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Organs at Risk

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Automating the optimization of proton PBS treatment planning for head and neck cancers using policy gradient-based deep reinforcement learning.

Medical physics
BACKGROUND: Proton pencil beam scanning (PBS) treatment planning for head and neck (H&N) cancers is a time-consuming and experience-demanding task where a large number of potentially conflicting planning objectives are involved. Deep reinforcement le...

Deep learning-based synthetic CT for dosimetric monitoring of combined conventional radiotherapy and lattice boost in large lung tumors.

Radiation oncology (London, England)
PURPOSE: Conventional radiotherapy (CRT) has limited local control and poses a high risk of severe toxicity in large lung tumors. This study aimed to develop an integrated treatment plan that combines CRT with lattice boost radiotherapy (LRT) and mon...

Development and validation of a deep reinforcement learning algorithm for auto-delineation of organs at risk in cervical cancer radiotherapy.

Scientific reports
This study was conducted to develop and validate a novel deep reinforcement learning (DRL) algorithm incorporating the segment anything model (SAM) to enhance the accuracy of automatic contouring organs at risk during radiotherapy for cervical cancer...

A knowledge-based planning model to identify fraction-reduction opportunities in brain stereotactic radiotherapy.

Journal of applied clinical medical physics
OBJECTIVE: To develop and validate a HyperArc-based RapidPlan (HARP) model for three-fraction brain stereotactic radiotherapy (SRT) plans to then use to replan previously treated five-fraction SRT plans. Demonstrating the possibility of reducing the ...

Dose prediction via deep learning to enhance treatment planning of lung radiotherapy including simultaneous integrated boost techniques.

Medical physics
BACKGROUND: Recent studies have shown deep learning techniques are able to predict three-dimensional (3D) dose distributions of radiotherapy treatment plans. However, their use in dose prediction for treatments with varied prescription doses includin...

Evaluation and failure analysis of four commercial deep learning-based autosegmentation software for abdominal organs at risk.

Journal of applied clinical medical physics
PURPOSE: Deep learning-based segmentation of organs-at-risk (OAR) is emerging to become mainstream in clinical practice because of the superior performance over atlas and model-based autocontouring methods. While several commercial deep learning-base...

A deep learning-based peer review method for radiotherapy planning.

Medical physics
BACKGROUND: Quality control (QC) in radiotherapy planning is crucial for ensuring treatment efficacy and patient safety. Traditionally, QC relies on standard indicators and subjective assessments, which may lead to inconsistencies.

The implementation of knowledge-based planning with partial OAR contours for prostate radiotherapy.

Journal of applied clinical medical physics
PURPOSE: Intra- and inter-observer contour uncertainty is a continuous challenge in treatment planning for radiotherapy. Our proposed solution to address this challenge is the use of partial contours for treatment planning, focusing on uninvolved or ...

Enhanced dose prediction for head and neck cancer artificial intelligence-driven radiotherapy based on transfer learning with limited training data.

Journal of applied clinical medical physics
PURPOSE: Training deep learning dose prediction models for the latest cutting-edge radiotherapy techniques, such as AI-based nodal radiotherapy (AINRT) and Daily Adaptive AI-based nodal radiotherapy (DA-AINRT), is challenging due to limited data. Thi...

Deep learning-based segmentation of head and neck organs at risk on CBCT images with dosimetric assessment for radiotherapy.

Physics in medicine and biology
Cone beam computed tomography (CBCT) has become an essential tool in head and neck cancer (HNC) radiotherapy (RT) treatment delivery. Automatic segmentation of the organs at risk (OARs) on CBCT can trigger and accelerate treatment replanning but is s...