Siemens Healthineers International Ag

Varian Medical Systems International Ag

Elena Czeizler

Esa Kuusela

Shahab Basiri

Mikko Oskari Hakala

Hannu Laaksonen

Maria Cordero Marcos

Lauri Halko

Janne Iimari Nord

Jarkko Yriana Peltola

Christopher Boylan

Sami Petri Perttu

María Cordero Marcos

Jan Schreier

Ville Pietila

María Isabel Cordero-Marcos

A control circuit accesses a plurality of information items that each correspond to a resultant dose volume histogram shape for a corresponding different radiation treatment plan. The control circuit then trains a machine learning model to predict a desired dose volume histogram shape using that plurality of information items as a training corpus.

Machine learning prediction of dose volume histogram shapes

A control circuit accesses a radiation treatment plan for a given patient. The control circuit then generates dose volume histogram information as a function of the radiation treatment plan and automatically assesses the dose volume histogram information to identify any anomalous results. Generating that information can comprise, at least in part and for example, generating at least one dose volume histogram curve. The latter may comprise generating at least one dose volume histogram curve for each of a plurality of different patient structures (such as one or more treatment volumes and/or one or more organs-at-risk).

Detecting anomalous dose volume histogram information

Disclosed herein are systems and methods for iteratively training artificial intelligence models using reinforcement learning techniques. With each iteration, a training agent applies a random radiation therapy treatment attribute corresponding to the radiation therapy treatment attribute associated with previously performed radiation therapy treatments when an epsilon value indicative of a likelihood of exploration and exploitation training of the artificial intelligence model satisfies a threshold. When the epsilon value does not satisfy the threshold, the agent generates, using an existing policy, a first predicted radiation therapy treatment attribute, and generates, using a predefined model, a second predicted radiation therapy treatment attribute. The agent applies one of the first predicted radiation therapy treatment attribute or the second predicted radiation therapy treatment attribute that is associated with a higher reward. The agent iteratively repeats training the artificial intelligence model until the existing policy satisfies an accuracy threshold.

Training artificial intelligence models for radiation therapy

Example methods for radiotherapy treatment planning using deep learning engines are provided. One example method may comprise obtaining first image data associated with a patient; generating first feature data by processing the first image data associated with a first resolution level using a first processing pathway; generating second feature data by processing second image data associated with a second resolution level using a second processing pathway; and generating third feature data by processing third image data associated with a third resolution level using a third processing pathway. The example method may also comprise generating a first combined set of feature data associated with the second resolution level, and a second combined set of feature data associated with the first resolution level based on the first feature data and the first combined set. Further, the example method may comprise generating output data associated with radiotherapy treatment of the patient.

Methods and systems for radiotherapy treatment planning using deep learning engines

A radiation treatment plan three-dimensional dose prediction machine learning model is trained using a training corpus that includes a plurality of radiation treatment plans that are not specific to a particular patient and wherein the training corpus includes some, but not all, possible patient volumes of interest. Information regarding the patient (including information regarding at least one volume of interest for the patient that was not represented in the training corpus) is input to the radiation treatment plan three-dimensional dose prediction machine model. The latter generates predicted three-dimensional dose distributions that include a predicted three-dimensional dose distribution for the at least one volume of interest that was not represented in the training corpus.

Machine learning-based generation of 3D dose distributions for volumes not included in a training corpus

A control circuit accesses patient information including anatomical image information of the patient, segmentation information corresponding to the anatomical image information, and a dose map for the radiation treatment plan. The control circuit then generates at least one organ-specific three-dimensional risk map as a function of the patient information and presents that risk map to a user via a display.

Method and apparatus for radiation treatment plan risk assessment

Disclosed herein are systems and methods for identifying radiation therapy treatment data for patients. A processor accesses a neural network trained based on a first set of data generated from characteristic values of a first set of patients that received treatment at one or more first radiotherapy machines. The processor executes the neural network using a second set of data comprising characteristic values of a second set of patients receiving treatment at one or more second radiotherapy machines. The processor executes a calibration model using an output of the neural network based on the second set of data to output a calibration value. The processor executes the neural network using a set of characteristics of a first patient to output a first confidence score associated with a first treatment attribute. The processor then adjusts the first confidence score according to the calibration value to predict the first treatment attribute.

Neural network calibration for radiotherapy

Embodiments described herein provide for recommending radiotherapy treatment attributes. A machine learning model predicts the preference of a medical professional and provides relevant suggestions (or recommendations) of radiotherapy treatment attributes for various categories of radiotherapy treatment. Specifically, the machine learning model predicts field geometry attributes from various field geometry attribute options for various field geometry attribute categories. The machine learning model is conditioned on patient data such as medical images and patient information. The machine learning model is trained in response to cumulative reward information associated with a medical professional accepting the provided/displayed recommendations.

Artificial intelligence modeling to suggest field geometry templates

Methods and systems are provided which relate to the planning and delivery of radiation treatments by modalities which involve moving a radiation source along a trajectory relative to a subject while delivering radiation to the subject. An artificial intelligence (AI) agent trained using reinforcement learning (and/or some other suitable form of machine learning) is used to control the radiation delivery parameters in effort to achieve desired delivery of radiation therapy. In some embodiments, the AI agent selects suitable control steps (e.g. radiation delivery parameters for particular time steps), while accounting for patient motions, difference(s) in patient anatomical geometry and/or the like.

Methods and apparatus for controlling treatment delivery using reinforcement learning

Image information regarding a particular patient is provided, which image information includes, at least in part, a tumor to be irradiated. These teachings can also include providing non-image clinical information that corresponds to the particular patient. A control circuit accesses the foregoing image information and non-image clinical information and automatically generates a clinical target volume that is larger than the tumor as a function of both the image information and the non-image clinical information. The control circuit can then generate a corresponding radiation treatment plan based upon that clinical target volume, which plan can be utilized to irradiate the clinical target volume.

Method and apparatus that includes generating a clinical target volume for therapeutic radiation

A control circuit accesses patient image content as well as field geometry information regarding a particular radiation treatment platform. The control circuit then generates a predicted three-dimensional dose map for the radiation treatment plan as a function of both the patient image content and the field geometry information.

Method and apparatus to facilitate administering therapeutic radiation to a patient

Disclosed herein are systems and methods for identifying radiation therapy treatment data for different patients, such as field geometry. A central server collects patient data, radiation therapy treatment planning data, clinic-specific rules, and other pertinent treatment/medical data associated with a patient. The server then executes one or more machine-learning computer models to predict field geometry variables and weights associated with the patient's treatments. Using the predicted variables and weights, the server execute a clinic-specific set of logic to identify suggested field geometry, such as couch/gantry angles and/or arc attributes. The server then monitors whether end users (e.g., medical professionals) revise the suggested field geometry and trains the model accordingly.

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Helsinki, Finland

Elena Czeizler