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放射治疗中的自动轮廓勾画与计划:何为“临床可接受”?

Automated Contouring and Planning in Radiation Therapy: What Is 'Clinically Acceptable'?

作者信息

Baroudi Hana, Brock Kristy K, Cao Wenhua, Chen Xinru, Chung Caroline, Court Laurence E, El Basha Mohammad D, Farhat Maguy, Gay Skylar, Gronberg Mary P, Gupta Aashish Chandra, Hernandez Soleil, Huang Kai, Jaffray David A, Lim Rebecca, Marquez Barbara, Nealon Kelly, Netherton Tucker J, Nguyen Callistus M, Reber Brandon, Rhee Dong Joo, Salazar Ramon M, Shanker Mihir D, Sjogreen Carlos, Woodland McKell, Yang Jinzhong, Yu Cenji, Zhao Yao

机构信息

Department of Radiation Physics, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

The University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Sciences, Houston, TX 77030, USA.

出版信息

Diagnostics (Basel). 2023 Feb 10;13(4):667. doi: 10.3390/diagnostics13040667.

DOI:10.3390/diagnostics13040667
PMID:36832155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9955359/
Abstract

Developers and users of artificial-intelligence-based tools for automatic contouring and treatment planning in radiotherapy are expected to assess clinical acceptability of these tools. However, what is 'clinical acceptability'? Quantitative and qualitative approaches have been used to assess this ill-defined concept, all of which have advantages and disadvantages or limitations. The approach chosen may depend on the goal of the study as well as on available resources. In this paper, we discuss various aspects of 'clinical acceptability' and how they can move us toward a standard for defining clinical acceptability of new autocontouring and planning tools.

摘要

基于人工智能的放射治疗自动轮廓勾画和治疗计划工具的开发者和使用者,需要评估这些工具的临床可接受性。然而,什么是“临床可接受性”呢?定量和定性方法都已被用于评估这个定义不明确的概念,所有这些方法都有优点和缺点或局限性。所选择的方法可能取决于研究目标以及可用资源。在本文中,我们将讨论“临床可接受性”的各个方面,以及它们如何能推动我们朝着定义新的自动轮廓勾画和计划工具临床可接受性的标准迈进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad7/9955359/8d6898afb5eb/diagnostics-13-00667-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad7/9955359/69e6d93d7793/diagnostics-13-00667-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad7/9955359/8d6898afb5eb/diagnostics-13-00667-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad7/9955359/69e6d93d7793/diagnostics-13-00667-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad7/9955359/8d6898afb5eb/diagnostics-13-00667-g002.jpg

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J Med Imaging (Bellingham). 2023 Feb;10(Suppl 1):S11903. doi: 10.1117/1.JMI.10.S1.S11903. Epub 2023 Feb 8.
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Deep Learning-Based Dose Prediction for Automated, Individualized Quality Assurance of Head and Neck Radiation Therapy Plans.基于深度学习的头颈部放射治疗计划自动个体化质量保证剂量预测。
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Comparison of online adaptation strategies for magnetic resonance guided prostate radiation therapy.
磁共振引导前列腺放射治疗的在线自适应策略比较
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Adaptive Radiation Therapy for Head and Neck Cancer.头颈部癌的自适应放射治疗
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Implementing Remote Radiotherapy Planning to Increase Patient Flow at a Johannesburg Academic Hospital, South Africa: Protocol for a Prospective Feasibility Study.在南非约翰内斯堡一家学术医院实施远程放射治疗计划以增加患者流量:一项前瞻性可行性研究方案
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