IP Library Granted Patent US 12,327,628
Granted Patent B2
US 12,327,628 · App. 18/144,238 · Granted Jun 10, 2025

Methods and systems for adaptive radiotherapy treatment planning using deep learning engines

Inventors: Hannu Laaksonen (Espoo, FI); Janne Nord (Espoo, FI); Sami Petri Perttu (Helsinki, FI)
Assignee: SIEMENS HEALTHINEERS INTERNATIONAL AG
G16H30/40A61N5/1031A61N5/1038A61N5/1039G06N3/08G16B40/00G16H20/40A61N2005/1041
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Quick Facts
Patent No.
US 12,327,628
App. No.
18/144,238
Granted
Jun 10, 2025
Kind
B2
Abstract

Example methods for adaptive radiotherapy treatment planning using deep learning engines are provided. One example method may comprise obtaining treatment image data associated with a first imaging modality and planning image data associated with a second imaging modality. The treatment image data may be acquired during a treatment phase of a patient. Also, planning image data associated with a second imaging modality may be acquired prior to the treatment phase to generate a treatment plan for the patient. The method may also comprise: in response to determination that an update of the treatment plan is required, processing, using the deep learning engine, the treatment image data and the planning image data to generate output data for updating the treatment plan.

Claims (60)

1. A method for a computer system to perform adaptive radiotherapy treatment planning, wherein the method comprises:

obtaining treatment image data associated with a first imaging modality, wherein the treatment image data is acquired during a treatment phase of a patient;

obtaining planning image data associated with a second imaging modality, wherein the planning image data is acquired prior to the treatment phase to generate a treatment plan for the patient;

based on a determination that a difference between the treatment image data and the planning image data does not exceed a predetermined significance threshold;

generating transformed image data associated with the first imaging modality based on (a) the treatment image data associated with the first imaging modality and (b) the planning image data associated with the second imaging modality; and

processing, using a deep learning engine, input image data that includes both the transformed image data and the planning image data to generate output data for updating the treatment plan.

2. The method of claim 1 , wherein generating the transformed treatment image data comprises:

performing image registration to generate the transformed image data by registering the treatment image data against the planning image data.

3. The method of claim 1 , wherein obtaining the treatment image data and the planning image data comprises:

obtaining the planning image data whose difference from the treatment image data does not exceed the predetermined significance threshold relating to at least one of the following: shape, size or position change of a target requiring dose delivery; and shape, size or position change of healthy tissue proximal to the target.

4. The method of claim 1 , wherein processing the transformed image data and the planning image data comprises:

processing, using the deep learning engine with multiple processing pathways associated with respective multiple resolution levels, the input image data that includes the transformed image data and the planning image data to the generate output data.

5. The method of claim 4 , wherein processing the transformed image data and the planning image data comprises:

processing, using a first processing pathway of the multiple processing pathways, the input image data that includes both the transformed image data and the planning image data to generate first feature data associated with a first resolution level;

processing, using a second processing pathway of the multiple processing pathways, input image data that includes both the transformed image data and the planning image data to generate second feature data associated with a second resolution level; and

processing, using a third processing pathway of the multiple processing pathways, input image data that includes both the transformed image data and the planning image data to generate third feature data associated with a third resolution level.

6. The method of claim 5 , wherein processing the transformed image data and the planning image data comprises:

generating (a) a first combined set based on the second feature data and the third feature data, and (b) a second combined set based on the first feature data and the first combined set; and

generating the output data based on the second combined set.

