosis assessment and stroke risk management.
  • It employs the CAP-UNet architecture, which integrates prior knowledge and learning modules to improve segmentation accuracy, spatial continuity, and topology understanding of the carotid artery.
  • The results demonstrate that Auto-VWV outperforms existing manual and automatic measurement methods in consistency and reproducibility based on various datasets.
View Article and Find Full Text PDF

High dose-rate brachytherapy is a treatment technique for gynecologic cancers where intracavitary applicators are placed within the patient's pelvic cavity. To ensure accurate radiation delivery, localization of the applicator at the time of insertion is vital. This study proposes a novel method for acquiring, registering, and fusing three-dimensional (3D) trans-abdominal and 3D trans-rectal ultrasound (US) images for visualization of the pelvic anatomy and applicators during gynecologic brachytherapy.

View Article and Find Full Text PDF

Purpose: Our objective was to train machine-learning algorithms on hyperpolarized magnetic resonance imaging (MRI) datasets to generate models of accelerated lung function decline in participants with and without chronic-obstructive-pulmonary-disease. We hypothesized that hyperpolarized gas MRI ventilation, machine-learning, and multivariate modeling could be combined to predict clinically-relevant changes in forced expiratory volume in 1 s ( ) across 3 years.

Approach: Hyperpolarized MRI was acquired using a coronal Cartesian fast gradient recalled echo sequence with a partial echo and segmented using a k-means clustering algorithm.

View Article and Find Full Text PDF

Background: Three-dimensional (3D) ultrasound (US) imaging has shown promise in non-invasive monitoring of changes in the lateral brain ventricles of neonates suffering from intraventricular hemorrhaging. Due to the poorly defined anatomical boundaries and low signal-to-noise ratio, fully supervised methods for segmentation of the lateral ventricles in 3D US images require a large dataset of annotated images by trained physicians, which is tedious, time-consuming, and expensive. Training fully supervised segmentation methods on a small dataset may lead to overfitting and hence reduce its generalizability.

View Article and Find Full Text PDF