Medical Artificial Intelligence and Automation (MAIA) Laboratory, UT Southwestern Medical Center, Dallas, TX; Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX.
Medical Artificial Intelligence and Automation (MAIA) Laboratory, UT Southwestern Medical Center, Dallas, TX; Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX.
Semin Radiat Oncol. 2022 Oct;32(4):343-350. doi: 10.1016/j.semradonc.2022.06.004.
Treatment planning in radiation therapy has progressed enormously over the past several decades. Such advancements came in the form of innovative hardware and algorithms, giving rise to modalities such as intensity-modulated radiation therapy and volume modulated arc therapy, greatly improving patient outcome and quality of life. While these developments have improved the overall plan quality, they have also given rise to higher treatment planning complexity. This has resulted in increased treatment planning time and higher variability in the final approved plan quality. Radiation oncology, as an already technologically advanced field, has much research and implementation involving the use of AI. The field has begun to show the efficacy of using such technologies in many of its sub-areas, such as in diagnosis, imaging, segmentation, treatment planning, quality assurance, treatment delivery, and follow-up. Some AI technologies have already been clinically implemented by commercial systems. In this article, we will provide an overview to methods involved with treatment planning in radiation therapy. In particular, we will review the recent research and literature related to automation of the treatment planning process, leading to potentially higher efficiency and higher quality plans. We will then present the current and future challenges, as well as some future perspectives.
在过去的几十年中,放射治疗中的治疗计划已经取得了巨大的进展。这些进展以创新的硬件和算法的形式出现,催生了强度调制放射治疗和容积调制弧形治疗等方式,极大地提高了患者的治疗效果和生活质量。虽然这些发展提高了整体计划质量,但也增加了治疗计划的复杂性。这导致治疗计划时间增加,最终批准的计划质量也更加多变。放射肿瘤学作为一个已经高度技术化的领域,有许多涉及人工智能应用的研究和实施。该领域已经开始在许多子领域(如诊断、成像、分割、治疗计划、质量保证、治疗实施和随访)展示使用这些技术的效果。一些人工智能技术已经被商业系统临床实施。在本文中,我们将提供放射治疗中治疗计划的方法概述。特别是,我们将回顾与治疗计划过程自动化相关的最新研究和文献,从而实现潜在的更高效率和更高质量的计划。然后,我们将介绍当前和未来的挑战,以及一些未来的展望。
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