7. The method of claim 1 , wherein obtaining the treatment image data and the planning image data comprises one of the following:

obtaining the treatment image data in the form of cone beam computed tomography (CBCT) image data, and the planning image data in the form of computed tomography (CT) image data, ultrasound image data, magnetic resonance imaging (MRI) image data, positron emission tomography (PET) image data, single photon emission computed tomography (SPECT) or camera image data;

obtaining the treatment image data in the form of CT image data, and the planning image data in the form of CT image data associated with a different energy level, ultrasound image data, MRI image data, PET image data, SPECT image data or camera image data;

obtaining the treatment image data in the form of MRI image data, and the planning image data in the form of CT image data, CBCT image data, ultrasound image data, MRI image data, PET image data, SPECT image data or camera image data;

obtaining the treatment image data in the form of ultrasound image data, and the planning image data in the form of CT image data, CBCT image data, PET image data, MRI image data, SPECT image data or camera image data; and

obtaining the treatment image data in the form of PET image data, and the planning image data in the form of CT image data, CBCT image data, ultrasound image data, MRI image data, SPECT image data or camera image data.

8. The method of claim 1 , wherein the method further comprises:

prior to processing the input image data, training the deep learning engine using two sets of training image data that are acquired using the respective first imaging modality and second imaging modality.

9. The method of claim 1 , wherein the method further comprises:

prior to processing the input image data, training the deep learning engine to perform one of the following using training data associated with past patients: automatic segmentation to generate the output data in the form of structure data associated with the patient, dose prediction to generate the output data in the form of dose data associated with the patient, and treatment delivery data estimation to generate the output data in the form of treatment delivery data for a treatment delivery system.

10. A computer system configured to perform adaptive radiotherapy treatment planning, the computer system comprising:

a processor; and

a non-transitory computer-readable medium having stored thereon instructions that, in response to execution by the processor, cause the processor to:

obtain treatment image data associated with a first imaging modality, wherein the treatment image data is acquired during a treatment phase of a patient;

obtain planning image data associated with a second imaging modality, wherein the planning image data is acquired prior to the treatment phase to generate a treatment plan for the patient;

based on a determination that a difference between the treatment image data and the planning image data does not exceed a predetermined significance threshold;

generate transformed image data associated with the first imaging modality based on (a) the treatment image data associated with the first imaging modality and (b) the planning image data associated with the second imaging modality; and

process, using a deep learning engine, input image data that includes both the transformed image data and the planning image data to generate output data for updating the treatment plan.

11. The computer system of claim 10 , wherein the instructions for generating the transformed treatment image data cause the processor to:

perform image registration to generate the transformed image data by registering the treatment image data against the planning image data.

12. The computer system of claim 10 , wherein the instructions for obtaining the treatment image data and the planning image data cause the processor to:

obtain the planning image data whose difference from the treatment image data does not exceed the predetermined significance threshold relating to at least one of the following: shape, size or position change of a target requiring dose delivery; and shape, size or position change of healthy tissue proximal to the target.

13. The computer system of claim 10 , wherein the instructions for processing the transformed image data and the planning image data cause the processor to:

process, using the deep learning engine with multiple processing pathways associated with respective multiple resolution levels, the input image data that includes the transformed image data and the planning image data to the generate output data.

14. The computer system of claim 13 , wherein the instructions for processing the transformed image data and the planning image data cause the processor to:

process, using a first processing pathway of the multiple processing pathways, the input image data that includes both the transformed image data and the planning image data to generate first feature data associated with a first resolution level;

process, using a second processing pathway of the multiple processing pathways, input image data that includes both the transformed image data and the planning image data to generate second feature data associated with a second resolution level; and

process, using a third processing pathway of the multiple processing pathways, input image data that includes both the transformed image data and the planning image data to generate third feature data associated with a third resolution level.

15. The computer system of claim 14 , wherein the instructions for processing the transformed image data and the planning image data cause the processor to:

generate (a) a first combined set based on the second feature data and the third feature data, and (b) a second combined set based on the first feature data and the first combined set; and

generate the output data based on the second combined set.

