Evidence map›Paper›PMID 37703545›Full record

ArticleJournal of applied clinical medical physics2023

Automated evaluation for rapid implementation of knowledge-based radiotherapy planning models.

Joseph Harms, Joel A Pogue, Carlos E Cardenas, Dennis N Stanley, Rex Cardan, Richard Popple

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.3field-weighted citation impact, top 5% of its field
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

12 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  8. Automated rapidplan model validation using Eclipse scripting API.Journal of applied clinical medical physics · 2025
    Article
  9. Review
  10. Article
  11. Knowledge-based planning, multicriteria optimization, and plan scorecards: A winning combination.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2025
    Article
  12. 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

6 authors at 1 institution in 1 country.

Joseph HarmsDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, USA.
Joel A PogueDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, USA.
Carlos E CardenasDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, USA.
Dennis N StanleyDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, USA.
Rex CardanDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, USA.
Richard PoppleDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, USA.
University of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeKnowledge-based planning (KBP) offers the ability to predict dose-volume metrics based on information extracted from previous plans, reducing plan variability and improving plan quality. As clinical integration of KBP is increasing there is a growing need for quantitative evaluation of KBP models. A .NET-based application, RapidCompare, was created for automated plan creation and analysis of Varian RapidPlan models.

methodsRapidCompare was designed to read calculation parameters and a list of reference plans. The tool copies the reference plan field geometry and structure set, applies the RapidPlan model, optimizes the KBP plan, and generates data for quantitative evaluation of dose-volume metrics. A cohort of 85 patients, divided into training (50), testing (10), and validation (25) groups, was used to demonstrate the utility of RapidCompare. After training and tuning, the KBP model was paired with three different optimization templates to compare various planning strategies in the validation cohort. All templates used the same set of constraints for the planning target volume (PTV). For organs-at-risk, the optimization template provided constraints using the whole dose-volume histogram (DVH), fixed-dose/volume points, or generalized equivalent uniform dose (gEUD). The resulting plans from each optimization approach were compared using DVH metrics.

resultsRapidCompare allowed for the automated generation of 75 total plans for comparison with limited manual intervention. In comparing optimization techniques, the Dose/Volume and Lines optimization templates generated plans with similar DVH metrics, with a slight preference for the Lines technique with reductions in heart V30Gy and spinal cord max dose. The gEUD model produced high target heterogeneity.

conclusionAutomated evaluation allowed for the exploration of multiple optimization templates in a larger validation cohort than would have been feasible using a manual approach. A final KBP model using line optimization objectives produced the highest quality plans without human intervention.

Indexed as

Radiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedBenchmarkingHumansOrgans at RiskRadiotherapy Dosageautomationautoplanningclinical scriptingknowledge-based planningVMAT

Identifiers

PMID37703545
PMCPMC10562024
OpenAlexW4386698633

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.