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The Potential of E-Learning Interventions for AI-assisted Contouring Skills in Radiotherapy

Closed for proposals

Project Type

Coordinated Research Project

Project Code

E33046

CRP

2329

Approved Date

5 May 2022

Status

Closed

Start Date

17 June 2022

Expected End Date

31 December 2023

Completed Date

26 August 2024

Participating Countries

Albania
Argentina
Azerbaijan
Bangladesh
Belarus
Belgium
Costa Rica
Denmark
Georgia
India
Indonesia
Jordan
Kazakhstan
Kenya
Kyrgyzstan
Malaysia
Mongolia
Nepal
North Macedonia
Pakistan
Republic of Moldova
Sudan
Tunisia
Uganda

Description

In recent years, AI-algorithms, namely deep learning-based algorithms, have improved auto-segmentation drastically. It is generally believed that the use of such tools will lead to lowered inter-observer variation and time savings for clinical staff. A wide palette of commercial deep learning-based auto-segmentation solutions are emerging with the promise of leveraging the aforementioned benefits. The selection and contouring of target volumes and organs-at-risk (OARs) has become a key step in modern radiation oncology. Concepts and terms for definition of gross tumor volume, clinical target volume and OARs have been continuously evolving (e.g. through ICRU reports 50, 62, 78, 83) and have become widely disseminated and accepted by the European and international radiation oncology community. From previous research is clear that instructor-led guideline workshops are effective in reducing the inter-observer variation, however, it is unknown if and how the introduction the artificial intelligence based auto-segmentation modifies this causation.

Objectives

Investigating changes in inter-observer variation and bias after E-Learning in delineation guidelines and the use of deep learning-based auto-segmentation of organs-at-risk in head-and-neck cancer

Specific objectives

To train multidisciplinary teams to contribute to the goal of high-quality 3D radiotherapy

Impact

While there is a growing need to improve contouring skills for radiation oncologists worldwide, the task of contouring represents a time-consuming activity which affects an already often staff restricted profession due to the lack of sufficient human resources. The safe implementation of AI-assisted contouring tools is key and would result in resource sparing if applied appropriately. The study suggested that AI-assisted contouring is safe and beneficial to ROs working in LMICs. Prospective clinical trials on AI-assisted contouring should, however, be conducted upon clinical implementation to confirm the effects.

Relevance

AI-assisted contouring in combination with teaching of contouring guidelines is an effective strategy to reduce contouring time and conform contouring practices within and between radiotherapy departments located in LMIC.

CRP Publications

Type

Peer review journal

Year

2024

Publication URL

https://ascopubs.org/doi/pdfdirect/10.1200/GO.24.00173

Country/Organization

Journal of Clinical Oncology Global Oncology

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