# A Feasibility Study on Deep Learning-Based Radiotherapy Dose Calculation

## TL;DR

This study demonstrates that deep learning can rapidly and accurately calculate radiotherapy dose distributions, potentially enabling real-time treatment planning for prostate IMRT with clinical accuracy.

## Contribution

The paper introduces a novel deep learning-based dose calculation engine using a modified HD U-net, achieving fast and accurate dose predictions for prostate IMRT.

## Key findings

- Dose calculation time reduced to about one second.
- DL dose distributions are clinically identical to traditional CS calculations.
- Feasibility of real-time dose calculation with high accuracy demonstrated.

## Abstract

Purpose: Various dose calculation algorithms are available for radiation therapy for cancer patients. However, these algorithms are faced with the tradeoff between efficiency and accuracy. The fast algorithms are generally less accurate, while the accurate dose engines are often time consuming. In this work, we try to resolve this dilemma by exploring deep learning (DL) for dose calculation. Methods: We developed a new radiotherapy dose calculation engine based on a modified Hierarchically Densely Connected U-net (HD U-net) model and tested its feasibility with prostate intensity-modulated radiation therapy (IMRT) cases. Mapping from an IMRT fluence map domain to a 3D dose domain requires a deep neural network of complicated architecture and a huge training dataset. To solve this problem, we first project the fluence maps to the dose domain using a modified ray-tracing algorithm, and then we use the HD U-net to map the ray-tracing dose distribution into an accurate dose distribution calculated using a collapsed cone convolution/superposition (CS) algorithm. Results: It takes about one second to compute a 3D dose distribution for a typical 7-field prostate IMRT plan, which can be further reduced to achieve real-time dose calculation by optimizing the network. For all eight testing patients, evaluation with Gamma Index and various clinical goals for IMRT optimization shows that the DL dose distributions are clinically identical to the CS dose distributions. Conclusions: We have shown the feasibility of using DL for calculating radiotherapy dose distribution with high accuracy and efficiency.

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Source: https://tomesphere.com/paper/1908.03159