Manual organ‐at‐risk (OAR) delineation takes 20–40 min per case, a major bottleneck within the 50–90 min treatment window of abdominal MR‐guided adaptive radiotherapy (MRgRT). Most deep learning systems adopt single‐fraction approaches that discard valuable temporal context from prior treatment fractions.
Implementing an automatic contouring system provided crucial guidance for clinical practice and its iterative update significantly reduced workload and inter‐observer variation while enhancing contouring efficiency and quality.
Ningyu Wang, Tong-Zhen Xu, Yu-Jie Kang et al.· Journal of Applied Clinical...· 0 citations
RatoGuide demonstrated favorable performance in typical cases, but accuracy declined in atypical cases with artifacts or altered anatomy, particularly for atypical cases and organs in high-dose gradient regions.
R. Tozuka, M. Saito, Masaki Matsuda et al.· Journal of Applied Clinical...· 0 citations
Pancreatic cancer Volumetric Modulated Arc Therapy (VMAT) planning presents a significant dosimetric challenge due to the high‐dose gradients required to spare adjacent, radiosensitive organs at risk (OARs) like the stomach and duodenum. This anatomical complexity has limited the scope of automated planning for this si...
Zi-Xu Guan, Yu Shimizu, T. Iwai et al.· Medical Physics (Lancaster)· 0 citations
Abstract Background Deep learning (DL) methods have shown strong performance in predicting dose distributions from patient anatomy and target structures; however, accurate dose prediction does not guarantee a deliverable plan after conversion into machine parameters and dose recalculation in the treatment planning syst...
D. Kutnár, I. Vogelius, Hristo Georgiev et al.· Journal of Applied Clinical...· 0 citations
3D U-Net provided the most favorable overall performance among the evaluated architectures for intact-cervix cases and support further physician-supervised implementation, followed by multicenter external validation and cohort-level dosimetric assessment.
Chen-Ying Ma, Yi Fu, Lu Zhang et al.· Frontiers in Oncology· 0 citations
Personalized segmentation has been shown to improve performance over generalized models in follow‐up imaging; however, its robustness across large temporal gaps remains unclear. We propose a fully automated, context‐informed personalization framework that integrates radiology report‐derived clinical context with imagin...
J. Chun, M. Woodland, A. Castelo et al.· Medical Physics (Lancaster)· 0 citations
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