16. The computer system of claim 10 , wherein the instructions for obtaining the treatment image data and the planning image data, in response to execution by the processor, cause the processor to perform one of the following:

obtain the treatment image data in the form of cone beam computed tomography (CBCT) image data, and the planning image data in the form of computed tomography (CT) image data, ultrasound image data, magnetic resonance imaging (MRI) image data, positron emission tomography (PET) image data, single photon emission computed tomography (SPECT) or camera image data;

obtain the treatment image data in the form of CT image data, and the planning image data in the form of CT image data associated with a different energy level, ultrasound image data, MRI image data, PET image data, SPECT image data or camera image data;

obtain the treatment image data in the form of MRI image data, and the planning image data in the form of CT image data, CBCT image data, ultrasound image data, MRI image data, PET image data, SPECT image data or camera image data;

obtain the treatment image data in the form of ultrasound image data, and the planning image data in the form of CT image data, CBCT image data, PET image data, MRI image data, SPECT image data or camera image data; and

obtain the treatment image data in the form of PET image data, and the planning image data in the form of CT image data, CBCT image data, ultrasound image data, MRI image data, SPECT image data or camera image data.

17. The computer system of claim 10 , wherein the non-transitory computer-readable medium having stored thereon additional instructions that, in response to execution by the processor, cause the processor to:

prior to processing the input image data, train the deep learning engine using two sets of training image data that are acquired using the respective first imaging modality and second imaging modality.

18. The computer system of claim 10 , wherein the non-transitory computer-readable medium having stored thereon additional instructions that, in response to execution by the processor, cause the processor to:

prior to processing the input image data, train the deep learning engine to perform one of the following using training data associated with past patients: automatic segmentation to generate the output data in the form of structure data associated with the patient, dose prediction to generate the output data in the form of dose data associated with the patient, and treatment delivery data estimation to generate the output data in the form of treatment delivery data for a treatment delivery system.

