Large Language Model-Augmented Auto-Delineation of Treatment Target Volume in Radiation Therapy

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Hauptverfasser: Rajendran, Praveenbalaji, Yang, Yong, Niedermayr, Thomas R., Gensheimer, Michael, Beadle, Beth, Le, Quynh-Thu, Xing, Lei, Dai, Xianjin
Format: Preprint
Veröffentlicht: 2024
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author Rajendran, Praveenbalaji
Yang, Yong
Niedermayr, Thomas R.
Gensheimer, Michael
Beadle, Beth
Le, Quynh-Thu
Xing, Lei
Dai, Xianjin
author_facet Rajendran, Praveenbalaji
Yang, Yong
Niedermayr, Thomas R.
Gensheimer, Michael
Beadle, Beth
Le, Quynh-Thu
Xing, Lei
Dai, Xianjin
contents Radiation therapy (RT) is one of the most effective treatments for cancer, and its success relies on the accurate delineation of targets. However, target delineation is a comprehensive medical decision that currently relies purely on manual processes by human experts. Manual delineation is time-consuming, laborious, and subject to interobserver variations. Although the advancements in artificial intelligence (AI) techniques have significantly enhanced the auto-contouring of normal tissues, accurate delineation of RT target volumes remains a challenge. In this study, we propose a visual language model-based RT target volume auto-delineation network termed Radformer. The Radformer utilizes a hierarichal vision transformer as the backbone and incorporates large language models to extract text-rich features from clinical data. We introduce a visual language attention module (VLAM) for integrating visual and linguistic features for language-aware visual encoding (LAVE). The Radformer has been evaluated on a dataset comprising 2985 patients with head-and-neck cancer who underwent RT. Metrics, including the Dice similarity coefficient (DSC), intersection over union (IOU), and 95th percentile Hausdorff distance (HD95), were used to evaluate the performance of the model quantitatively. Our results demonstrate that the Radformer has superior segmentation performance compared to other state-of-the-art models, validating its potential for adoption in RT practice.
format Preprint
id arxiv_https___arxiv_org_abs_2407_07296
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Large Language Model-Augmented Auto-Delineation of Treatment Target Volume in Radiation Therapy
Rajendran, Praveenbalaji
Yang, Yong
Niedermayr, Thomas R.
Gensheimer, Michael
Beadle, Beth
Le, Quynh-Thu
Xing, Lei
Dai, Xianjin
Medical Physics
Artificial Intelligence
Computer Vision and Pattern Recognition
Radiation therapy (RT) is one of the most effective treatments for cancer, and its success relies on the accurate delineation of targets. However, target delineation is a comprehensive medical decision that currently relies purely on manual processes by human experts. Manual delineation is time-consuming, laborious, and subject to interobserver variations. Although the advancements in artificial intelligence (AI) techniques have significantly enhanced the auto-contouring of normal tissues, accurate delineation of RT target volumes remains a challenge. In this study, we propose a visual language model-based RT target volume auto-delineation network termed Radformer. The Radformer utilizes a hierarichal vision transformer as the backbone and incorporates large language models to extract text-rich features from clinical data. We introduce a visual language attention module (VLAM) for integrating visual and linguistic features for language-aware visual encoding (LAVE). The Radformer has been evaluated on a dataset comprising 2985 patients with head-and-neck cancer who underwent RT. Metrics, including the Dice similarity coefficient (DSC), intersection over union (IOU), and 95th percentile Hausdorff distance (HD95), were used to evaluate the performance of the model quantitatively. Our results demonstrate that the Radformer has superior segmentation performance compared to other state-of-the-art models, validating its potential for adoption in RT practice.
title Large Language Model-Augmented Auto-Delineation of Treatment Target Volume in Radiation Therapy
topic Medical Physics
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2407.07296