Technical Report Number
Computers have been used in radiation therapy since the early 1960s to perform dose calculations. In the last decade, researchers have developed computer-based clinical decision-support systems for assisting in different decision-making tasks in radiation therapy. This paper reviews eleven prototype systems developed for target volume delineation, treatment planning, treatment plan evaluation, and treatment machine diagnosis. The advent of three-dimensional (3D) conformal radiation therapy (CRT) provides radiation oncologists with the opportunity to consider innovative beam arrangements which were not possible in two-dimensional class solutions. The difficulty of manually generating the thousands of clinically plausible 3D treatment plans calls for the use of decision-support systems to generate them automatically. The large data sets generated in 3D CRT make manual treatment plan evaluation. Computer-based optimization of 3D CRT can be then performed by combining the systems for automatic plan generation and objective plan evaluation.
Jain, Nilesh L. and Kahn, Michael G., "Clinical Decision-Support Systems in Radiation Therapy" Report Number: WUCS-93-14 (1993). All Computer Science and Engineering Research.