Evidence map›Paper›PMID 41398177›Full record

ArticleNature communications2025

Multicenter study on the versatility and adoption of AI-driven automated radiotherapy planning across cancer types.

Lei Yu, Qianxi Ni, Binbing Wang, Kang Zhang, Feng Shi, Shixiong Huang, Guoping Shan, Yang Zhong, Ying Guo, Zhen Zhang and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Radiation oncology at a new frontier: Hotspots, challenges, and emerging advances.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. 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

12 authors.

Lei Yu *Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Qianxi Ni *The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, China.
Binbing Wang *Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Kang ZhangRadiotherapy Business Unit, Shanghai United Imaging Healthcare Co. Ltd., Shanghai, China.
Feng ShiDepartment of Research and Development, Shanghai United Imaging Intelligence Co. Ltd., Shanghai, China.ORCID http://orcid.org/0000-0003-1522-9943
Shixiong HuangThe Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, China.
Guoping ShanZhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Yang ZhongDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Ying GuoDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Zhen ZhangDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. zhen_zhang@fudan.edu.cn.ORCID http://orcid.org/0000-0001-6426-5364
Jiazhou WangDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. wjiazhou@gmail.com.ORCID http://orcid.org/0000-0002-9012-6605
Weigang HuDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. jackhuwg@gmail.com.ORCID http://orcid.org/0000-0002-4409-6804

Funding

National Natural Science Foundation of China (National Science Foundation of China) 12475339
6 · The paper itself

Abstract

Deep learning (DL) -based automated treatment planning (ATP) shows significant promise in streamlining radiotherapy workflow and reducing variability in plan quality. However, it often lacks the flexibility needed for achieving individualized trade-offs in real-world practice. Herein, we propose a hybrid strategy by integrating DL-based dose prediction with clinical-goal-guided inverse optimization to generate directly deliverable plans within five minutes. DL models for five disease sites were trained separately using datasets from a single institution and were tested retrospectively for clinical application among three institutions, with tailored prioritized clinical goals. We find that over 80% of the 250 auto-plans met clinical criteria, and 60% were preferred over manual plans in blinded reviews. Dosimetric analyses show that the auto-plans quantitatively matched or exceeded the quality of human-driven plans. This study highlights ATP's potential to transform radiotherapy practice, with ongoing efforts aimed at refining its versatility and adoption across diverse clinical settings.

Indexed as

Deep LearningNeoplasmsRadiotherapy Planning, Computer-AssistedHumansRadiotherapy DosageRetrospective Studies

Identifiers

PMID41398177
PMCPMC12827991

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.