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Tumor ablation due to inhomogeneous -- anisotropic diffusion in generic 3-dimensional topologies

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 Added by Erdi Kara
 Publication date 2019
  fields Physics Biology
and research's language is English




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We derive a full 3-dimensional (3-D) model of inhomogeneous -- anisotropic diffusion in a tumor region coupled to a binary population model. The diffusion tensors are acquired using Diffusion Tensor Magnetic Resonance Imaging (DTI) from a patient diagnosed with glioblastoma multiform (GBM). Then we numerically simulate the full model with Finite Element Method (FEM) and produce drug concentration heat maps, apoptosis regions, and dose-response curves. Finally, predictions are made about optimal injection locations and volumes, which are presented in a form that can be employed by doctors and oncologists.



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We present a numerical scheme for solving an inverse problem for parameter estimation in tumor growth models for glioblastomas, a form of aggressive primary brain tumor. The growth model is a reaction-diffusion partial differential equation (PDE) for the tumor concentration. We use a PDE-constrained optimization formulation for the inverse problem. The unknown parameters are the reaction coefficient (proliferation), the diffusion coefficient (infiltration), and the initial condition field for the tumor PDE. Segmentation of Magnetic Resonance Imaging (MRI) scans from a single time snapshot drive the inverse problem where segmented tumor regions serve as partial observations of the tumor concentration. The precise time relative to tumor initiation is unknown, which poses an additional difficulty for inversion. We perform a frozen-coefficient spectral analysis and show that the inverse problem is severely ill-posed. We introduce a biophysically motivated regularization on the tumor initial condition. In particular, we assume that the tumor starts at a few locations (enforced with a sparsity constraint) and that the initial condition magnitude in the maximum norm equals one. We solve the resulting optimization problem using an inexact quasi-Newton method combined with a compressive sampling algorithm for the sparsity constraint. Our implementation uses PETSc and AccFFT libraries. We conduct numerical experiments on synthetic and clinical images to highlight the improved performance of our solver over an existing solver that uses a two-norm regularization for the calibration parameters. The existing solver is unable to localize the initial condition. Our new solver can localize the initial condition and recover infiltration and proliferation. In clinical datasets (for which the ground truth is unknown), our solver results in qualitatively different solutions compared to the existing solver.
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