Assignments (2)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 27, 2025
From: LAAKSONEN, HANNU; NORD, JANNE; PERTTU, SAMI PETRI
To: VARIAN MEDICAL SYSTEMS INTERNATIONAL AG
Reel/Frame 070342/0891 →
CHANGE OF NAME Recorded Feb 27, 2025
From: VARIAN MEDICAL SYSTEMS INTERNATIONAL AG
To: SIEMENS HEALTHINEERS INTERNATIONAL AG
Reel/Frame 070344/0211 →
Continuity (3)
Continuation 17953346 · Sep 27, 2022
Continuation 16145673 · Sep 28, 2018
Related Publication 20230274817A1 · Aug 31, 2023
References Cited (60)
US 10342994B2 · Kuusela et al. · 2019 [cited by applicant]
US 10346593B2 · Kuusela et al. · 2019 [cited by applicant]
US 10909657B1 · Rossi et al. · 2021 [cited by applicant]
US 10984902B2 · Laaksonen et al. · 2021 [cited by applicant]
US 20070053491A1 · Schildkraut et al. · 2007 [cited by applicant]
US 20070297565A1 · Wofford et al. · 2007 [cited by applicant]
US 20090262894A1 · Shukla et al. · 2009 [cited by applicant]
US 20130085343A1 · Toimela et al. · 2013 [cited by applicant]
US 20140171726A1 · Gum et al. · 2014 [cited by applicant]
US 20150094519A1 · Kuusela et al. · 2015 [cited by applicant]
US 20150360056A1 · Xing et al. · 2015 [cited by applicant]
US 20160129282A1 · Yin et al. · 2016 [cited by applicant]
US 20160140300A1 · Purdie et al. · 2016 [cited by applicant]
US 20170076062A1 · Choi et al. · 2017 [cited by applicant]
US 20170083682A1 · McNutt et al. · 2017 [cited by applicant]
US 20170177812A1 · Sjõlund · 2017 [cited by applicant]
US 20170197097A1 · Michaud et al. · 2017 [cited by applicant]
US 20180043182A1 · Wu et al. · 2018 [cited by applicant]
US 20180061031A1 · Rong et al. · 2018 [cited by applicant]
US 20180193667A1 · Kaiser et al. · 2018 [cited by applicant]
US 20180197317A1 · Cheng · 2018 [cited by examiner]
US 20180211725A1 · Purdie et al. · 2018 [cited by applicant]
US 20180240219A1 · Mentl et al. · 2018 [cited by applicant]
US 20180247410A1 · Madabhushi et al. · 2018 [cited by applicant]
US 20180374245A1 · Xu · 2018 [cited by examiner]
US 20190030370A1 · Hibbard · 2019 [cited by examiner]
US 20190192880A1 · Hibbard · 2019 [cited by examiner]
US 20190220986A1 · Magro et al. · 2019 [cited by applicant]
US 20190232087A1 · Cordero Marcos et al. · 2019 [cited by applicant]
US 20190328348A1 · De Man et al. · 2019 [cited by applicant]
US 20190329072A1 · Magro et al. · 2019 [cited by applicant]
US 20190333623A1 · Hibbard · 2019 [cited by applicant]
US 20190362522A1 · Han · 2019 [cited by applicant]
US 20190378278A1 · Bose · 2019 [cited by examiner]
US 20200104695A1 · Laaksonen et al. · 2020 [cited by applicant]
US 20200105394A1 · Laaksonen et al. · 2020 [cited by applicant]
US 20200105399A1 · Laaksonen et al. · 2020 [cited by applicant]
US 20200197726A1 · Cordero Marcos et al. · 2020 [cited by applicant]
US 20210213304A1 · Domnik · 2021 [cited by examiner]
US 20230020911A1 · Laaksonen et al. · 2023 [cited by applicant]
CN 102470257A · 2012 [cited by applicant]
CN 104117151A · 2014 [cited by applicant]
CN 106373109A · 2017 [cited by applicant]
CN 107072595A · 2017 [cited by applicant]
CN 107715314A · 2018 [cited by applicant]
WO 2014096993A1 · 2014 [cited by applicant]
WO 2017091833A1 · 2017 [cited by applicant]
WO 2017109680A1 · 2017 [cited by applicant]
WO 2018048507A1 · 2018 [cited by applicant]
WO 2018048575A1 · 2018 [cited by applicant]
Xiao Yang, et al. “Quicksilver: Fast Predictive Image Registration—a Deep Learning Approach”, NeuroImage, 2017. [cited by applicant]
A. Hunt et al., “Adaptive Radiotherapy Enabled by MRI Guidance”, Clinical Oncology, 2018, pp. 711-719, vol. 30. [cited by applicant]
C Kontaxis, Gh Bol et al., “Towards Fast Online Intrafraction Replanning for Free-Breathing Stereotactic Body Radiation Therapy with the MR-Linac”, Physics in Meicine and Biology, Institute of Physics and Engineering in… [cited by applicant]
Konstantinos Kamnitsas et al., “Efficient Multi-Scale 3D CNN with Fully Connected CRF for Accurate Brain Lesion Segmentation”, Medical Image Analysis, Feb. 2017, pp. 61-78, vol. 36, Elsevier B.V. [cited by applicant]
Olaf Ronneberger et al., “U-Net: Convolutional Networks for Biomedical Image Segmentation”, Computer Science Department and BIOSS Centre for Biological Signalling Studies, May 18, 2015. [cited by applicant]
The Extended European Search Report, European application No. 19199019.1, Feb. 19, 2020. [cited by applicant]
C Kontaxis et al., “Towards Fast Online Intrafraction Replanning for Free-breathing Stereotactic Body Radiation Therapy with the MR-linac”, Physics in Medicine & Biology, 2017, pp. 7233-7248, vol. 62. [cited by applicant]
A. Hunt et al., “Adaptive Radiotherapy Enabled by MRI Guidance”, Clinial Oncology, 2018, pp. 711-719, vol. 30. [cited by applicant]
Wai King So, “Learning-based Dissimilarity Measure for Rigid and Non-Rigid Medical Image Registration”, Order No. 10903383, Available from Pro Quest Dissertations and Theses Professional, Jan. 2017, Retrieved from <URL:… [cited by applicant]
International Search Report and Written Opinion of the International Searching Authority, International application No. PCT/EP2019/075682, Nov. 18, 2019. [cited by applicant]