Investigating the impact of rapidplan on ethos automated planning

<p>Automated planning has surged in popularity within external beam radiation therapy in recent times. Leveraging insights from previous clinical knowledge could enhance auto-planning quality. In this work, we evaluated the performance of Ethos automated planning with knowledge-based guidance,...

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Main Author: SA Yoganathan (17760132) (author)
Other Authors: Ahamed Basith (22051946) (author), Aram Rostami (22045274) (author), Muhammad Usman (1504405) (author), Satheesh Paloor (14776915) (author), Rabih Hammoud (14776912) (author), Noora Al-Hammadi (17346808) (author)
Published: 2025
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author SA Yoganathan (17760132)
author2 Ahamed Basith (22051946)
Aram Rostami (22045274)
Muhammad Usman (1504405)
Satheesh Paloor (14776915)
Rabih Hammoud (14776912)
Noora Al-Hammadi (17346808)
author2_role author
author
author
author
author
author
author_facet SA Yoganathan (17760132)
Ahamed Basith (22051946)
Aram Rostami (22045274)
Muhammad Usman (1504405)
Satheesh Paloor (14776915)
Rabih Hammoud (14776912)
Noora Al-Hammadi (17346808)
author_role author
dc.creator.none.fl_str_mv SA Yoganathan (17760132)
Ahamed Basith (22051946)
Aram Rostami (22045274)
Muhammad Usman (1504405)
Satheesh Paloor (14776915)
Rabih Hammoud (14776912)
Noora Al-Hammadi (17346808)
dc.date.none.fl_str_mv 2025-01-30T09:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.meddos.2024.06.003
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Investigating_the_impact_of_rapidplan_on_ethos_automated_planning/29907095
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Oncology and carcinogenesis
Health sciences
Health services and systems
Automated
Planning
Ethos
Adaptive
Rapidplan
dc.title.none.fl_str_mv Investigating the impact of rapidplan on ethos automated planning
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>Automated planning has surged in popularity within external beam radiation therapy in recent times. Leveraging insights from previous clinical knowledge could enhance auto-planning quality. In this work, we evaluated the performance of Ethos automated planning with knowledge-based guidance, specifically using Rapidplan (RP). Seventy-four patients with head-and-neck (HN) cancer and 37 patients with prostate cancer were used to construct separate RP models. Additionally, 16 patients from each group (HN and prostate) were selected to assess the performance of Ethos auto-planning results. Initially, a template-based Ethos plan (Non-RP plan) was generated, followed by integrating the corresponding RP model's DVH estimates into the optimization process to generate another plan (RP plan). We compared the target coverage, OAR doses, and total monitor units between the non-RP and RP plans. Both RP and non-RP plans achieved comparable target coverage in HN and Prostate cases, with a negligible difference of less than 0.5% (p > 0.2). RP plans consistently demonstrated lower doses of OARs in both HN and prostate cases. Specifically, the mean doses of OARs were significantly reduced by 9% (p < 0.05). RP plans required slightly higher monitor units in both HN and prostate sites (p < 0.05), however, the plan generation time was almost similar (p > 0.07). The inclusion of the RP model reduced the OAR doses, particularly reducing the mean dose to critical organs compared to non-RP plans while maintaining similar target coverage. Our findings provide valuable insights for clinics adopting Ethos planning, potentially enhancing the auto-planning to operate optimally.</p><h2>Other Information</h2> <p> Published in: Medical Dosimetry<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.meddos.2024.06.003" target="_blank">https://dx.doi.org/10.1016/j.meddos.2024.06.003</a></p>
eu_rights_str_mv openAccess
id Manara2_7e3e2c78da6b870f7e1c8c6468e4c232
identifier_str_mv 10.1016/j.meddos.2024.06.003
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29907095
publishDate 2025
repository.mail.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Investigating the impact of rapidplan on ethos automated planningSA Yoganathan (17760132)Ahamed Basith (22051946)Aram Rostami (22045274)Muhammad Usman (1504405)Satheesh Paloor (14776915)Rabih Hammoud (14776912)Noora Al-Hammadi (17346808)Biomedical and clinical sciencesOncology and carcinogenesisHealth sciencesHealth services and systemsAutomatedPlanningEthosAdaptiveRapidplan<p>Automated planning has surged in popularity within external beam radiation therapy in recent times. Leveraging insights from previous clinical knowledge could enhance auto-planning quality. In this work, we evaluated the performance of Ethos automated planning with knowledge-based guidance, specifically using Rapidplan (RP). Seventy-four patients with head-and-neck (HN) cancer and 37 patients with prostate cancer were used to construct separate RP models. Additionally, 16 patients from each group (HN and prostate) were selected to assess the performance of Ethos auto-planning results. Initially, a template-based Ethos plan (Non-RP plan) was generated, followed by integrating the corresponding RP model's DVH estimates into the optimization process to generate another plan (RP plan). We compared the target coverage, OAR doses, and total monitor units between the non-RP and RP plans. Both RP and non-RP plans achieved comparable target coverage in HN and Prostate cases, with a negligible difference of less than 0.5% (p > 0.2). RP plans consistently demonstrated lower doses of OARs in both HN and prostate cases. Specifically, the mean doses of OARs were significantly reduced by 9% (p < 0.05). RP plans required slightly higher monitor units in both HN and prostate sites (p < 0.05), however, the plan generation time was almost similar (p > 0.07). The inclusion of the RP model reduced the OAR doses, particularly reducing the mean dose to critical organs compared to non-RP plans while maintaining similar target coverage. Our findings provide valuable insights for clinics adopting Ethos planning, potentially enhancing the auto-planning to operate optimally.</p><h2>Other Information</h2> <p> Published in: Medical Dosimetry<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.meddos.2024.06.003" target="_blank">https://dx.doi.org/10.1016/j.meddos.2024.06.003</a></p>2025-01-30T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.meddos.2024.06.003https://figshare.com/articles/journal_contribution/Investigating_the_impact_of_rapidplan_on_ethos_automated_planning/29907095CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/299070952025-01-30T09:00:00Z
spellingShingle Investigating the impact of rapidplan on ethos automated planning
SA Yoganathan (17760132)
Biomedical and clinical sciences
Oncology and carcinogenesis
Health sciences
Health services and systems
Automated
Planning
Ethos
Adaptive
Rapidplan
status_str publishedVersion
title Investigating the impact of rapidplan on ethos automated planning
title_full Investigating the impact of rapidplan on ethos automated planning
title_fullStr Investigating the impact of rapidplan on ethos automated planning
title_full_unstemmed Investigating the impact of rapidplan on ethos automated planning
title_short Investigating the impact of rapidplan on ethos automated planning
title_sort Investigating the impact of rapidplan on ethos automated planning
topic Biomedical and clinical sciences
Oncology and carcinogenesis
Health sciences
Health services and systems
Automated
Planning
Ethos
Adaptive
Rapidplan