AbstractID: 7678 Title: Method For Reducing Uncertainty In Selecting Organ Boundary Points for CT Image-based Organ Registration Image based organ registration is one of the most important components in the implementation of image feedback adaptive radiotherapy. Biomechanical model and finite element method (FEM) have been introduced to solve this registration problem by calculating organ deformation. In the calculation, one of critical issues is the potential uncertainty in selecting organ boundary points among different 3D image sets. To reduce this uncertainty, an optimization method was developed. In the method, boundary point locations on deforming organ surfaces are defined as searching variables. A cost function is defined as the total work (energy) consumed during organ motion/deformation. Constraints of organ surface stress are introduced to ensure that the stress distribution in calculation is close to the one in human organs with normal physiological status. First, we select initial boundary points such that they are evenly distributed on the organ surfaces from user defined fiducial points. Then, we use FEM to calculate the stress distribution over the organ surface. The optimal boundary points are then iteratively searched based on the surface stress distribution calculated using the FEM. This optimization method was tested with a computer simulation using organs of interest for prostate cancer treatment. The results demonstrate that boundary selection discrepancy can be reduced significantly after a few iterations. Support in part by CA71785