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Deep learning based clinical target volumes contouring for prostate cancer: Easy and efficient application

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机构: [1]Department of Radiation Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. [2]Abdominal Oncology Ward, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. [3]Chengdu Institute of Computer Application, Chinese Academy of Sciences, Sichuan, Chengdu, China. [4]University of Chinese Academy of Sciences, Beijing, China. [5]Department of Medicine Oncology, Shifang people's Hospital, Shifang, China.
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关键词: deep learning efficient lymph node contouring prostate cancer prostate target delineation

摘要:
Radiotherapy has been crucial in prostate cancer treatment. However, manual segmentation is labor intensive and highly variable among radiation oncologists. In this study, a deep learning based automated contouring model is constructed for clinical target volumes (CTVs) of intact and postoperative prostate cancer.Computed tomography (CT) data sets of 197 prostate cancer patients were collected. Two auto-delineation models were built for radical radiotherapy and postoperative radiotherapy of prostate cancer respectively, and each model included CTVn for pelvic lymph nodes and CTVp for prostate tumors or prostate tumor beds.In the radical radiotherapy model, the volumetric dice (VD) coefficient of CTVn calculated by AI, was higher than that of the one delineated by the junior physicians (0.85 vs. 0.82, p = 0.018); In the postoperative radiotherapy model, the quantitative parameter of CTVn and CTVp, counted by AI, was better than that of the junior physicians. The median delineation time for AI was 0.23 min in the postoperative model and 0.26 min in the radical model, which were significantly shorter than those of the physicians (50.40 and 45.43 min, respectively, p < 0.001). The correction time of the senior physician for AI was much shorter compared with that for the junior physicians in both models (p < 0.001).Using deep learning and attention mechanism, a highly consistent and time-saving contouring model was built for CTVs of pelvic lymph nodes and prostate tumors or prostate tumor beds for prostate cancer, which also might be a good approach to train junior radiation oncologists.© 2024 The Author(s). Journal of Applied Clinical Medical Physics published by Wiley Periodicals, LLC on behalf of The American Association of Physicists in Medicine.

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出版当年[2023]版:
大类 | 4 区 医学
小类 | 4 区 核医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 核医学
第一作者:
第一作者机构: [1]Department of Radiation Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. [2]Abdominal Oncology Ward, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
通讯作者:
通讯机构: [1]Department of Radiation Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. [2]Abdominal Oncology Ward, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. [*1]Department of Radiation Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
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