Using Artificial Intelligence to Improve the Quality and Safety of Radiation Therapy.

Journal: Journal of the American College of Radiology : JACR
Published Date:

Abstract

Within artificial intelligence, machine learning (ML) efforts in radiation oncology have augmented the transition from generalized to personalized treatment delivery. Although their impact on quality and safety of radiation therapy has been limited, they are increasingly being used throughout radiation therapy workflows. Various data-driven approaches have been used for outcome prediction, CT simulation, clinical decision support, knowledge-based planning, adaptive radiation therapy, plan validation, machine quality assurance, and process quality assurance; however, there are many challenges that need to be addressed with the creation and usage of ML algorithms as well as the interpretation and dissemination of findings. In this review, the authors present current applications of ML in radiation oncology quality and safety initiatives, discuss challenges faced by the radiation oncology community, and suggest future directions.

Authors

  • Malvika Pillai
    Carolina Health Informatics Program, University of North Carolina, Chapel Hill, North Carolina.
  • Karthik Adapa
    Carolina Health Informatics Program, University of North Carolina, Chapel Hill, North Carolina.
  • Shiva K Das
    Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina.
  • Lukasz Mazur
    Carolina Health Informatics Program, University of North Carolina, Chapel Hill, North Carolina; Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina.
  • John Dooley
    Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina.
  • Lawrence B Marks
    Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina.
  • Reid F Thompson
    Oregon Health and Science University, Portland, Oregon; Veterans Affairs Portland Health Care System, Portland, Oregon. Electronic address: thompsre@ohsu.edu.
  • Bhishamjit S Chera
    Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina.