# Automated Object Contouring Methods & Software for Radiotherapy Planning

> **NIH NIH R42** · QUANTITATIVE RADIOLOGY SOLUTIONS, LLC · 2020 · $2,500

## Abstract

Abstract
In 2015, 1,658,370 new cancer cases are estimated to occur in the US, where nearly two-thirds will have radiation
therapy (RT). Given that there are over 2,300 RT centers in the US, and current systems for contouring organs
at risk (OARs) rely mostly on manual methods, there is a strong commercial opportunity for producing a software
system that can contour OARs in medical images at a high degree of automation and for impacting current
practice of RT planning. Encouraged by our strong Phase I results in thoracic and head and neck (H&N) body
regions compared to current industry systems, we seek the accuracy, efficiency, and clinical acceptance of the
contours output by our software product to significantly exceed those of existing systems. Our overall aim for
Phase II is to advance the algorithms and prototype software developed in Phase I into a leading commercial
software product, and demonstrate its efficacy in multiple medical centers across the country with diverse
populations. Phase II specific aims are three-fold: (1) Further advance the automatic anatomy recognition
algorithms from Phase I using advanced deep learning techniques. (2) Develop a cloud-based software auto
contouring service. (3) Perform clinical evaluation of the new software on H&N and thoracic cases.
Aim 1 will be accomplished in three stages: (a) Automating the process of defining the body region on given
patient CT studies, which is currently done manually in our system, via a new concept of virtual landmarks using
deep learning techniques. (b) Improving object recognition/ localization accuracy from the current 2 voxels for
“good” quality data sets to 1 voxel and from 4-5 voxels for “poor” quality data sets to 2-3 voxels by using virtual
landmarks to learn object relationships. (c) Improving object delineation by combining object localization methods
with deep learning techniques applied to the vicinity of the localized objects to bring boundary distance accuracy
within 1 voxel. Aim 2 will be achieved by developing a cloud-based Software-as-a-Service model to implement
the software that incorporates the algorithms. To accomplish Aim 3, an evaluation study involving four academic
RT centers will be undertaken to assess the efficiency, accuracy, and acceptability of the contours output by the
new software. To assess efficiency, contouring time taken by the current clinical process will be compared to the
time taken by the new software method plus any manual adjustment needed. Accuracy will be assessed by
comparing software output to carefully prepared ground truth contours. Acceptability will be determined by
conducting a blinded reader study, where an acceptability score (1-5) is given by radiation oncologists to software
produced contours, ground truth contours, and contours produced by the normal clinical process, and comparing
these scores.
Expected clinical outcomes are significantly improved clinical efficiency/ acceptability of contouring compared to
curren...

## Key facts

- **NIH application ID:** 10241562
- **Project number:** 3R42CA199735-03S1
- **Recipient organization:** QUANTITATIVE RADIOLOGY SOLUTIONS, LLC
- **Principal Investigator:** Steve Owens
- **Activity code:** R42 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $2,500
- **Award type:** 3
- **Project period:** 2016-06-10 → 2021-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10241562

## Citation

> US National Institutes of Health, RePORTER application 10241562, Automated Object Contouring Methods & Software for Radiotherapy Planning (3R42CA199735-03S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10241562. Licensed CC0.

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