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自动化治疗计划的进展。

Advances in Automated Treatment Planning.

机构信息

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.

出版信息

Semin Radiat Oncol. 2022 Oct;32(4):343-350. doi: 10.1016/j.semradonc.2022.06.004.


DOI:10.1016/j.semradonc.2022.06.004
PMID:36202437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9851906/
Abstract

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.

摘要

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。

相似文献

[1]
Advances in Automated Treatment Planning.

Semin Radiat Oncol. 2022-10

[2]
Automation and intensity modulated radiation therapy for individualized high-quality tangent breast treatment plans.

Int J Radiat Oncol Biol Phys. 2014-11-1

[3]
Automation in intensity modulated radiotherapy treatment planning-a review of recent innovations.

Br J Radiol. 2018-12

[4]
Voxel-based automatic multi-criteria optimization for intensity modulated radiation therapy.

Radiat Oncol. 2018-12-5

[5]
Intensity-modulated radiotherapy: current status and issues of interest.

Int J Radiat Oncol Biol Phys. 2001-11-15

[6]
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Acta Oncol. 2017-11

[7]
Auto- versus human-driven plan in mediastinal Hodgkin lymphoma radiation treatment.

Radiat Oncol. 2018-10-19

[8]
Automated volumetric modulated arc therapy planning for whole pelvic prostate radiotherapy.

Strahlenther Onkol. 2017-12-21

[9]
Radiation Planning Assistant - A Streamlined, Fully Automated Radiotherapy Treatment Planning System.

J Vis Exp. 2018-4-11

[10]
Automated planning of tangential breast intensity-modulated radiotherapy using heuristic optimization.

Int J Radiat Oncol Biol Phys. 2011-1-13

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[3]
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[4]
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[5]
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[6]
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Int J Radiat Oncol Biol Phys. 2025-3-29

[7]
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Med Phys. 2025-6

[8]
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Rep Pract Oncol Radiother. 2024-12-4

[9]
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[10]
Optimizing volumetric modulated arc therapy prostate planning using an automated Fine-Tuning process through dynamic adjustment of optimization parameters.

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本文引用的文献

[1]
A reinforcement learning application of a guided Monte Carlo Tree Search algorithm for beam orientation selection in radiation therapy.

Mach Learn Sci Technol. 2021-9

[2]
Improving Proton Dose Calculation Accuracy by Using Deep Learning.

Mach Learn Sci Technol. 2021-3

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Technical Note: Dose prediction for head and neck radiotherapy using a three-dimensional dense dilated U-net architecture.

Med Phys. 2021-9

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A feasibility study on deep learning-based individualized 3D dose distribution prediction.

Med Phys. 2021-8

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Clinical integration of machine learning for curative-intent radiation treatment of patients with prostate cancer.

Nat Med. 2021-6

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Deep Learning-Based Fluence Map Prediction for Pancreas Stereotactic Body Radiation Therapy With Simultaneous Integrated Boost.

Adv Radiat Oncol. 2021-2-16

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Fluence Map Prediction Using Deep Learning Models - Direct Plan Generation for Pancreas Stereotactic Body Radiation Therapy.

Front Artif Intell. 2020-9-8

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A comparison of Monte Carlo dropout and bootstrap aggregation on the performance and uncertainty estimation in radiation therapy dose prediction with deep learning neural networks.

Phys Med Biol. 2021-2-24

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Phys Med Biol. 2021-1-29

[10]
Dose prediction with deep learning for prostate cancer radiation therapy: Model adaptation to different treatment planning practices.

Radiother Oncol. 2020-12

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