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Artificial Intelligence in Adaptive Radiation Therapy
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29 October 2025

This book provides a comprehensive overview of the use of artificial intelligence (AI) in radiation therapy (RT), with a particular focus on adaptive radiation therapy (ART). It covers key topics, including AI-driven image processing, automatic segmentation, adaptive replanning and delivery, AI-enhanced quality assurance, clinical decision support, and related safety, educational, regulatory and ethical considerations. As an emerging and rapidly evolving field, AI in ART holds immense potential to enhance precision, efficiency, and treatment outcomes in cancer care. Yet, comprehensive resources remain limited. This book bridges the gap by offering a detailed and practical guide, presenting the latest research and clinical applications to help practitioners and researchers effectively integrate AI into their practice and research.
Key features:
- Comprehensive overview of artificial intelligence (AI) in radiation therapy (RT) and adaptive radiation therapy (ART)
- In-depth discussion of current developments in AI technologies facilitating ART
- Practical guidance for clinical practitioners and researchers
- AI in clinical trials
- Future perspectives
MEDICAL / Radiology, Radiotherapy & Nuclear Medicine, Nuclear medicine, MEDICAL / Oncology / General, MEDICAL / Diagnostic Imaging / General, Artificial intelligence, Digital and information technologies: Health and safety aspects
Preface
Foreword
Acknowledgments
Editor biographies
List of contributors
1 Fundamentals of artificial intelligence
2 Introduction to AI in radiation therapy
3 AI in clinical decision making
4 Imaging technologies in radiation therapy
5 Big data for AI in radiation oncology
6 Introduction to adaptive radiotherapy
7 Overview of artificial-intelligence driven adaptive therapy workflow
8 Imaging, imaging processing, and synthetic CT
9 AI-based image registration and segmentation
10 AI-assisted dose prediction and re-planning
11 AI-based intrafraction motion monitoring for precise ART delivery
12 AI for quality assurance in ART
13 AI empowered response prediction and adaptation
14 Challenges of AI implementation in adaptive radiation therapy
15 Offline CT-based and online CBCT-based ART
16 AI in MRI-guided adaptive radiation therapy
17 Functional imaging-guided ART
18 Artificial intelligence in proton adaptive radiation therapy
19 AI in clinical trials
20 Safety and training considerations in the clinical implementation of AI ART
21 Ethical and regulatory considerations in AI for ART
22 Recent advances and future of AI-augmented ART