Journal article
Clinical Experience With Machine Learning-Based Automated Treatment Planning for Whole Breast Radiation Therapy
Advances in radiation oncology, v 6(2), pp 100656-100656
01 Mar 2021
PMID: 33748540
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose: The machine learningebased automated treatment planning (MLAP) tool has been developed and evaluated for breast radiation therapy planning at our institution. We implemented MLAP for patient treatment and assessed our clinical experience for its performance.
Methods and Materials: A total of 102 patients of breast or chest wall treatment plans were prospectively evaluated with institutional review board approval. A human planner executed MLAP to create an auto-plan via automation of fluence maps generation. If judged necessary, a planner further fine-tuned the fluence maps to reach a final plan. Planners recorded the time required for auto-planning and manual modification. Target (ie, breast or chest wall and nodes) coverage and dose homogeneity were compared between the auto-plan and final plan.
Results: Cases without nodes (n = 71) showed negligible (<1%) differences for target coverage and dose homogeneity between the auto-plan and final plan. Cases with nodes (n = 31) also showed negligible difference for target coverage. However, mean +/- standard deviation of volume receiving 105% of the prescribed dose and maximum dose were reduced from 43.0% +/- 26.3% to 39.4% +/- 23.7% and 119.7% +/- 9.5% to 114.4% +/- 8.8% from auto-plan to final plan, respectively, all with P < .01 for cases with nodes (n = 31). Mean +/- standard deviation time spent for auto-plans and additional fluence modification for final plans were 12.1 +/- 9.3 and 13.1 +/- 12.9 minutes, respectively, for cases without nodes, and 16.4 +/- 9.7 and 26.4 +/- 16.4 minutes, respectively, for cases with nodes.
Conclusions: The MLAP tool has been successfully implemented for routine clinical practice and has significantly improved planning efficiency. Clinical experience indicates that auto-plans are sufficient for target coverage, but improvement is warranted to reduce high dose volume for cases with nodal irradiation. This study demonstrates the clinical implementation of auto-planning for patient treatment and the significant importance of integrating human experience and feedback to improve MLAP for better clinical translation. (C) 2021 The Authors. Published by Elsevier Inc. on behalf of American Society for Radiation Oncology.
Metrics
Details
- Title
- Clinical Experience With Machine Learning-Based Automated Treatment Planning for Whole Breast Radiation Therapy
- Creators
- Sua Yoo - Duke Medical CenterYang Sheng - Duke Medical CenterRachel Blitzblau - Duke Medical CenterSusan McDuff - Duke UniversityColin Champ - Duke Medical CenterJay Morrison - Duke Medical CenterLeigh O'Neill - Duke UniversitySuzanne Catalano - Duke Medical CenterFang-Fang Yin - Duke Medical CenterJackie Wu - Duke University
- Publication Details
- Advances in radiation oncology, v 6(2), pp 100656-100656
- Publisher
- Elsevier
- Number of pages
- 9
- Grant note
- R01CA201212 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Varian Medical Systems
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiation Oncology (and Nuclear Medicine)
- Web of Science ID
- WOS:000717463300003
- Scopus ID
- 2-s2.0-85102274301
- Other Identifier
- 991021897368804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Oncology
- Radiology, Nuclear Medicine & Medical Imaging