在螺旋式和机器人辐射疗法中以人工智能 (AI) 驱动的自适应运动管理:创新,挑战和未来方向
Dhiren K Panda1, Saurjya R Das1, Shishir Kumar1
1Anatomy, Institute of Medical Sciences (IMS) & SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, IND.
Cureus
|May 5, 2025
概括
人工智能 (AI) 增强了运动适应性放射治疗 (ART) 以改善瘤跟踪和辐射输送. 人工智能技术比传统方法提供了更高的精度,尽管实时应用仍然存在挑战.
科学领域:
- 医学物理 医学物理
- 放射治疗技术 放射治疗技术
- 人工智能在医学中的应用
背景情况:
- 放射治疗中的传统运动管理 (例如,呼吸门,ITV扩张) 会导致更大的治疗边缘和更大的辐射暴露.
- 人工智能 (AI) 为实时瘤跟踪和适应性放射治疗 (ART) 提供了先进的解决方案.
研究的目的:
- 研究基于AI的运动指导技术,用于螺旋式断层疗法 (HT) 和CyberKnife机器人放射手术.
- 突出技术创新,工程挑战和AI在ART中的临床应用.
主要方法:
- 由人工智能驱动的实时运动跟踪和可变形图像记录 (DIR) 为优越的瘤定位.
- 在螺旋式断层疗法 (使用MVCT) 和CyberKnife (使用基于X射线的校正) 中AI集成的比较.
主要成果:
- 人工智能增强了瘤定位,自动剂量调节和ART中的实时成像集成.
- 螺旋式断层疗法使用MVCT进行分数内运动监测;CyberKnife使用机器人手臂校正以获得亚毫米精度.
结论:
- 人工智能显著提高了运动适应性放射治疗的准确性和效率.
- 需要进一步的研究来解决人工智能处理延迟,运动变化,并实现基于人工智能的完全自动化辐射传递系统.
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