OpenKBP-Opt:76 个基于知识的规划管道的国际可重现评估。
OpenKBP-Opt: an international and reproducible evaluation of 76 knowledge-based planning pipelines.
机构信息
Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, ON, Canada.
Vector Institute, Toronto, ON, Canada.
出版信息
Phys Med Biol. 2022 Sep 12;67(18). doi: 10.1088/1361-6560/ac8044.
To establish an open framework for developing plan optimization models for knowledge-based planning (KBP).Our framework includes radiotherapy treatment data (i.e. reference plans) for 100 patients with head-and-neck cancer who were treated with intensity-modulated radiotherapy. That data also includes high-quality dose predictions from 19 KBP models that were developed by different research groups using out-of-sample data during the OpenKBP Grand Challenge. The dose predictions were input to four fluence-based dose mimicking models to form 76 unique KBP pipelines that generated 7600 plans (76 pipelines × 100 patients). The predictions and KBP-generated plans were compared to the reference plans via: the dose score, which is the average mean absolute voxel-by-voxel difference in dose; the deviation in dose-volume histogram (DVH) points; and the frequency of clinical planning criteria satisfaction. We also performed a theoretical investigation to justify our dose mimicking models.The range in rank order correlation of the dose score between predictions and their KBP pipelines was 0.50-0.62, which indicates that the quality of the predictions was generally positively correlated with the quality of the plans. Additionally, compared to the input predictions, the KBP-generated plans performed significantly better (< 0.05; one-sided Wilcoxon test) on 18 of 23 DVH points. Similarly, each optimization model generated plans that satisfied a higher percentage of criteria than the reference plans, which satisfied 3.5% more criteria than the set of all dose predictions. Lastly, our theoretical investigation demonstrated that the dose mimicking models generated plans that are also optimal for an inverse planning model.This was the largest international effort to date for evaluating the combination of KBP prediction and optimization models. We found that the best performing models significantly outperformed the reference dose and dose predictions. In the interest of reproducibility, our data and code is freely available.
为了为基于知识的规划 (KBP) 开发计划优化模型建立一个开放的框架。我们的框架包括 100 名头颈部癌症患者的放射治疗数据(即参考计划),这些患者接受了调强放射治疗。该数据还包括来自 19 个 KBP 模型的高质量剂量预测,这些模型是由不同的研究小组在 OpenKBP 大挑战期间使用样本外数据开发的。将剂量预测输入到四个基于通量的剂量模拟模型中,形成了 76 个独特的 KBP 管道,生成了 7600 个计划(76 个管道×100 个患者)。通过剂量评分、剂量体积直方图 (DVH) 点的偏差和临床计划标准满足的频率将预测和 KBP 生成的计划与参考计划进行比较。我们还进行了理论研究来证明我们的剂量模拟模型。预测与 KBP 管道之间剂量评分的秩相关系数范围为 0.50-0.62,这表明预测的质量通常与计划的质量呈正相关。此外,与输入预测相比,KBP 生成的计划在 23 个 DVH 点中的 18 个点上的性能明显更好(<0.05;单侧 Wilcoxon 检验)。同样,每个优化模型生成的计划满足标准的百分比都高于参考计划,比所有剂量预测的集合多满足 3.5%的标准。最后,我们的理论研究表明,剂量模拟模型生成的计划对于逆规划模型也是最优的。这是迄今为止评估 KBP 预测和优化模型组合的最大国际努力。我们发现表现最好的模型明显优于参考剂量和剂量预测。为了便于重现,我们的数据和代码是免费提供的。