A new deep learning model for predicting IMRT dose distributions for lung cancer with dose masks

Purpose3D U-Net deep neural networks are widely used for predicting radiotherapy dose distributions. However, dose prediction for lung cancer IMRT is limited to conventional radiotherapy, with significant errors in predicting the intermediate and low-dose regions.MethodsWe included a mixed dataset o...

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Main Authors: Xuezhen Feng, Mingqing Wang, Xinyan Lin, Can Li, Yuxi Pan, Guoping Zuo, Ruijie Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1587788/full
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author Xuezhen Feng
Xuezhen Feng
Mingqing Wang
Xinyan Lin
Xinyan Lin
Can Li
Can Li
Yuxi Pan
Guoping Zuo
Ruijie Yang
author_facet Xuezhen Feng
Xuezhen Feng
Mingqing Wang
Xinyan Lin
Xinyan Lin
Can Li
Can Li
Yuxi Pan
Guoping Zuo
Ruijie Yang
author_sort Xuezhen Feng
collection DOAJ
description Purpose3D U-Net deep neural networks are widely used for predicting radiotherapy dose distributions. However, dose prediction for lung cancer IMRT is limited to conventional radiotherapy, with significant errors in predicting the intermediate and low-dose regions.MethodsWe included a mixed dataset of conventional radiotherapy and simultaneous integrated boost (SIB) radiotherapy with various prescription schemes. In addition to inputting CT images and anatomical structures, we incorporated dose mask information to provide richer local low-dose details. We trained five models with varying numbers of dose masks to investigate their impact on dose prediction models.ResultsThe inclusion of dose masks led to significant improvements in prediction accuracy for both the PTV and OARs. In particular, the mean absolute error (MAE) of dosimetric metrics for most OARs fell below 2%, and voxel-wise MAE within each structure steadily decreased as more dose masks were supplied—most notably in low-dose regions. These results demonstrate that incorporating dose masks effectively enhances training efficiency and prediction stability. Among models receiving varying numbers of dose masks, the configuration with ten masks achieved the highest predictive accuracy.ConclusionThis study proposes a dose mask-assisted method for lung cancer IMRT dose prediction. It demonstrates high accuracy and robustness in clinical radiotherapy scenarios with various prescription schemes, including conventional radiotherapy and SIB. The inclusion of additional dose masks significantly improved model performance, with prediction accuracy increasing as the number of masks increased.
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spelling doaj-art-8bea6ce9de5a4e7f8edb3c0e91a33ff62025-08-20T03:44:14ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-08-011510.3389/fonc.2025.15877881587788A new deep learning model for predicting IMRT dose distributions for lung cancer with dose masksXuezhen Feng0Xuezhen Feng1Mingqing Wang2Xinyan Lin3Xinyan Lin4Can Li5Can Li6Yuxi Pan7Guoping Zuo8Ruijie Yang9School of Nuclear Science and Technology, University of South China, Hengyang, ChinaDepartment of Radiation Oncology, Cancer Center, Peking University Third Hospital, Beijing, ChinaDepartment of Radiation Oncology, Cancer Center, Peking University Third Hospital, Beijing, ChinaSchool of Physics, Beihang University, Beijing, ChinaDepartment of Radiation Oncology, Cancer Center, Peking University Third Hospital, Beijing, ChinaInstitute of Operations Research and Information Engineering, Beijing University of Technology, Beijing, ChinaDepartment of Radiation Oncology, Cancer Center, Peking University Third Hospital, Beijing, ChinaDepartment of Radiation Oncology, Cancer Center, Peking University Third Hospital, Beijing, ChinaSchool of Nuclear Science and Technology, University of South China, Hengyang, ChinaDepartment of Radiation Oncology, Cancer Center, Peking University Third Hospital, Beijing, ChinaPurpose3D U-Net deep neural networks are widely used for predicting radiotherapy dose distributions. However, dose prediction for lung cancer IMRT is limited to conventional radiotherapy, with significant errors in predicting the intermediate and low-dose regions.MethodsWe included a mixed dataset of conventional radiotherapy and simultaneous integrated boost (SIB) radiotherapy with various prescription schemes. In addition to inputting CT images and anatomical structures, we incorporated dose mask information to provide richer local low-dose details. We trained five models with varying numbers of dose masks to investigate their impact on dose prediction models.ResultsThe inclusion of dose masks led to significant improvements in prediction accuracy for both the PTV and OARs. In particular, the mean absolute error (MAE) of dosimetric metrics for most OARs fell below 2%, and voxel-wise MAE within each structure steadily decreased as more dose masks were supplied—most notably in low-dose regions. These results demonstrate that incorporating dose masks effectively enhances training efficiency and prediction stability. Among models receiving varying numbers of dose masks, the configuration with ten masks achieved the highest predictive accuracy.ConclusionThis study proposes a dose mask-assisted method for lung cancer IMRT dose prediction. It demonstrates high accuracy and robustness in clinical radiotherapy scenarios with various prescription schemes, including conventional radiotherapy and SIB. The inclusion of additional dose masks significantly improved model performance, with prediction accuracy increasing as the number of masks increased.https://www.frontiersin.org/articles/10.3389/fonc.2025.1587788/fulldeep learningIMRTdose predictionradiotherapy treatment planninglung cancer
spellingShingle Xuezhen Feng
Xuezhen Feng
Mingqing Wang
Xinyan Lin
Xinyan Lin
Can Li
Can Li
Yuxi Pan
Guoping Zuo
Ruijie Yang
A new deep learning model for predicting IMRT dose distributions for lung cancer with dose masks
Frontiers in Oncology
deep learning
IMRT
dose prediction
radiotherapy treatment planning
lung cancer
title A new deep learning model for predicting IMRT dose distributions for lung cancer with dose masks
title_full A new deep learning model for predicting IMRT dose distributions for lung cancer with dose masks
title_fullStr A new deep learning model for predicting IMRT dose distributions for lung cancer with dose masks
title_full_unstemmed A new deep learning model for predicting IMRT dose distributions for lung cancer with dose masks
title_short A new deep learning model for predicting IMRT dose distributions for lung cancer with dose masks
title_sort new deep learning model for predicting imrt dose distributions for lung cancer with dose masks
topic deep learning
IMRT
dose prediction
radiotherapy treatment planning
lung cancer
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1587788/full
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