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      Comparison of deep learning models for building two-dimensional non-transit EPID Dosimetry on Varian Halcyon

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          Abstract

          Background

          This study compared the effectiveness of five deep learning models in constructing non-transit dosimetry with an a-Si electronic portal imaging device (EPID) on Varian Halcyon. Deep learning model is increasingly used to support prediction and decision-making in several fields including oncology and radiotherapy.

          Materials and methods

          Forty-seven unique plans of data obtained from breast cancer patients were calculated using Eclipse treatment planning system (TPS) and extracted from DICOM format as the ground truth. Varian Halcyon was then used to irradiate the a-Si 1200 EPID detector without an attenuator. The EPID and TPS images were augmented and divided randomly into two groups of equal sizes to distinguish the validation and training–test data. Five different deep learning models were then created and validated using a gamma index of 3%/3 mm.

          Results

          Four models successfully improved the similarity of the EPID images and the TPS-generated planned dose images. Meanwhile, the mismatch of the constituent components and number of parameters could cause the models to produce wrong results. The average gamma pass rates were 90.07 ± 4.96% for A-model, 77.42 ± 7.18% for B-model, 79.60 ± 6.56% for C-model, 80.21 ± 5.88% for D-model, and 80.47 ± 5.98% for E-model.

          Conclusion

          The deep learning model is proven to run fast and can increase the similarity of EPID images with TPS images to build non-transit dosimetry. However, more cases are needed to validate this model before being used in clinical activities.

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          Most cited references33

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          Deep Residual Learning for Image Recognition

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            A technique for the quantitative evaluation of dose distributions.

            The commissioning of a three-dimensional treatment planning system requires comparisons of measured and calculated dose distributions. Techniques have been developed to facilitate quantitative comparisons, including superimposed isodoses, dose-difference, and distance-to-agreement (DTA) distributions. The criterion for acceptable calculation performance is generally defined as a tolerance of the dose and DTA in regions of low and high dose gradients, respectively. The dose difference and DTA distributions complement each other in their useful regions. A composite distribution has recently been developed that presents the dose difference in regions that fail both dose-difference and DTA comparison criteria. Although the composite distribution identifies locations where the calculation fails the preselected criteria, no numerical quality measure is provided for display or analysis. A technique is developed to unify dose distribution comparisons using the acceptance criteria. The measure of acceptability is the multidimensional distance between the measurement and calculation points in both the dose and the physical distance, scaled as a fraction of the acceptance criteria. In a space composed of dose and spatial coordinates, the acceptance criteria form an ellipsoid surface, the major axis scales of which are determined by individual acceptance criteria and the center of which is located at the measurement point in question. When the calculated dose distribution surface passes through the ellipsoid, the calculation passes the acceptance test for the measurement point. The minimum radial distance between the measurement point and the calculation points (expressed as a surface in the dose-distance space) is termed the gamma index. Regions where gamma > 1 correspond to locations where the calculation does not meet the acceptance criteria. The determination of gamma throughout the measured dose distribution provides a presentation that quantitatively indicates the calculation accuracy. Examples of a 6 MV beam penumbra are used to illustrate the gamma index.
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              Aleatoric and epistemic uncertainty in machine learning: an introduction to concepts and methods

              The notion of uncertainty is of major importance in machine learning and constitutes a key element of machine learning methodology. In line with the statistical tradition, uncertainty has long been perceived as almost synonymous with standard probability and probabilistic predictions. Yet, due to the steadily increasing relevance of machine learning for practical applications and related issues such as safety requirements, new problems and challenges have recently been identified by machine learning scholars, and these problems may call for new methodological developments. In particular, this includes the importance of distinguishing between (at least) two different types of uncertainty, often referred to as aleatoric and epistemic . In this paper, we provide an introduction to the topic of uncertainty in machine learning as well as an overview of attempts so far at handling uncertainty in general and formalizing this distinction in particular.
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                Author and article information

                Journal
                Rep Pract Oncol Radiother
                Rep Pract Oncol Radiother
                Reports of Practical Oncology and Radiotherapy
                Via Medica
                1507-1367
                2083-4640
                2023
                16 February 2024
                : 28
                : 6
                : 737-745
                Affiliations
                [1 ]Department Physics, Faculty of Mathematics and Natural Sciences Universitas Indonesia, Depok, Indonesia
                [2 ]Department of Radiation Oncology, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
                Author notes
                Address for correspondence: Supriyanto Ardjo Pawiro, Department Physics, Faculty of Mathematics and Natural Sciences Universitas Indonesia, Depok, 16424, Indonesia; e-mail: supriyanto.p@ 123456sci.ui.ac.id
                Article
                rpor-28-6-737
                10.5603/rpor.98729
                10954275
                38515817
                c0b684de-83d8-422a-ac35-60a46702af8e
                © 2023 Greater Poland Cancer Centre

                This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially

                History
                : 13 August 2023
                : 04 December 2023
                Funding
                Funded by: Universitas Indonesia PUTI research
                Award ID: NKB-1665/UN2.RST/HKP.05/00/2020
                Categories
                Research Paper

                radiotherapy,dosimetry,epid,cine images,deep learning
                radiotherapy, dosimetry, epid, cine images, deep learning

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