AUTHOR=Arsini Lorenzo , Caccia Barbara , Ciardiello Andrea , De Gregorio Angelica , Franciosini Gaia , Giagu Stefano , Guatelli Susanna , Muscato Annalisa , Nicolanti Francesca , Paino Jason , Schiavi Angelo , Mancini-Terracciano Carlo TITLE=Fast and precise dose estimation for very high energy electron radiotherapy with graph neural networks JOURNAL=Frontiers in Physics VOLUME=12 YEAR=2024 URL=https://www.frontiersin.org/journals/physics/articles/10.3389/fphy.2024.1443306 DOI=10.3389/fphy.2024.1443306 ISSN=2296-424X ABSTRACT=Introduction

External beam radiotherapy (RT) is one of the most common treatments against cancer, with photon-based RT and particle therapy being commonly employed modalities. Very high energy electrons (VHEE) have emerged as promising candidates for novel treatments, particularly in exploiting the FLASH effect, offering potential advantages over traditional modalities.

Methods

This paper introduces a Deep Learning model based on graph convolutional networks to determine dose distributions of therapeutic VHEE beams in patient tissues. The model emulates Monte Carlo (MC) simulated doses within a cylindrical volume around the beam, enabling high spatial resolution dose calculation along the beamline while managing memory constraints.

Results

Trained on diverse beam orientations and energies, the model exhibits strong generalization to unseen configurations, achieving high accuracy metrics, including a δ-index 3% passing rate of 99.8% and average relative error <1% in integrated dose profiles compared to MC simulations.

Discussion

Notably, the model offers three to six orders of magnitude increased speed over full MC simulations and fast MC codes, generating dose distributions in milliseconds on a single GPU. This speed could enable direct integration into treatment planning optimization algorithms and leverage the model’s differentiability for exact gradient computation.