Abstract: Disclosed herein are systems and methods for identifying radiation therapy treatment data for patients. A processor accesses a neural network trained based on a first set of data generated from characteristic values of a first set of patients that received treatment at one or more first radiotherapy machines. The processor executes the neural network using a second set of data comprising characteristic values of a second set of patients receiving treatment at one or more second radiotherapy machines. The processor executes a calibration model using an output of the neural network based on the second set of data to output a calibration value. The processor executes the neural network using a set of characteristics of a first patient to output a first confidence score associated with a first treatment attribute. The processor then adjusts the first confidence score according to the calibration value to predict the first treatment attribute.

Abstract: A control circuit accesses computed tomography images for a given patient and also accesses at least one image that includes an image of an artificial portion of the given patient. The control circuit then ascribes a density value to the artificial portion of the given patient and optimizes a radiation treatment plan for that given patient as a function of the computed tomography images, the image of the artificial portion of the given patient, and the density value ascribed to the artificial portion of the given patient to provide a resultant optimized radiation treatment plan.

Abstract: A control circuit accesses a memory having stored therein a plurality of hierarchically-diversified radiation treatment planning templates. These templates include at least a first radiation treatment planning template that specifies radiation treatment planning information at a first hierarchical level. These templates also include at least a second radiation treatment planning template that specifies radiation treatment planning information at a second hierarchical level, wherein the second hierarchical level is more granular than the first hierarchical level. By one approach, the control circuit may access a plurality of differing ones of the second radiation treatment planning templates wherein each such template specifies radiation treatment planning information at the second hierarchical level.

Abstract: Nominal values of parameters, and perturbations of the nominal values, that are associated with previously defined radiation treatment plans are accessed. For each treatment field of the treatment plans, a field-specific planning target volume (fsPTV) is determined based on those perturbations. At least one clinical target volume (CTV) and at least one organ-at-risk (OAR) volume are also delineated. Each OAR includes at least one sub-volume that is delineated based on spatial relationships between each OAR and the CTV and the fsPTV for each treatment field. Dose distributions for the sub-volumes are determined based on the nominal values and the perturbations. One or more dose prediction models are generated for each sub-volume. The dose prediction model(s) are trained using the dose distributions.

Abstract: Image information regarding a particular patient is provided, which image information includes, at least in part, a tumor to be irradiated. These teachings can also include providing non-image clinical information that corresponds to the particular patient. A control circuit accesses the foregoing image information and non-image clinical information and automatically generates a clinical target volume that is larger than the tumor as a function of both the image information and the non-image clinical information. The control circuit can then generate a corresponding radiation treatment plan based upon that clinical target volume, which plan can be utilized to irradiate the clinical target volume.

Abstract: A control circuit accesses patient image content as well as field geometry information regarding a particular radiation treatment platform. The control circuit then generates a predicted three-dimensional dose map for the radiation treatment plan as a function of both the patient image content and the field geometry information.

Abstract: An apparatus for developing an intensity-modulated radiation therapy treatment plan includes a memory that stores machine instructions and a processor that executes the machine instructions to receive a clinical goal associated with the treatment plan as a user input. The processor further executes the machine instructions to determine a plan objective based on the clinical goal, generate a cost function comprising a term based on the plan objective, and assign an initial value to a parameter associated with the term. The processor also executes the machine instructions to identify a microstate that results in a reduced value associated with the cost function, evaluate a fulfillment level associated with the clinical goal, and adjust the value of the parameter to improve the fulfillment level.

Abstract: A system for estimating a dose from a radiation therapy plan includes a memory that stores machine-readable instructions and a processor communicatively coupled to the memory, the processor operable to execute the instructions to subdivide a representation of a volume of interest into voxels. The processor also determines distances between a planned radiation field origin and each respective voxel. The processor further computes geometry-based expected (GED) metrics based on the distances, a plan parameter, and a field strength parameter. The processor sums the metrics to yield an estimated dose received by the volume of interest from the planned radiation field.

Abstract: Disclosed herein are systems and methods for identifying radiation therapy treatment data for patients. A processor accesses a neural network trained based on a first set of data generated from characteristic values of a first set of patients that received treatment at one or more first radiotherapy machines. The processor executes the neural network using a second set of data comprising characteristic values of a second set of patients receiving treatment at one or more second radiotherapy machines. The processor executes a calibration model using an output of the neural network based on the second set of data to output a calibration value. The processor executes the neural network using a set of characteristics of a first patient to output a first confidence score associated with a first treatment attribute. The processor then adjusts the first confidence score according to the calibration value to predict the first treatment attribute.

