Evidence map›Paper›PMID 39503512›Full record

ArticleJournal of applied clinical medical physics2025

Clinical commissioning and introduction of an in-house artificial intelligence (AI) platform for automated head and neck intensity modulated radiation therapy (IMRT) treatment planning.

Xinyi Li, Yang Sheng, Qingrong Jackie Wu, Yaorong Ge, David M Brizel, Yvonne M Mowery, Dongrong Yang, Fang-Fang Yin, Qiuwen Wu

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Xinyi LiDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, United States.ORCID https://orcid.org/0000-0001-9995-8101
Yang ShengDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, United States.
Qingrong Jackie WuDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, United States.
Yaorong GeDepartment of Information Systems, University of North Carolina at Charlotte, Charlotte, North Carolina, United States.
David M BrizelDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, United States.
Yvonne M MoweryDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, United States.
Dongrong YangDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, United States.
Fang-Fang YinDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, United States.
Qiuwen WuDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, United States.ORCID https://orcid.org/0000-0003-0748-7280

Funding

Developing knowledge models to enable rapid learning in radiation therapyR01CA201212 · NCI · DUKE UNIVERSITY · PI GE, YAORONG, WU, QINGRONG JACKIE · 2016 to 2019
$1.8M
NCI NIH HHS R01 CA201212NIH HHS #R01CA201212
6 · The paper itself

Abstract

background and purposeTo describe the clinical commissioning of an in-house artificial intelligence (AI) treatment planning platform for head-and-neck (HN) Intensity Modulated Radiation Therapy (IMRT). MATERIALS AND

methodsThe AI planning platform has three components: (1) a graphical user interface (GUI) is built within the framework of a commercial treatment planning system (TPS). The GUI allows AI models to run remotely on a designated workstation configured with GPU acceleration. (2) A template plan is automatically prepared involving both clinical and AI considerations, which include contour evaluation, isocenter placement, and beam/collimator jaw placement. (3) A well-orchestrated suite of AI models predicts optimal fluence maps, which are imported into TPS for dose calculation followed by an optional automatic fine-tuning. Six AI models provide flexible tradeoffs in parotid sparing and Planning Target Volume (PTV)-organ-at-risk (OAR) preferences. Planners could examine the plan dose distribution and make further modifications as clinically needed. The performance of the AI plans was compared to the corresponding clinical plans.

resultsThe average plan generation time including manual operations was 10-15  min per case, with each AI model prediction taking ∼1 s. The six AI plans form a wide range of tradeoff choices between left and right parotids and between PTV and OARs compared with corresponding clinical plans, which correctly reflected their tradeoff designs.

conclusionThe in-house AI IMRT treatment planning platform was developed and is available for clinical use at our institution. The process demonstrates outstanding performance and robustness of the AI platform and provides sufficient validation.

Indexed as

Artificial IntelligenceHead and Neck NeoplasmsOrgans at RiskRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedAlgorithmsHumansUser-Computer Interfaceartificial intelligencecomputer‐assisted radiotherapydeep learninghead and neck cancersradiotherapy planning

Identifiers

PMID39503512
PMCPMC11712748

What OpenQuestion holds

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LicenceCC BY
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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.