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arXiv 提交日期: 2026-03-10
📄 Abstract - A Guideline-Aware AI Agent for Zero-Shot Target Volume Auto-Delineation

Delineating the clinical target volume (CTV) in radiotherapy involves complex margins constrained by tumor location and anatomical barriers. While deep learning models automate this process, their rigid reliance on expert-annotated data requires costly retraining whenever clinical guidelines update. To overcome this limitation, we introduce OncoAgent, a novel guideline-aware AI agent framework that seamlessly converts textual clinical guidelines into three-dimensional target contours in a training-free manner. Evaluated on esophageal cancer cases, the agent achieves a zero-shot Dice similarity coefficient of 0.842 for the CTV and 0.880 for the planning target volume, demonstrating performance highly comparable to a fully supervised nnU-Net baseline. Notably, in a blinded clinical evaluation, physicians strongly preferred OncoAgent over the supervised baseline, rating it higher in guideline compliance, modification effort, and clinical acceptability. Furthermore, the framework generalizes zero-shot to alternative esophageal guidelines and other anatomical sites (e.g., prostate) without any retraining. Beyond mere volumetric overlap, our agent-based paradigm offers near-instantaneous adaptability to alternative guidelines, providing a scalable and transparent pathway toward interpretability in radiotherapy treatment planning.

顶级标签: medical agents natural language processing
详细标签: radiotherapy planning zero-shot learning guideline interpretation clinical target volume ai agent 或 搜索:

一种用于零样本靶区自动勾画的指南感知AI智能体 / A Guideline-Aware AI Agent for Zero-Shot Target Volume Auto-Delineation


1️⃣ 一句话总结

这篇论文提出了一种名为OncoAgent的新型AI智能体,它能够直接根据文本形式的临床指南,在无需额外训练的情况下自动生成放射治疗中的三维靶区轮廓,实现了与有监督模型相当的性能,并获得了临床医生在指南遵循性和临床可接受性方面的更高评价。

源自 arXiv: 2603.09448