A self-adaptive case-based reasoning system for dose planning in prostate cancer radiotherapy

AbstractAquaculture as an industry is quickly expanding. As a result, new aquaculture sites are being established at more exposed locations previously deemed unfit because they are more difficult and resource demanding to safely operate than are traditional sites. To help the industry deal with these challenges, we have developed a decision support system to support decision makers in establishing better plans and make decisions that facilitate operating these sites in an optimal manner. We propose a case-based reasoning system called aquaculture case-based reasoning (AQCBR), which is able to predict the success of an aquaculture operation at a specific site, based on previously applied and recorded cases. In particular, AQCBR is trained to learn a similarity function between recorded operational situations/cases and use the most similar case to provide explanation-by-example information for its predictions. The novelty of AQCBR is that it uses extended Siamese neural networks to learn the similarity between cases. Our extensive experimental evaluation shows that extended Siamese neural networks outperform state-of-the-art methods for similarity learning in this task, demonstrating the effectiveness and the feasibility of our approach.

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Evaluation of set-up errors and estimation of set-up margin during external beam radiation therapy of prostate cancer using electronic portal imaging device (EPID)

Journal of Radiotherapy in Practice ◽

10.1017/s1460396921000297 ◽

2021 ◽

pp. 1-8

Author(s):

Daryoush Khoramian ◽

Soroush Sistani ◽

Bagher Farhood

Keyword(s):

Prostate Cancer ◽

Radiation Therapy ◽

Target Volume ◽

External Beam Radiation ◽

Beam Radiation ◽

Cancer Radiotherapy ◽

Imaging Device ◽

Portal Images ◽

Set Up ◽

Prostate Cancer Radiotherapy

Abstract Aim: In radiation therapy, accurate dose distribution in target volume requires accurate treatment setup. The set-up errors are unwanted and inherent in the treatment process. By achieving these errors, a set-up margin (SM) of clinical target volume (CTV) to planning target volume (PTV) can be determined. In the current study, systematic and random set-up errors that occurred during prostate cancer radiotherapy were measured by an electronic portal imaging device (EPID). The obtained values were used to propose the optimum CTV-to-PTV margin in prostate cancer radiotherapy. Materials and methods: A total of 21 patients with prostate cancer treated with external beam radiation therapy (EBRT) participated in this study. A total of 280 portal images were acquired during 12 months. Gross, population systematic (Σ) and random (σ) errors were obtained based on the portal images in Anterior–Posterior (AP), Medio-Lateral (ML) and Superior–Inferior (SI) directions. The SM of CTV to PTV were then calculated and compared by using the formulas presented by the International Commission on Radiation Units and Measurements (ICRU) 62, Stroom and Heijmen and Van Herk et al. Results: The findings showed that the population systematic errors during prostate cancer radiotherapy in AP, ML and SI directions were 1·40, 1·95 and 1·94 mm, respectively. The population random errors in AP, ML and SI directions were 2·09, 1·85 and 2·29 mm, respectively. The SM of CTV to PTV calculated in accordance with the formula of ICRU 62 in AP, ML and SI directions were 2·51, 2·68 and 3·00 mm, respectively. And according to Stroom and Heijmen, formula were 4·23, 5·19 and 5·48 mm, respectively. And Van Herk et al. formula were 4·96, 6·17 and 6·45 mm, respectively. Findings: The SM of CTV to PTV in all directions, based on the formulas of ICRU 62, Stroom and Heijmen and van Herk et al., were equal to 2·73, 4·98 and 5·86 mm, respectively; these values were obtained by averaging the margins in all directions.

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