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。
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.
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
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