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Updated: Jun 14, 2025

Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant
Published on: October 6, 2023
Artificial intelligence for response prediction and personalisation in radiation oncology
Alex Zwanenburg1,2,3, Gareth Price4,5, Steffen Löck6,7
1OncoRay-National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Helmholtz-Zentrum Dresden-Rossendorf, Fetscherstr. 74, PF 41, 01307, Dresden, Germany. alexander.zwanenburg@nct-dresden.de.
Artificial intelligence (AI) can personalize radiotherapy by analyzing patient data to predict treatment responses. This review outlines three AI generations for improved radiotherapy personalization, addressing clinical translation challenges.
Area of Science:
- Oncology
- Medical Physics
- Radiotherapy
Background:
- Radiotherapy personalization is crucial for optimizing treatment efficacy and minimizing side effects.
- Artificial intelligence (AI) offers advanced capabilities for analyzing complex patient data in radiotherapy.
Purpose of the Study:
- To describe three generations of AI systems for radiotherapy personalization.
- To discuss challenges in the clinical translation of AI for radiotherapy.
Main Methods:
- Review of AI systems for radiotherapy personalization.
- Categorization of AI systems into pretreatment data-based, response-driven, and dynamically optimized approaches.
Main Results:
- AI systems can personalize radiotherapy through data assessment and response prediction.
- Three distinct generations of AI in radiotherapy are identified: pretreatment-based, response-driven, and dynamic optimization.
Conclusions:
- AI holds significant potential to personalize radiotherapy by predicting treatment outcomes.
- Clinical translation of AI in radiotherapy faces challenges that require further investigation.
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