Patient and fraction specific model adaptation for cone beam computed tomography (CBCT) multi‐organ segmentation

Integrating large-scale pretraining with LoRA-based patient- and fraction-specific adaptation significantly enhances CBCT multi-organ segmentation accuracy and clinical transferability. The PFS-STU-Net framework demonstrates robust performance across institutions and provides a scalable, efficient solution for real-time CBCT-guided adaptive radiotherapy.

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Publication Details

Journal
Medical Physics
Published
2025-12-26
DOI
https://doi.org/10.1002/mp.70251
Primary Topic
Advanced Radiotherapy Techniques
Type
article
Field-Weighted Citation Impact
0.00

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article

Patient and fraction specific model adaptation for cone beam computed tomography (CBCT) multi‐organ segmentation

Keyur D Shah, Joseph W. Shelton, Richard L. J. Qiu, Tonghe Wang et al.
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Advanced Radiotherapy Techniques
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Patient and fraction specific model adaptation for cone beam computed tomography (CBCT) multi‐organ segmentation

Keyur D Shah, Joseph W. Shelton, Richard L. J. Qiu, Tonghe Wang, Aparna H. Kesarwala, Vanessa Lynne Wildman, Ryan James Sanford, Xiaoqian Chen, Xiaofeng Yang, Chih‐Wei Chang, Yuheng Li
article en

Abstract

Integrating large-scale pretraining with LoRA-based patient- and fraction-specific adaptation significantly enhances CBCT multi-organ segmentation accuracy and clinical transferability. The PFS-STU-Net framework demonstrates robust performance across institutions and provides a scalable, efficient solution for real-time CBCT-guided adaptive radiotherapy.

Medical PhysicsVol. 53(1)
Memorial Sloan Kettering Cancer Center (US), Emory University (US)
Memorial Sloan-Kettering Cancer Center, National Institutes of Health
Openalex Percentile: Top 26%
Advanced Radiotherapy Techniques
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