We implemented a novel approach of using MRI to synthesize CT datasets acquired at MV photon energies for more accurate electron density mapping in radiotherapy treatment planning. We used a 3D deep convolutional neural network and demonstrated clinical proof-of-concept by evaluating the dosimetric impact of using synthetic datasets in a test radiotherapy treatment plan. The proposed method produced mean MAE of 72.8±17.3 HU and SSIM of 0.82 in the test dataset. The dose distributions computed on the test case produced 100% gamma passing rate (computed at 3%/3mm) indicating that synthetic MV images may be used for clinical treatment planning.
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