Search

Dose prediction is an area of ongoing research that facilitates radiotherapy planning. Most commercial models utilise imaging data and intense computing resources. This study aimed to predict the dose-volume of rectum and bladder from volumes of target, at-risk structure organs and their overlap regions using machine learning. Dose-volume information of 94 patients with prostate cancer planned for 6000cGy in 20 fractions was exported from the treatment planning system as text files and mined to create a training dataset. Several statistical modelling, machine learning methods, and a new fuzzy rule-based prediction (FRBP) model were explored and validated on an independent dataset of 39 patients. The median absolute error was 2.0%-3.7% for bladder and 1.7-2.4% for rectum in the 4000-6420cGy range. For 5300cGy, 5600cGy and 6000cGy, the median difference was less than 2.5% for rectum and 3.8% for bladder. The FRBP model produced errors of 1.2%, 1.3%, 0.9% and 1.6%, 1.2%, 0.1% for the rectum and bladder respectively at these dose levels. These findings indicate feasibility of obtaining accurate predictions of the clinically important dose-volume parameters for rectum and bladder using just the volumes of these structures.

Multi-instance learning (MIL) is a widely-applied technique in practical applications that involve complex data structures. MIL can be broadly categorized into two types: traditional methods and those based on deep learning. These approaches have yielded significant results, especially with regards to their problem-solving strategies and experimental validation, providing valuable insights for researchers in the MIL field. However, a considerable amount of knowledge is often trapped within the algorithm, leading to subsequent MIL algorithms that solely rely on the model's data fitting to predict unlabeled samples. This results in a significant loss of knowledge and impedes the development of more intelligent models. In this paper, we propose a novel data-driven knowledge fusion for deep multi-instance learning (DKMIL) algorithm. DKMIL adopts a completely different idea from existing deep MIL methods by analyzing the decision-making of key samples in the data set (referred to as the data-driven) and using the knowledge fusion module designed to extract valuable information from these samples to assist the model's training. In other words, this module serves as a new interface between data and the model, providing strong scalability and enabling the use of prior knowledge from existing algorithms to enhance the learning ability of the model. Furthermore, to adapt the downstream modules of the model to more knowledge-enriched features extracted from the data-driven knowledge fusion module, we propose a two-level attention module that gradually learns shallow- and deep-level features of the samples to achieve more effective classification. We will prove the scalability of the knowledge fusion module while also verifying the efficacy of the proposed architecture by conducting experiments on 38 data sets across 6 categories.