Abstract: The invention relates to a system for determining a radiation therapy plan for a radiation therapy system (100), comprising a multi-leaf collimator. The radiation therapy plan determination system (110) comprises a therapy system characteristics providing unit (111), wherein the characteristics comprise possible leaf positions and possible radiation fluence values, a planning objectives providing unit (112), wherein the planning objectives are indicative of a desired therapeutic radiation dose distribution, an optimization function providing unit (113), wherein the optimization function is indicative of a deviation of a radiation dose distribution from the planning objectives and of an uncertainty of the radiation dose distribution at edges of the possible apertures, and a therapy plan optimization unit (114) adapted to determine a sequence of possible apertures and possible radiation fluence values for which the optimization function is optimized.

Abstract: Techniques for generating a synthetic computed tomography (sCT) image from a cone-beam computed tomography (CBCT) image are provided. The techniques include receiving a CBCT image of a subject; generating, using a generative model, a sCT image corresponding to the CBCT image, the generative model trained based on one or more deformable offset layers in a generative adversarial network (GAN) to process the CBCT image as an input and provide the sCT image as an output; and generating a display of the sCT image for medical analysis of the subject.

Abstract: A device for optimizing a radiation therapy plan (30) for delivering therapeutic radiation to a patient using a therapeutic radiation source (16) while modulated by a multi-leaf collimator (MLC) (14) includes at least one electronic processor (25) connected to a radiation therapy device (12). A non-transitory computer readable medium (26) stores instructions readable and executable by the at least one electronic processor to perform a radiation therapy plan optimization method (102) including: optimizing MLC settings of the MLC respective to an objective function wherein the MLC settings define MLC leaf tip positions for a plurality of rows of MLC leaf pairs at a plurality of control points (CPs). The optimizing is performed in two or more iterations with a resolution of the MLC settings increasing in successive iterations.

Abstract: Systems and methods are disclosed for monitoring anatomic position of a human subject for a radiotherapy treatment session, based on use of a regression model trained to estimate movement of a region of interest based on 2D image data input. Example operations for movement estimation include: obtaining 3D image data for a subject, which provides a reference volume and at least one defined region of interest; obtaining 2D image data corresponding to the subject, captured in real time (during the radiotherapy treatment session); extracting features from the 2D image data; analyzing the extracted features with a machine learning regression model, trained to estimate a spatial transformation in the three dimensions of the reference volume; and outputting and using a relative motion estimation of the at least one region of interest, produced from the machine learning regression model, the relative motion estimation being estimated from the extracted features.

Abstract: Techniques for contouring of a region of interest based on imaging parameters of spatial imaging data and guided by user input of locations in the spatial imaging data, which may be used for segmentation or radiation treatment planning. An approach of combining a new paint brush tool with an edge-detection algorithm to correct for both the jagged contours and the painting routine not being executed often enough. By using an edge-detection algorithm, the user does not need to focus as much attention on moving the mouse accurately because the system will find the true organ boundary (e.g., using the image gradient) automatically, which may also lead to more time savings.

Abstract: Systems and techniques may be used for radiotherapy. An example system may include a fixation device arranged to receive and immobilize a patient. The example system may include a first filter arranged to extend along a first portion (e.g., a spine or cranium) of the patient, the first filter attached to the fixation device at a first location, the first filter including a plurality of beam attenuating elements. The example system may include a fixed beam proton delivery system arranged to deliver a therapeutic proton radiation dose attenuated via the first filter to the first portion of the patient.

Abstract: Systems and methods are disclosed for generating fluence maps for a radiotherapy treatment plan that uses machine learning prediction. The systems and methods include identifying image data that indicates treatment constraints for target dose areas and organs at risk areas in an anatomy of the subject, generating anatomy projection images that represent a view of the subject from respective beam angles, using a trained neural network model to generate the computer-simulated fluence map representations based on the anatomy projection images, where the fluence maps indicate a fluence distribution of the radiotherapy treatment at each of the beam angles.

Abstract: Systems and methods are disclosed for performing operations comprising: receiving first and second images depicting an anatomy of a subject; applying a trained machine learning model to a first data set associated with the first image and a second data set associated with the second image to estimate a biomechanically accurate DVF representing a mapping of pixels or voxels from the first image to the second image, the machine learning model trained to establish a relationship between a plurality of pairs of data sets associated with images of a patient anatomy and respective biomechanically accurate DVF representations of pixel or voxel mapping between the plurality of pairs of data sets; applying the estimated biomechanically accurate DVF to deform a dose from a previous treatment session.

Abstract: Systems and methods are disclosed for performing operations comprising: receiving a plurality of training images representing different phases of a periodic motion of a target region in a patient; applying a model to the plurality of training images to generate a lower-dimensional feature space representation of the plurality of training images; clustering the lower-dimensional feature space representation of the plurality of training images into a plurality of groups corresponding to the different phases of the periodic motion; and classifying a motion phase associated with a new image of the target region in the patient based on the plurality of groups of the clustered lower-dimensional feature space representation of the plurality of training images.

Abstract: Systems, computer-implemented methods, and computer readable media for generating a synthetic image of an anatomical portion based on an origin image of the anatomical portion acquired by an imaging device using a first imaging modality are disclosed. These systems may be configured to receive the origin image of the anatomical portion acquired by the imaging device using the first imaging modality, receive a convolutional neural network model trained for predicting the synthetic image based on the origin image, and convert the origin image to the synthetic image through the convolutional neural network model. The synthetic image may resemble an imaging of the anatomical portion using a second imaging modality differing from the first imaging modality.

