Deep-learning Method for the Prediction of Three-Dimensional Dose Distribution for Left Breast Cancer Conformal Radiation Therapy.

Autor: Ravari ME; Medical Physics Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Nasseri S; Medical Physics Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Medical Physics Research Center, Mashhad University of Medical Sciences, Mashhad, Iran., Mohammadi M; Department of Medical Physics, Royal Adelaide Hospital, Adelaide, Australia., Behmadi M; Cancer Research Center, Semnan University of Medical Sciences, Semnan, Iran; Medical Physics Department, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran., Ghiasi-Shirazi SK; Department of Computer Engineering, Ferdowsi University of Mashhad, Mashhad, Iran., Momennezhad M; Medical Physics Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: MomennezhadM@mums.ac.ir.
Jazyk: angličtina
Zdroj: Clinical oncology (Royal College of Radiologists (Great Britain)) [Clin Oncol (R Coll Radiol)] 2023 Dec; Vol. 35 (12), pp. e666-e675. Date of Electronic Publication: 2023 Sep 15.
DOI: 10.1016/j.clon.2023.09.002
Abstrakt: Aims: An increase in the demand of a new generation of radiotherapy planning systems based on learning approaches has been reported. At this stage, the new approach is able to improve the planning speed while saving a reasonable level of plan quality, compared with available planning systems. We believe that new achievements, such as deep-learning models, will be able to review the issue from a different point of view.
Materials and Methods: The data of 120 breast cancer patients were used to train and test the three-dimensional U-Res-Net model. The network input was computed tomography images and patients' contouring, while the patients' dose distribution was addressed as the output of the model proposed. The predicted dose distributions, created by the model for 10 test patients, were then compared with corresponding dose distributions calculated by a reliable treatment planning system. In particular, the dice similarity coefficients for different isodose volumes, dose difference and mean absolute errors (MAE) for all voxels inside the body, D mean , D 98% , D 50% , D 2% , V 95% for planning target volume and organs at risk were calculated and were statistically analysed with the paired-samples t-test.
Results: The average dose difference for all patients and voxels in body was 0.60 ± 2.81%. The MAE varied from 3.85 ± 6.65% to 8.06 ± 10.00%. The average MAE for test cases was 5.71 ± 1.19%. The average dice similarity coefficients for isodose volumes was 0.91 ± 0.03. The three-dimensional gamma passing rates with 3 mm/3% criteria varied from 78.99% to 97.58% for planning target volume and organs at risk, respectively.
Conclusions: The investigation showed that a deep-learning model can be applied to predict the three-dimensional dose distribution with optimal accuracy and precision for patients with left breast cancer. As further study, the model can be extended to predict dose distribution in other cancers.
(Copyright © 2023. Published by Elsevier Ltd.)
Databáze: MEDLINE
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