LLM-driven multimodal target volume contouring in radiation oncology

Abstract Target volume contouring for radiation therapy is considered significantly more challenging than the normal organ segmentation tasks as it necessitates the utilization of both image and text-based clinical information. Inspired by the recent advancement of large language models (LLMs) that...

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Main Authors: Yujin Oh, Sangjoon Park, Hwa Kyung Byun, Yeona Cho, Ik Jae Lee, Jin Sung Kim, Jong Chul Ye
Format: Article
Language:English
Published: Nature Portfolio 2024-10-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-53387-y
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author Yujin Oh
Sangjoon Park
Hwa Kyung Byun
Yeona Cho
Ik Jae Lee
Jin Sung Kim
Jong Chul Ye
author_facet Yujin Oh
Sangjoon Park
Hwa Kyung Byun
Yeona Cho
Ik Jae Lee
Jin Sung Kim
Jong Chul Ye
author_sort Yujin Oh
collection DOAJ
description Abstract Target volume contouring for radiation therapy is considered significantly more challenging than the normal organ segmentation tasks as it necessitates the utilization of both image and text-based clinical information. Inspired by the recent advancement of large language models (LLMs) that can facilitate the integration of the textural information and images, here we present an LLM-driven multimodal artificial intelligence (AI), namely LLMSeg, that utilizes the clinical information and is applicable to the challenging task of 3-dimensional context-aware target volume delineation for radiation oncology. We validate our proposed LLMSeg within the context of breast cancer radiotherapy using external validation and data-insufficient environments, which attributes highly conducive to real-world applications. We demonstrate that the proposed multimodal LLMSeg exhibits markedly improved performance compared to conventional unimodal AI models, particularly exhibiting robust generalization performance and data-efficiency.
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institution Kabale University
issn 2041-1723
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publishDate 2024-10-01
publisher Nature Portfolio
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series Nature Communications
spelling doaj-art-2a0f76528c044de2845e8ca1e5f6dc072025-01-19T12:29:33ZengNature PortfolioNature Communications2041-17232024-10-0115111410.1038/s41467-024-53387-yLLM-driven multimodal target volume contouring in radiation oncologyYujin Oh0Sangjoon Park1Hwa Kyung Byun2Yeona Cho3Ik Jae Lee4Jin Sung Kim5Jong Chul Ye6Department of Radiology, Massachusetts General Hospital (MGH) and Harvard Medical SchoolDepartment of Radiation Oncology, Yonsei University College of MedicineDepartment of Radiation Oncology, Yongin Severance HospitalDepartment of Radiation Oncology, Gangnam Severance HospitalDepartment of Radiation Oncology, Yonsei University College of MedicineDepartment of Radiation Oncology, Yonsei University College of MedicineKim Jaechul Graduate School of AI, Korea Advanced Institute of Science and Technology (KAIST)Abstract Target volume contouring for radiation therapy is considered significantly more challenging than the normal organ segmentation tasks as it necessitates the utilization of both image and text-based clinical information. Inspired by the recent advancement of large language models (LLMs) that can facilitate the integration of the textural information and images, here we present an LLM-driven multimodal artificial intelligence (AI), namely LLMSeg, that utilizes the clinical information and is applicable to the challenging task of 3-dimensional context-aware target volume delineation for radiation oncology. We validate our proposed LLMSeg within the context of breast cancer radiotherapy using external validation and data-insufficient environments, which attributes highly conducive to real-world applications. We demonstrate that the proposed multimodal LLMSeg exhibits markedly improved performance compared to conventional unimodal AI models, particularly exhibiting robust generalization performance and data-efficiency.https://doi.org/10.1038/s41467-024-53387-y
spellingShingle Yujin Oh
Sangjoon Park
Hwa Kyung Byun
Yeona Cho
Ik Jae Lee
Jin Sung Kim
Jong Chul Ye
LLM-driven multimodal target volume contouring in radiation oncology
Nature Communications
title LLM-driven multimodal target volume contouring in radiation oncology
title_full LLM-driven multimodal target volume contouring in radiation oncology
title_fullStr LLM-driven multimodal target volume contouring in radiation oncology
title_full_unstemmed LLM-driven multimodal target volume contouring in radiation oncology
title_short LLM-driven multimodal target volume contouring in radiation oncology
title_sort llm driven multimodal target volume contouring in radiation oncology
url https://doi.org/10.1038/s41467-024-53387-y
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AT ikjaelee llmdrivenmultimodaltargetvolumecontouringinradiationoncology
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