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Deep learning empowered volume delineation of whole-body organs-at-risk for accelerated radiotherapy.


ABSTRACT: In radiotherapy for cancer patients, an indispensable process is to delineate organs-at-risk (OARs) and tumors. However, it is the most time-consuming step as manual delineation is always required from radiation oncologists. Herein, we propose a lightweight deep learning framework for radiotherapy treatment planning (RTP), named RTP-Net, to promote an automatic, rapid, and precise initialization of whole-body OARs and tumors. Briefly, the framework implements a cascade coarse-to-fine segmentation, with adaptive module for both small and large organs, and attention mechanisms for organs and boundaries. Our experiments show three merits: 1) Extensively evaluates on 67 delineation tasks on a large-scale dataset of 28,581 cases; 2) Demonstrates comparable or superior accuracy with an average Dice of 0.95; 3) Achieves near real-time delineation in most tasks with <2 s. This framework could be utilized to accelerate the contouring process in the All-in-One radiotherapy scheme, and thus greatly shorten the turnaround time of patients.

SUBMITTER: Shi F 

PROVIDER: S-EPMC9630370 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Deep learning empowered volume delineation of whole-body organs-at-risk for accelerated radiotherapy.

Shi Feng F   Hu Weigang W   Wu Jiaojiao J   Han Miaofei M   Wang Jiazhou J   Zhang Wei W   Zhou Qing Q   Zhou Jingjie J   Wei Ying Y   Shao Ying Y   Chen Yanbo Y   Yu Yue Y   Cao Xiaohuan X   Zhan Yiqiang Y   Zhou Xiang Sean XS   Gao Yaozong Y   Shen Dinggang D  

Nature communications 20221102 1


In radiotherapy for cancer patients, an indispensable process is to delineate organs-at-risk (OARs) and tumors. However, it is the most time-consuming step as manual delineation is always required from radiation oncologists. Herein, we propose a lightweight deep learning framework for radiotherapy treatment planning (RTP), named RTP-Net, to promote an automatic, rapid, and precise initialization of whole-body OARs and tumors. Briefly, the framework implements a cascade coarse-to-fine segmentatio  ...[more]

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