Abstract: A control circuit accesses a plurality of information items that each correspond to a resultant dose volume histogram shape for a corresponding different radiation treatment plan. The control circuit then trains a machine learning model to predict a desired dose volume histogram shape using that plurality of information items as a training corpus.

Abstract: A control circuit accesses a radiation treatment plan for a given patient. The control circuit then generates dose volume histogram information as a function of the radiation treatment plan and automatically assesses the dose volume histogram information to identify any anomalous results. Generating that information can comprise, at least in part and for example, generating at least one dose volume histogram curve. The latter may comprise generating at least one dose volume histogram curve for each of a plurality of different patient structures (such as one or more treatment volumes and/or one or more organs-at-risk).

Abstract: Provided herein are methods and systems to train and execute a computer model that uses artificial intelligence methodologies (e.g., deep learning) to learn and predict Multi-leaf Collimator (MLC) openings and control weights for a radiation therapy treatment plan.

Abstract: A multi-layer multi-leaf collimation system includes at least a two layers of collimation leaves. The first multi-leaf collimator layer is configured to primarily perform a first function to affect a radiation beam traveling from a radiation source to a target and a second multi-leaf collimator layer is configured to primarily perform a second function, different from the first function, to affect the radiation beam for the administration of a treatment plan.

Abstract: An apparatus for developing an intensity-modulated radiation therapy treatment plan includes a memory that stores machine instructions and a processor that executes the machine instructions to receive a clinical goal associated with the treatment plan as a user input. The processor further executes the machine instructions to determine a plan objective based on the clinical goal, generate a cost function comprising a term based on the plan objective, and assign an initial value to a parameter associated with the term. The processor also executes the machine instructions to identify a microstate that results in a reduced value associated with the cost function, evaluate a fulfillment level associated with the clinical goal, and adjust the value of the parameter to improve the fulfillment level.

Abstract: A control circuit accesses patient image content as well as field geometry information regarding a particular radiation treatment platform. The control circuit then generates a predicted three-dimensional dose map for the radiation treatment plan as a function of both the patient image content and the field geometry information.

Abstract: Disclosed herein are systems and methods for iteratively training artificial intelligence models using reinforcement learning techniques. With each iteration, a training agent applies a random radiation therapy treatment attribute corresponding to the radiation therapy treatment attribute associated with previously performed radiation therapy treatments when an epsilon value indicative of a likelihood of exploration and exploitation training of the artificial intelligence model satisfies a threshold. When the epsilon value does not satisfy the threshold, the agent generates, using an existing policy, a first predicted radiation therapy treatment attribute, and generates, using a predefined model, a second predicted radiation therapy treatment attribute. The agent applies one of the first predicted radiation therapy treatment attribute or the second predicted radiation therapy treatment attribute that is associated with a higher reward.

Abstract: A memory has stored therein a fluence map that corresponds to a particular patient and a deep learning model. The deep learning model is trained to deduce a leaf sequence for a multi-leaf collimator from a fluence map. The deep learning model comprises a neural network model that was trained, at least in part, via a reinforcement learning method. A control circuit accesses the memory and is configured to iteratively optimize a radiation treatment plan to administer the therapeutic radiation to the patient by, at least in part, generating a leaf sequence as a function of the deep learning model and the fluence map by employing a plurality of agents to each separately use the deep learning model to each generate a leaf sequence for only a single leaf pair of the multi-leaf collimator.

Abstract: A control circuit accesses a plurality of previously-optimized radiation treatment plans and also accesses a plurality of optimization precursor information items. Each of the latter corresponds to at least one of the plurality of previously-optimized radiation treatment plans. The control circuit then generates a machine learning model using the plurality of previously-optimized radiation treatment plans and the plurality of optimization precursor information items. By one approach, at least a majority of the plurality of optimization precursor information items originate with a given radiation treatment facility and not with an unrelated (physically or institutionally) facility. These teachings will accommodate use of any of a variety of optimization precursor information items. By one approach, at least some of the plurality of optimization precursor information items comprise clinical goals.

Abstract: A control circuit accesses information regarding a plurality of pre-existing vetted radiation treatment plans for a variety of patients and uses that information to train at least one model (such as a dose volume histogram estimation model). The control circuit then uses that model to develop estimates for a radiation treatment plan for a particular patient. The control circuit can then use those estimates to develop a candidate radiation treatment plan.

Abstract: A multi-layer multi-leaf collimation system includes at least a two layers of collimation leaves. The first multi-leaf collimator layer is configured to primarily perform a first function to affect a radiation beam traveling from a radiation source to a target and a second multi-leaf collimator layer is configured to primarily perform a second function, different from the first function, to affect the radiation beam for the administration of a treatment plan.