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Author:

Li, Can (Li, Can.) | Guo, Yuqi (Guo, Yuqi.) | Lin, Xinyan (Lin, Xinyan.) | Feng, Xuezhen (Feng, Xuezhen.) | Xu, Dachuan (Xu, Dachuan.) (Scholars:徐大川) | Yang, Ruijie (Yang, Ruijie.)

Indexed by:

Scopus SCIE

Abstract:

Purpose: The formulation and optimization of radiation therapy plans are complex and time-consuming processes that heavily rely on the expertise of medical physicists. Consequently, there is an urgent need for automated optimization methods. Recent advancements in reinforcement learning, particularly deep reinforcement learning (DRL), show great promise for automating radiotherapy planning. This review summarizes the current state of DRL applications in this field, evaluates their effectiveness, and identifies challenges and future directions. Methods: A systematic search was conducted in Google Scholar, PubMed, IEEE Xplore, and Scopus using keywords such as "deep reinforcement learning", "radiation therapy", and "treatment planning". The extracted data were synthesized for an overview and critical analysis. Results: The application of deep reinforcement learning in radiation therapy plan optimization can generally be divided into three categories: optimizing treatment planning parameters, directly optimizing machine parameters, and adaptive radiotherapy. From the perspective of disease sites, DRL has been applied to cervical cancer, prostate cancer, vestibular schwannoma, and lung cancer. Regarding types of radiation therapy, it has been used in HDRBT, IMRT, SBRT, VMAT, GK, and Cyberknife. Conclusions: Deep reinforcement learning technology has played a significant role in advancing the automated optimization of radiation therapy plans. However, there is still a considerable gap before it can be widely applied in clinical settings due to three main reasons: inefficiency, limited methods for quality assessment, and poor interpretability. To address these challenges, significant research opportunities exist in the future, such as constructing evaluators, parallelized training, and exploring continuous action spaces.

Keyword:

Radiation therapy Treatment planning Deep reinforcement learning

Author Community:

  • [ 1 ] [Li, Can]Beijing Univ Technol, Inst Operat Res & Informat Engn, Beijing 100124, Peoples R China
  • [ 2 ] [Guo, Yuqi]Beijing Univ Technol, Inst Operat Res & Informat Engn, Beijing 100124, Peoples R China
  • [ 3 ] [Xu, Dachuan]Beijing Univ Technol, Inst Operat Res & Informat Engn, Beijing 100124, Peoples R China
  • [ 4 ] [Lin, Xinyan]Peking Univ Third Hosp, Canc Ctr, Dept Radiat Oncol, Beijing 100191, Peoples R China
  • [ 5 ] [Feng, Xuezhen]Peking Univ Third Hosp, Canc Ctr, Dept Radiat Oncol, Beijing 100191, Peoples R China
  • [ 6 ] [Yang, Ruijie]Peking Univ Third Hosp, Canc Ctr, Dept Radiat Oncol, Beijing 100191, Peoples R China
  • [ 7 ] [Lin, Xinyan]Beihang Univ, Sch Phys, Beijing 102206, Peoples R China
  • [ 8 ] [Feng, Xuezhen]Univ South China, Sch Nucl Sci & Technol, Hengyang 421001, Peoples R China

Reprint Author's Address:

  • [Yang, Ruijie]Peking Univ Third Hosp, Canc Ctr, Dept Radiat Oncol, Beijing 100191, Peoples R China;;

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Source :

PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS

ISSN: 1120-1797

Year: 2024

Volume: 125

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count: 1

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 7

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