Evidence map›Paper›PMID 37780177›Full record

ArticlePhysics and imaging in radiation oncology2023

Clinical implementation of deep learning-based automated left breast simultaneous integrated boost radiotherapy treatment planning.

Michele Zeverino, Consiglia Piccolo, Diana Wuethrich, Wendy Jeanneret-Sozzi, Maud Marguet, Jean Bourhis, Francois Bochud, Raphael Moeckli

Abstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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.

Michele ZeverinoInstitute of Radiation Physics, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.
Consiglia PiccoloInstitute of Radiation Physics, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.
Diana WuethrichInstitute of Radiation Physics, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.
Wendy Jeanneret-SozziRadiation Oncology Department, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.
Maud MarguetInstitute of Radiation Physics, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.
Jean BourhisRadiation Oncology Department, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.
Francois BochudInstitute of Radiation Physics, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.
Raphael MoeckliInstitute of Radiation Physics, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: Automation in radiotherapy treatment planning aims to improve both the quality and the efficiency of the process. The aim of this study was to report on a clinical implementation of a Deep Learning (DL) auto-planning model for left-sided breast cancer. Materials and methods: The DL model was developed for left-sided breast simultaneous integrated boost treatments under deep-inspiration breath-hold. Eighty manual dose distributions were revised and used for training. Ten patients were used for model validation. The model was then used to design 17 clinical auto-plans. Manual and auto-plans were scored on a list of clinical goals for both targets and organs-at-risk (OARs). For validation, predicted and mimicked dose (PD and MD, respectively) percent error (PE) was calculated with respect to manual dose. Clinical and validation cohorts were compared in terms of MD only. Results: Median values of both PD and MD validation plans fulfilled the evaluation criteria. PE was < 1% for targets for both PD and MD. PD was well aligned to manual dose while MD left lung mean dose was significantly less (median:5.1 Gy vs 6.1 Gy). The left-anterior-descending artery maximum dose was found out of requirements (median values:+5.9 Gy and + 2.9 Gy, for PD and MD respectively) in three validation cases, while it was reduced for clinical cases (median:-1.9 Gy). No other clinically significant differences were observed between clinical and validation cohorts. Conclusion: Small OAR differences observed during the model validation were not found clinically relevant. The clinical implementation outcomes confirmed the robustness of the model.

Indexed as

Automation in radiation therapyBreast cancerDeep learningTreatment planning

Identifiers

PMID37780177
PMCPMC10534254

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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.