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An interactive plan and model evolution method for knowledge-based pelvic VMAT planning.

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机构: [1]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Beijing Cancer Hospital & Institute, Peking University Cancer Hospital & Institute, Beijing, China [2]Department of Medical Physics, Institute of Medical Humanities, Peking University, Beijing, China [3]Beijing City Key Lab for Medical Physics and Engineering, School of Physics, Institute of Heavy Ion Physics, Peking University, Beijing, China
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关键词: knowledge-based planning model improvement RapidPlan rectal cancer

摘要:
To test if a RapidPlan DVH estimation model and its training plans can be improved interactively through a closed-loop evolution process. Eighty-one manual plans (P0 ) that were used to configure an initial rectal RapidPlan model (M0 ) were reoptimized using M0 (closed-loop), yielding 81 P1 plans. The 75 improved P1 (P1+ ) and the remaining 6 P0 were used to configure model M1 . The 81 training plans were reoptimized again using M1 , producing 23 P2 plans that were superior to both their P0 and P1 forms (P2+ ). Hence, the knowledge base of model M2 composed of 6 P0 , 52 P1+ , and 23 P2+ . Models were tested dosimetrically on 30 VMAT validation cases (Pv ) that were not used for training, yielding Pv (M0 ), Pv (M1 ), and Pv (M2 ) respectively. The 30 Pv were also optimized by M2_new as trained by the library of M2 and 30 Pv (M0 ). Based on comparable target dose coverage, the first closed-loop reoptimization significantly (P < 0.01) reduced the 81 training plans' mean dose to femoral head, urinary bladder, and small bowel by 2.65 Gy/15.63%, 2.06 Gy/8.11%, and 1.47 Gy/6.31% respectively, which were further reduced significantly (P < 0.01) in the second closed-loop reoptimization by 0.04 Gy/0.28%, 0.18 Gy/0.77%, 0.22 Gy/1.01% respectively. However, open-loop VMAT validations displayed more complex and intertwined plan quality changes: mean dose to urinary bladder and small bowel decreased monotonically using M1 (by 0.34 Gy/1.47%, 0.25 Gy/1.13%) and M2 (by 0.36 Gy/1.56%, 0.30 Gy/1.36%) than using M0 . However, mean dose to femoral head increased by 0.81 Gy/6.64% (M1 ) and 0.91 Gy/7.46% (M2 ) than using M0 . The overfitting problem was relieved by applying model M2_new . The RapidPlan model and its constituent plans can improve each other interactively through a closed-loop evolution process. Incorporating new patients into the original training library can improve the RapidPlan model and the upcoming plans interactively. © 2018 Key Laboratory of Carcinogenesis and Translational Research.

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出版当年[2018]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]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Beijing Cancer Hospital & Institute, Peking University Cancer Hospital & Institute, Beijing, China
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通讯作者:
通讯机构: [1]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Beijing Cancer Hospital & Institute, Peking University Cancer Hospital & Institute, Beijing, China [3]Beijing City Key Lab for Medical Physics and Engineering, School of Physics, Institute of Heavy Ion Physics, Peking University, Beijing, China
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