Abstract: Systems and methods are provided for generating a pseudo-CT prediction model that can be used to generate pseudo-CT images. An exemplary system may include a processor configured to retrieve training data including at least one MR image and at least one CT image for each of a plurality of training subjects. For each training subject, the processor may extract a plurality of features from each image point of the at least one MR image, create a feature vector for each image point based on the extracted features, and extract a CT value from each image point of the at least one CT image. The processor may also generate the pseudo-CT prediction model based on the feature vectors and the CT values of the plurality of training subjects.

Abstract: Systems and methods are disclosed for generating radiotherapy treatment machine parameters based on projection images of a target anatomy. The systems and methods include operations including receiving a set of pairs of image data for each gantry angle of a radiotherapy treatment machine, wherein each pair of the set of pairs comprises a given projection image that represents a view of an anatomy of a subject from a given gantry angle and a given graphical aperture image of multi-leaf collimator (MLC) leaf positions at the given gantry angle based on the given projection image; training a generative adversarial network (GAN) model based on the set of pairs of image data for each gantry angle; and using the trained GAN model to predict an aperture image of MLC leaf positions for a desired gantry angle based on a projection image that represents a view of an anatomical region of interest.

Abstract: The present disclosure relates to systems and methods for developing radiotherapy treatment plans through the use of machine learning approaches and neural network components. A neural network is trained using one or more three-dimensional medical images, one or more three-dimensional anatomy maps, and one or more dose distributions to predict a fluence map or a dose map. During training the neural network receives a predicted dose distribution determined by the neural network that is compared to an expected dose distribution. Iteratively the comparison is performed until a predetermined threshold is achieved. The trained neural network is then utilized to provide a three-dimensional dose distribution.

Abstract: Techniques for enhancing image segmentation with the integration of deep learning are disclosed herein. An example method for atlas-based segmentation using deep learning includes: applying a deep learning model to a subject image to identify an anatomical feature, registering an atlas image to the subject image, using the deep learning segmentation data to improve a registration result, generating a mapped atlas, and identifying the feature in the subject image using the mapped atlas. Another example method for training and use of a trained machine learning classifier, in an atlas-based segmentation process using deep learning, includes: applying a deep learning model to an atlas image, training a machine learning model classifier using data from applying the deep learning model, estimating structure labels of areas of the subject image, and defining structure labels by combining the estimated structure labels with labels produced from atlas-based segmentation on the subject image.

Abstract: A statistical learning technique that does not rely upon paired imaging information is described herein. The technique may be computer-implemented and may be used in order to train a statistical learning model to perform image synthesis, such as in support of radiation therapy treatment planning. In an example, a trained statistical learning model may include a convolutional neural network established as a generator convolutional network, and the generator may be trained at least in part using a separate convolutional neural network established as a discriminator convolutional network. The generator convolutional network and the discriminator convolutional network may form an adversarial network architecture for use during training. After training, the generator convolutional network may be provided for use in synthesis of images, such as to receive imaging data corresponding to a first imaging modality type, and to synthesize imaging data corresponding to a different, second imaging modality type.

Abstract: Systems and methods are disclosed for monitoring anatomic position of a human subject and modifying a radiotherapy treatment based on anatomic position changes, as determined with a regression model trained to estimate movement of a region of interest. Example operations for movement monitoring and therapy control include: obtaining 3D image data for a subject, which provides a reference volume and at least one defined region of interest; obtaining real-time 2D image data corresponding to the subject, captured during the radiotherapy treatment session; extracting features from the 2D image data; producing a relative motion estimation of a region of interest with a machine learning regression model, the model trained to estimate a spatial transformation from the 2D image data based on training from the reference volume; and controlling a radiotherapy beam of a radiotherapy machine used in the radiotherapy session, based on the relative motion estimation.

Abstract: Techniques for generating radiotherapy treatment plans and establishing machine learning models for the generation and optimization of radiotherapy dose data are disclosed. An example method for generating a radiotherapy dose distribution using a generative model, trained in a generative adversarial network, includes: receiving anatomical data of a human subject that indicates a mapping of an anatomical area for radiotherapy treatment; generating radiotherapy dose data corresponding to the mapping with use of the trained generative model, as the generative model processes the anatomical data as an input and provides the dose data as output; and identifying the radiotherapy dose distribution for the radiotherapy treatment of the human subject based on the dose data.

Abstract: Systems and techniques may be used to estimate a patient state during a radiotherapy treatment. For example, a method may include generating a dictionary of expanded potential patient measurements and corresponding potential patient states using a preliminary motion model. The method may include training, using a machine learning technique, a correspondence motion model relating an input patient measurement to an output patient state using the dictionary. The method may include estimating, using a processor, the patient state corresponding to an input image using the correspondence motion model.

Abstract: Systems and methods can include a method for training a deep convolutional neural network to provide a patient radiation treatment plan, the method comprising collecting patient data from a group of patients, the patient data including at least one image of patient anatomy and a prior treatment plan, wherein the treatment plan includes predetermined machine parameters, and training a deep convolution neural network for regression by using the prior treatment plans and the corresponding collected patient data to determine a new treatment plan.

Abstract: Techniques for generating an enhanced cone-beam computed tomography (CBCT) image using a trained model are provided. A CBCT image of a subject is received. a synthetic computed tomography (sCT) image corresponding to the CBCT image is generated, using a generative model. The generative model is trained in a generative adversarial network (GAN). The generative model is further trained to process the CBCT image as an input and provide the sCT image as an output. The sCT image is presented for medical analysis of the subject.