Metrics to evaluate the performance of auto-segmentation for radiation treatment planning: A critical review Review


Authors: Sherer, M. V.; Lin, D.; Elguindi, S.; Duke, S.; Tan, L. T.; Cacicedo, J.; Dahele, M.; Gillespie, E. F.
Review Title: Metrics to evaluate the performance of auto-segmentation for radiation treatment planning: A critical review
Abstract: Advances in artificial intelligence-based methods have led to the development and publication of numerous systems for auto-segmentation in radiotherapy. These systems have the potential to decrease contour variability, which has been associated with poor clinical outcomes and increased efficiency in the treatment planning workflow. However, there are no uniform standards for evaluating auto-segmentation platforms to assess their efficacy at meeting these goals. Here, we review the most frequently used evaluation techniques which include geometric overlap, dosimetric parameters, time spent contouring, and clinical rating scales. These data suggest that many of the most commonly used geometric indices, such as the Dice Similarity Coefficient, are not well correlated with clinically meaningful endpoints. As such, a multi-domain evaluation, including composite geometric and/or dosimetric metrics with physician-reported assessment, is necessary to gauge the clinical readiness of auto-segmentation for radiation treatment planning. © 2021 Elsevier B.V.
Keywords: treatment planning; quality assurance; contouring; auto-segmentation
Journal Title: Radiotherapy and Oncology
Volume: 160
ISSN: 0167-8140
Publisher: Elsevier Inc.  
Date Published: 2021-07-01
Start Page: 185
End Page: 191
Language: English
DOI: 10.1016/j.radonc.2021.05.003
PUBMED: 33984348
PROVIDER: scopus
DOI/URL:
Notes: Review -- Export Date: 1 July 2021 -- Source: Scopus
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  1. Erin Faye Gillespie
    149 Gillespie
  2. Diana Lin
    16 Lin