Published in

OpenAlex, 2022

DOI: 10.60692/27km0-d9038

OpenAlex, 2022

DOI: 10.60692/zphq5-wq693

IOP Publishing, Physics in Medicine & Biology, 18(67), p. 185012, 2022

DOI: 10.1088/1361-6560/ac8044

Links

Tools

Export citation

Search in Google Scholar

OpenKBP-Opt: an international and reproducible evaluation of 76 knowledge-based planning pipelines

Journal article published in 2022 by Aaron Babier, Aaron Babier ORCID, Rafid Mahmood ORCID, Rafid Mahmood, Binghao Zhang, Binghao Zhang ORCID, Victor Gabriel Leandro Alves ORCID, Victor Gabriel Leandro Alves, Aldemar Montero, Ana Maria Barragán-Montero ORCID, Ana María Barragán Montero, Joel Beaudry ORCID, Joel Beaudry, Carlos E. Cardenas ORCID, Yankui Chang and other authors.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

Full text: Download

Question mark in circle
Preprint: policy unknown
Question mark in circle
Postprint: policy unknown
Question mark in circle
Published version: policy unknown

Abstract

Abstract Objective. To establish an open framework for developing plan optimization models for knowledge-based planning (KBP). Approach. Our framework includes radiotherapy treatment data (i.e. reference plans) for 100 patients with head-and-neck cancer who were treated with intensity-modulated radiotherapy. That data also includes high-quality dose predictions from 19 KBP models that were developed by different research groups using out-of-sample data during the OpenKBP Grand Challenge. The dose predictions were input to four fluence-based dose mimicking models to form 76 unique KBP pipelines that generated 7600 plans (76 pipelines × 100 patients). The predictions and KBP-generated plans were compared to the reference plans via: the dose score, which is the average mean absolute voxel-by-voxel difference in dose; the deviation in dose-volume histogram (DVH) points; and the frequency of clinical planning criteria satisfaction. We also performed a theoretical investigation to justify our dose mimicking models. Main results. The range in rank order correlation of the dose score between predictions and their KBP pipelines was 0.50–0.62, which indicates that the quality of the predictions was generally positively correlated with the quality of the plans. Additionally, compared to the input predictions, the KBP-generated plans performed significantly better (P < 0.05; one-sided Wilcoxon test) on 18 of 23 DVH points. Similarly, each optimization model generated plans that satisfied a higher percentage of criteria than the reference plans, which satisfied 3.5% more criteria than the set of all dose predictions. Lastly, our theoretical investigation demonstrated that the dose mimicking models generated plans that are also optimal for an inverse planning model. Significance. This was the largest international effort to date for evaluating the combination of KBP prediction and optimization models. We found that the best performing models significantly outperformed the reference dose and dose predictions. In the interest of reproducibility, our data and code is freely available.