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Neural network dose models for knowledge-based planning in pancreatic SBRT.

Warren G Campbell1, Moyed Miften1, Lindsey Olsen2

  • 1Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, CO, 80045, USA.

Medical Physics
|October 11, 2017
PubMed
Summary

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Adjuvant Chemotherapy ± Chemoradiotherapy for Adenocarcinoma of the Pancreatic Head: Results of the Radiotherapy Random Assignment of NRG Oncology/RTOG 0848.

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Moving beyond anatomy: the future of rectal cancer management is biologically-informed, response-adapted, and patient-centered.

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Dosimetric Predictors of Problematic Receptive Anal Intercourse After Prostate Radiation Therapy.

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Does Radiation Boost Dose Affect Organ Preservation Rates? A Secondary Analysis of the Organ Preservation in Patients With Rectal Adenocarcinoma Trial.

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Dose-Volume Histogram Compendium of Dose Constraints for Treatment Planning: An ASTRO Consensus Paper.

Practical radiation oncology·2026

Artificial neural network dose models (ANN-DMs) accurately predict physician-approved stereotactic body radiation therapy (SBRT) plans for pancreatic cancer. Tailoring models to individual physician techniques significantly improved accuracy for SBRT delivery.

Area of Science:

  • Radiation Oncology
  • Medical Physics
  • Artificial Intelligence in Medicine

Background:

  • Stereotactic body radiation therapy (SBRT) for pancreatic cancer demands precise dose delivery to tumors while sparing critical organs like the duodenum and stomach.
  • Developing accurate predictive models for SBRT dose distributions is crucial for optimizing treatment planning and patient outcomes.

Purpose of the Study:

  • To develop and evaluate knowledge-based artificial neural network dose models (ANN-DMs) for predicting physician-approved dose distributions in pancreatic cancer SBRT.
  • To assess the impact of individual physician treatment variations on the accuracy of ANN-DMs.

Main Methods:

  • Arc-based SBRT plans for 43 pancreatic cancer patients were analyzed.
  • Physician-approved dose distributions from a commercial treatment planning system (TPS) were used to train ANN-DMs.
Keywords:
artificial neural networkdose-predictionknowledge-based planningpancreatic cancerstereotactic radiation therapy

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  • Separate ANN-DMs were trained for each physician's distinct treatment approach to account for variations in planning parameters.
  • Main Results:

    • Training separate ANN-DMs for each physician significantly improved model accuracy, reducing mean absolute dose error from over 30% to under 5%.
    • Mean absolute dose errors remained below 10% across all distances from the planning target volume (PTV).
    • Model performance showed good accuracy above 25 Gy but larger errors at lower doses.

    Conclusions:

    • ANN-DMs demonstrate excellent agreement with TPS-generated dose distributions for pancreatic cancer SBRT.
    • Personalizing ANN-DMs to individual physician treatment styles substantially enhances predictive accuracy.
    • This approach enables the feasible development of ANN-DMs capable of predicting physician-specific desired dose distributions.