A joint physics and radiobiology DREAM team vision - Towards better response prediction models to advance radiotherapy.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_B23B8FB8B636
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A joint physics and radiobiology DREAM team vision - Towards better response prediction models to advance radiotherapy.
Journal
Radiotherapy and oncology
Author(s)
Vens C., van Luijk P., Vogelius R.I., El Naqa I., Humbert-Vidan L., von Neubeck C., Gomez-Roman N., Bahn E., Brualla L., Böhlen T.T., Ecker S., Koch R., Handeland A., Pereira S., Possenti L., Rancati T., Todor D., Vanderstraeten B., Van Heerden M., Ullrich W., Jackson M., Alber M., Marignol L.
Working group(s)
on behalf ofthe ESTRO DREAM team
ISSN
1879-0887 (Electronic)
ISSN-L
0167-8140
Publication state
Published
Issued date
07/2024
Peer-reviewed
Oui
Volume
196
Pages
110277
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Radiotherapy developed empirically through experience balancing tumour control and normal tissue toxicities. Early simple mathematical models formalized this practical knowledge and enabled effective cancer treatment to date. Remarkable advances in technology, computing, and experimental biology now create opportunities to incorporate this knowledge into enhanced computational models. The ESTRO DREAM (Dose Response, Experiment, Analysis, Modelling) workshop brought together experts across disciplines to pursue the vision of personalized radiotherapy for optimal outcomes through advanced modelling. The ultimate vision is leveraging quantitative models dynamically during therapy to ultimately achieve truly adaptive and biologically guided radiotherapy at the population as well as individual patient-based levels. This requires the generation of models that inform response-based adaptations, individually optimized delivery and enable biological monitoring to provide decision support to clinicians. The goal is expanding to models that can drive the realization of personalized therapy for optimal outcomes. This position paper provides their propositions that describe how innovations in biology, physics, mathematics, and data science including AI could inform models and improve predictions. It consolidates the DREAM team's consensus on scientific priorities and organizational requirements. Scientifically, it stresses the need for rigorous, multifaceted model development, comprehensive validation and clinical applicability and significance. Organizationally, it reinforces the prerequisites of interdisciplinary research and collaboration between physicians, medical physicists, radiobiologists, and computational scientists throughout model development. Solely by a shared understanding of clinical needs, biological mechanisms, and computational methods, more informed models can be created. Future research environment and support must facilitate this integrative method of operation across multiple disciplines.
Keywords
Humans, Radiobiology, Neoplasms/radiotherapy, Precision Medicine/methods, AI, Data science, Models, Prediction
Pubmed
Web of science
Open Access
Yes
Create date
03/05/2024 15:05
Last modification date
15/06/2024 6:03
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