Deep learning for autosegmentation for radiotherapy treatment planning: State-of-the-art and novel perspectives.

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Tác giả: Josef A Buchner, Stephanie E Combs, Ayhan Can Erdur, Lucas Etzel, Stefan Fischer, Johannes Kiechle, Óscar Llorián-Salvador, Marie-Christin Metz, Mai Q Nguyen, Jan C Peeken, Daniel Rueckert, Daniel Rusche, Julia Schnabel, Daniel Scholz, Jonas Weidner, Benedikt Wiestler

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: Germany : Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 250926

The rapid development of artificial intelligence (AI) has gained importance, with many tools already entering our daily lives. The medical field of radiation oncology is also subject to this development, with AI entering all steps of the patient journey. In this review article, we summarize contemporary AI techniques and explore the clinical applications of AI-based automated segmentation models in radiotherapy planning, focusing on delineation of organs at risk (OARs), the gross tumor volume (GTV), and the clinical target volume (CTV). Emphasizing the need for precise and individualized plans, we review various commercial and freeware segmentation tools and also state-of-the-art approaches. Through our own findings and based on the literature, we demonstrate improved efficiency and consistency as well as time savings in different clinical scenarios. Despite challenges in clinical implementation such as domain shifts, the potential benefits for personalized treatment planning are substantial. The integration of mathematical tumor growth models and AI-based tumor detection further enhances the possibilities for refining target volumes. As advancements continue, the prospect of one-stop-shop segmentation and radiotherapy planning represents an exciting frontier in radiotherapy, potentially enabling fast treatment with enhanced precision and individualization.
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