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Quality assurance for deep learning-based proton therapy planning in routine clinical use for oropharyngeal cancer

Journal
Physics and imaging in radiation oncology (Q1)
Published
20 August 2026
Study design
Unclassified
Evidence level
Level 5, Expert Opinion (CEBM 5)
Authors
Ilse G van Bruggen, Minke J Brinkman-Akker, Ilse D Jonkhof, Johannes A Langendijk, Stefan Both, Erik W Korevaar
PMID
42733879
DOI
10.1016/j.phro.2026.101067

Why clinicians should know about it

Abstract

Quality assurance is required to ensure safe and reliable use of deep learning (DL)-based intensity modulated proton therapy (IMPT) planning for oropharyngeal cancer patients. This study presents a range of quality assurance measures applied during routine clinical use and include manual adjustments to DL-based plans, independent organ-of-interest dose guidance and multidisciplinary plan review. DL-based plans were clinically acceptable for all 78 patients and achieved 1.1 Gy (RBE) lower parotid dose than manual plans. The implemented quality assurance measures enabled safe routine clinical use of DL-based IMPT planning over 28-months.

Abstract as published, via PubMed.

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For healthcare professionals. The summary is generated by AI from the published abstract, and the evidence level is assigned automatically from the study design on the Oxford CEBM hierarchy. Neither is medical advice. Read the full paper before changing practice.