*Result*: Introduction to machine and deep learning for medical physicists.
Original Publication: Lancaster, Pa., Published for the American Assn. of Physicists in Medicine by the American Institute of Physics.
Med Phys. 2018 Jun 14;:. (PMID: 29901223)
Front Oncol. 2018 Apr 17;8:110. (PMID: 29719815)
Med Phys. 2019 Jan;46(1):e1-e36. (PMID: 30367497)
IEEE Trans Radiat Plasma Med Sci. 2019 Mar;3(2):242-249. (PMID: 30854501)
Phys Med. 2017 Jun;38:122-139. (PMID: 28595812)
Med Phys. 2017 Dec;44(12):6690-6705. (PMID: 29034482)
Phys Med Biol. 2017 Oct 12;62(21):8246-8263. (PMID: 28914611)
Int J Radiat Oncol Biol Phys. 2016 Apr 1;94(5):1121-8. (PMID: 26907916)
Comput Biol Med. 2018 Jul 1;98:126-146. (PMID: 29787940)
Med Phys. 2017 Feb;44(2):533-546. (PMID: 28035663)
Radiother Oncol. 2017 Dec;125(3):392-397. (PMID: 29162279)
Med Phys. 2018 Jul;45(7):3449-3459. (PMID: 29763967)
CA Cancer J Clin. 2019 Mar;69(2):127-157. (PMID: 30720861)
J Med Internet Res. 2021 Jul 12;23(7):e26151. (PMID: 34255661)
Phys Med Biol. 2017 Aug 01;62(16):R179-R206. (PMID: 28657906)
BJR Open. 2019 Jul 04;1(1):20190021. (PMID: 33178948)
Nature. 2015 May 28;521(7553):436-44. (PMID: 26017442)
Radiother Oncol. 2018 Dec;129(3):421-426. (PMID: 29907338)
Nature. 2017 Feb 2;542(7639):115-118. (PMID: 28117445)
IEEE Trans Neural Netw Learn Syst. 2016 Oct;27(10):1997-2008. (PMID: 26672049)
Med Phys. 2019 Apr;46(4):1914-1921. (PMID: 30734324)
Med Phys. 2018 Oct;45(10):e863-e869. (PMID: 29446451)
Methods. 2016 Dec 1;111:32-44. (PMID: 27586524)
Adv Radiat Oncol. 2018 Oct 12;4(1):191-200. (PMID: 30706028)
Med Phys. 2016 Jan;43(1):378. (PMID: 26745931)
Nature. 2016 Jan 28;529(7587):484-9. (PMID: 26819042)
Int J Radiat Oncol Biol Phys. 2015 Dec 1;93(5):1127-35. (PMID: 26581149)
Neural Comput. 1997 Nov 15;9(8):1735-80. (PMID: 9377276)
Int J Radiat Oncol Biol Phys. 2013 Sep 1;87(1):176-81. (PMID: 23623460)
Med Phys. 2018 Oct;45(10):4763-4774. (PMID: 30098025)
Int J Radiat Oncol Biol Phys. 2019 Oct 1;105(2):440-447. (PMID: 31201897)
N Engl J Med. 2016 Aug 18;375(7):655-65. (PMID: 27532831)
Ann Intern Med. 2015 Jan 6;162(1):55-63. (PMID: 25560714)
Oncology. 2020;98(6):344-362. (PMID: 30472716)
Lancet Oncol. 2018 Jun;19(6):737-746. (PMID: 29778737)
Trends Cancer. 2019 Mar;5(3):157-169. (PMID: 30898263)
Front Neurorobot. 2013 Dec 04;7:21. (PMID: 24409142)
Nature. 2019 Nov;575(7781):137-146. (PMID: 31695204)
IEEE Trans Med Imaging. 2016 May;35(5):1285-98. (PMID: 26886976)
Front Oncol. 2019 Oct 01;9:977. (PMID: 31632910)
Cancer Lett. 2016 Nov 1;382(1):110-117. (PMID: 27241666)
Med Phys. 2019 May;46(5):2497-2511. (PMID: 30891794)
Front Oncol. 2018 Jul 27;8:266. (PMID: 30101124)
*Further Information*
*Recent years have witnessed tremendous growth in the application of machine learning (ML) and deep learning (DL) techniques in medical physics. Embracing the current big data era, medical physicists equipped with these state-of-the-art tools should be able to solve pressing problems in modern radiation oncology. Here, a review of the basic aspects involved in ML/DL model building, including data processing, model training, and validation for medical physics applications is presented and discussed. Machine learning can be categorized based on the underlying task into supervised learning, unsupervised learning, or reinforcement learning; each of these categories has its own input/output dataset characteristics and aims to solve different classes of problems in medical physics ranging from automation of processes to predictive analytics. It is recognized that data size requirements may vary depending on the specific medical physics application and the nature of the algorithms applied. Data processing, which is a crucial step for model stability and precision, should be performed before training the model. Deep learning as a subset of ML is able to learn multilevel representations from raw input data, eliminating the necessity for hand crafted features in classical ML. It can be thought of as an extension of the classical linear models but with multilayer (deep) structures and nonlinear activation functions. The logic of going "deeper" is related to learning complex data structures and its realization has been aided by recent advancements in parallel computing architectures and the development of more robust optimization methods for efficient training of these algorithms. Model validation is an essential part of ML/DL model building. Without it, the model being developed cannot be easily trusted to generalize to unseen data. Whenever applying ML/DL, one should keep in mind, according to Amara's law, that humans may tend to overestimate the ability of a technology in the short term and underestimate its capability in the long term. To establish ML/DL role into standard clinical workflow, models considering balance between accuracy and interpretability should be developed. Machine learning/DL algorithms have potential in numerous radiation oncology applications, including automatizing mundane procedures, improving efficiency and safety of auto-contouring, treatment planning, quality assurance, motion management, and outcome predictions. Medical physicists have been at the frontiers of technology translation into medicine and they ought to be prepared to embrace the inevitable role of ML/DL in the practice of radiation oncology and lead its clinical implementation.
(© 2020 American Association of Physicists in Medicine.)*