Evidence map›Paper›PMID 35965743›Full record

ArticleMachine learning: science and technology2021

Improving Proton Dose Calculation Accuracy by Using Deep Learning.

Chao Wu, Dan Nguyen, Yixun Xing, Ana Barragan Montero, Jan Schuemann, Haijiao Shang, Yuehu Pu, Steve Jiang

Abstract read
In one paragraph

Article in Machine learning: science and technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Recent advances in applying machine learning to proton radiotherapy.Biomedical physics & engineering express · 2025
    Pooled it
  2. AI in Proton Therapy Treatment Planning: A Narrative Review.International journal of particle therapy · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. A Python package for fast GPU-based proton pencil beam dose calculation.Journal of applied clinical medical physics · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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

8 authors.

Chao WuMedical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, United States of America.
Dan NguyenMedical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, United States of America.
Yixun XingMedical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, United States of America.
Ana Barragan MonteroUniversity of Chinese Academy of Sciences, Beijing, People's Republic of China.
Jan SchuemannDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, MA, United States of America.
Haijiao ShangShanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai, People's Republic of China.
Yuehu PuShanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai, People's Republic of China.
Steve JiangMedical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, United States of America.

Funding

Intelligent treatment planning for cancer radiotherapyR01CA237269 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI JIA, XUN, JIANG, STEVE BIN · 2019 to 2023
$2.5M
NCI NIH HHS R01 CA237269
6 · The paper itself

Abstract

Introduction: Pencil beam (PB) dose calculation is fast but inaccurate due to the approximations when dealing with inhomogeneities. Monte Carlo (MC) dose calculation is the most accurate method but it is time consuming. The aim of this study was to develop a deep learning model that can boost the accuracy of PB dose calculation to the level of MC dose by converting PB dose to MC dose for different tumor sites. Methods: The proposed model uses the PB dose and CT image as inputs to generate the MC dose. We used 290 patients (90 head and neck, 93 liver, 75 prostate and 32 lung) to train, validate, and test the model. For each tumor site, we performed four numerical experiments to explore various combinations of training datasets. Results: Training the model on data from all tumor sites together and using the dose distribution of each individual beam as input yielded the best performance for all four tumor sites. The average gamma passing rate (1mm/1%) between the converted and the MC dose was 92.8%, 92.7%, 89.7% and 99.6% for head and neck, liver, lung, and prostate test patients, respectively. The average dose conversion time for a single field was less than 4 seconds. The trained model can be adapted to new datasets through transfer learning. Conclusions: Our deep learning-based approach can quickly boost the accuracy of PB dose to that of MC dose. The developed model can be added to the clinical workflow of proton treatment planning to improve dose calculation accuracy.

Indexed as

Deep learningMonte CarloPencil beamProton dose calculation

Identifiers

PMID35965743
PMCPMC9374098

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 OpenQuestion graph.