Evidence map›Paper›PMID 34917779›Full record

ArticlePhysics and imaging in radiation oncology2021

Artificial intelligence based treatment planning of radiotherapy for locally advanced breast cancer.

Dennis van de Sande, Marjan Sharabiani, Hanneke Bluemink, Esther Kneepkens, Nienke Bakx, Els Hagelaar, Maurice van der Sangen, Jacqueline Theuws, Coen Hurkmans

Abstract read
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Article in Physics and imaging in radiation oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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  11. Artificial intelligence in breast cancer: application and future perspectives.Journal of cancer research and clinical oncology · 2023
    Review
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  18. Five years, 20 volumes and 300 publications ofPhysics and imaging in radiation oncology · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Dennis van de SandeCatharina Hospital, Department of Radiation Oncology, Eindhoven, the Netherlands.
Marjan SharabianiEuropean Organisation for Research and Treatment of Cancer (EORTC) Headquarters, Brussels, Belgium.
Hanneke BlueminkCatharina Hospital, Department of Radiation Oncology, Eindhoven, the Netherlands.
Esther KneepkensCatharina Hospital, Department of Radiation Oncology, Eindhoven, the Netherlands.
Nienke BakxCatharina Hospital, Department of Radiation Oncology, Eindhoven, the Netherlands.
Els HagelaarCatharina Hospital, Department of Radiation Oncology, Eindhoven, the Netherlands.
Maurice van der SangenCatharina Hospital, Department of Radiation Oncology, Eindhoven, the Netherlands.
Jacqueline TheuwsCatharina Hospital, Department of Radiation Oncology, Eindhoven, the Netherlands.
Coen HurkmansCatharina Hospital, Department of Radiation Oncology, Eindhoven, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTreatment planning of radiotherapy for locally advanced breast cancer patients can be a time consuming process. Artificial intelligence based treatment planning could be used as a tool to speed up this process and maintain plan quality consistency. The purpose of this study was to create treatment plans for locally advanced breast cancer patients using a Convolutional Neural Network (CNN). MATERIALS AND

methodsData of 60 patients treated for left-sided breast cancer was used with a training, validation and test split of 36/12/12, respectively. The in-house built CNN model was a hierarchically densely connected U-net (HD U-net). The inputs for the HD U-net were 2D distance maps of the relevant regions of interest. Dose predictions, generated by the HD U-net, were used for a mimicking algorithm in order to create clinically deliverable plans.

resultsDose predictions were generated by the HD U-net and mimicked using a commercial treatment planning system. The predicted plans fulfilling all clinical goals while showing small (≤0.5 Gy) statistically significant differences (p < 0.05) in the doses compared to the manual plans. The mimicked plans show statistically significant differences in the average doses for the heart and lung of ≤0.5 Gy and a reduced D2% of all PTVs. In total, ten of the twelve mimicked plans were clinically acceptable.

conclusionsWe created a CNN model which can generate clinically acceptable plans for left-sided locally advanced breast cancer patients. This model shows great potential to speed up the treatment planning process while maintaining consistent plan quality.

Indexed as

Convolutional neural networksDose mimickingDose predictionLocally advanced breast cancerMachine learning

Identifiers

PMID34917779
PMCPMC8645926

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.