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Predicting Radiotherapy Outcomes with Deep Learning Models Through Baseline and Adaptive Simulation Computed

Kuo-Chen Wu1,2, Shang-Wen Chen3,4,5, Yuan-Yen Chang6

  • 1Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei 10617, Taiwan.

Cancers
|November 13, 2025
PubMed
Summary
This summary is machine-generated.

This study developed a deep learning model using CT scans to predict local recurrence, neck relapse, and distant metastases in pharyngeal cancer patients undergoing adaptive radiation therapy (ART). The model shows promise in forecasting treatment outcomes for improved patient care.

Keywords:
adaptive radiotherapycomputed tomographydeep contrastive learningpharyngeal cancertreatment outcome

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Area of Science:

  • Oncology
  • Radiotherapy
  • Medical Imaging
  • Artificial Intelligence

Background:

  • Adaptive radiation therapy (ART) is increasingly adopted in clinical radiotherapy (RT).
  • Pharyngeal cancers require precise RT planning and outcome prediction.
  • Deep learning (DL) offers potential for enhanced treatment outcome prediction in RT.

Purpose of the Study:

  • To develop a deep learning (DL) model for predicting treatment outcomes in pharyngeal cancer patients.
  • To integrate baseline and adaptive radiation therapy (ART) simulation CT images for model training.
  • To predict local recurrence (LR), neck lymph node relapse (NR), and distant metastases (DM).

Main Methods:

  • Analysis of clinical and imaging data from 162 pharyngeal cancer patients.
  • Utilized baseline and ART non-contrast simulation CT images for model training.
  • Employed a deep contrastive learning model with CT image augmentation to predict LR, NR, and DM.

Main Results:

  • Over a median follow-up of 34 months, LR, NR, and DM occurred in 32.7%, 22.2%, and 14.0% of patients, respectively.
  • The integrated DL model achieved an Area Under the Curve (AUC) of 0.773 for LR, 0.747 for NR, and 0.793 for DM.
  • Prediction accuracies for LR, NR, and DM were 72.4%, 74.7%, and 75.7%, respectively.

Conclusions:

  • The developed DL models can predict LR, NR, and DM in pharyngeal cancer patients using baseline and ART simulation CTs.
  • The model shows potential for improving treatment outcome prediction in radiotherapy.
  • External validation is recommended to confirm the model's generalizability and performance.