  Patient respiratory signal associated with the cone beam CT (CBCT)
projections is important for lung cancer radiotherapy. In contrast to
monitoring an external surrogate of respiration, such signal can be extracted
directly from the CBCT projections. In this paper, we propose a novel local
principle component analysis (LPCA) method to extract the respiratory signal by
distinguishing the respiration motion-induced content change from the gantry
rotation-induced content change in the CBCT projections. The LPCA method is
evaluated by comparing with three state-of-the-art projection-based methods,
namely, the Amsterdam Shroud (AS) method, the intensity analysis (IA) method,
and the Fourier-transform based phase analysis (FT-p) method. The clinical CBCT
projection data of eight patients, acquired under various clinical scenarios,
were used to investigate the performance of each method. We found that the
proposed LPCA method has demonstrated the best overall performance for cases
tested and thus is a promising technique for extracting respiratory signal. We
also identified the applicability of each existing method.
