Evidence map›Paper›PMID 35443714›Full record

ArticleRadiation oncology (London, England)2022

Applying pytorch toolkit to plan optimization for circular cone based robotic radiotherapy.

Bin Liang, Ran Wei, Jianghu Zhang, Yongbao Li, Tao Yang, Shouping Xu, Ke Zhang, Wenlong Xia, Bin Guo, Bo Liu and 3 more

Abstract read
In one paragraph

Article in Radiation oncology (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. [Advances in research on organ-at-risk protection in pelvic tumor external beam radiotherapy].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024
    Review
  3. Deep Learning Aided Neuroimaging and Brain Regulation.Sensors (Basel, Switzerland) · 2023
    Review
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

13 authors.

Bin Liang *Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang Dist, 17 Panjianyuannanli Rd., Beijing, 100021, China.ORCID http://orcid.org/0000-0001-5756-8412
Ran Wei *Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang Dist, 17 Panjianyuannanli Rd., Beijing, 100021, China.
Jianghu ZhangDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang Dist, 17 Panjianyuannanli Rd., Beijing, 100021, China.
Yongbao LiSun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangzhou, 510060, Guangdong, China.
Tao YangDepartment of Radiation Oncology, PLA General Hospital, Beijing, 100853, China.
Shouping XuDepartment of Radiation Oncology, PLA General Hospital, Beijing, 100853, China.
Ke ZhangDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang Dist, 17 Panjianyuannanli Rd., Beijing, 100021, China.
Wenlong XiaDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang Dist, 17 Panjianyuannanli Rd., Beijing, 100021, China.
Bin GuoImage Processing Center, Beihang University, Beijing, 100191, China.
Bo LiuImage Processing Center, Beihang University, Beijing, 100191, China.
Fugen ZhouImage Processing Center, Beihang University, Beijing, 100191, China.
Qiuwen WuDivision of Radiation Physics, Department of Radiation Oncology, Duke University Medical Center, Box 3295, Durham, NC, 27710, USA. qiuwen.wu@duke.edu.
Jianrong DaiDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang Dist, 17 Panjianyuannanli Rd., Beijing, 100021, China. dai_jianrong@cicams.ac.cn.

Funding

Beijing Hope Run Special Fund of Cancer Foundation of China LC2021B15Beijing Municipal Science and Technology Commission Z181100001918002CAMS Innovation Fund for Medical Sciences (CIFMS) 2020-I2M-C&T-A-017National Natural Science Foundation of China 81801799
6 · The paper itself

Abstract

backgroundRobotic linac is ideally suited to deliver hypo-fractionated radiotherapy due to its compact head and flexible positioning. The non-coplanar treatment space improves the delivery versatility but the complexity also leads to prolonged optimization and treatment time.

methodsIn this study, we attempted to use the deep learning (pytorch) framework for the plan optimization of circular cone based robotic radiotherapy. The optimization problem was topologized into a simple feedforward neural network, thus the treatment plan optimization was transformed into network training. With this transformation, the pytorch toolkit with high-efficiency automatic differentiation (AD) for gradient calculation was used as the optimization solver. To improve the treatment efficiency, plans with fewer nodes and beams were sought. The least absolute shrinkage and selection operator (lasso) and the group lasso were employed to address the "sparsity" issue.

resultsThe AD-S (AD sparse) approach was validated on 6 brain and 6 liver cancer cases and the results were compared with the commercial MultiPlan (MLP) system. It was found that the AD-S plans achieved rapid dose fall-off and satisfactory sparing of organs at risk (OARs). Treatment efficiency was improved by the reduction in the number of nodes (28%) and beams (18%), and monitor unit (MU, 24%), respectively. The computational time was shortened to 47.3 s on average.

conclusionsIn summary, this first attempt of applying deep learning framework to the robotic radiotherapy plan optimization is promising and has the potential to be used clinically.

Indexed as

Radiotherapy, Intensity-ModulatedRobotic Surgical ProceduresHumansOrgans at RiskRadiotherapy DosageRadiotherapy Planning, Computer-AssistedAutomatic differentiationCyberKnifeGroup lassoLassoPlan optimization

Identifiers

PMID35443714
PMCPMC9022303

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Registered trials

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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 OpenQuestion graph.