Multi-Task Learning for Integrated Automated Contouring and Voxel-Based Dose Prediction in Radiotherapy

Deep learning-based automated contouring and treatment planning has been proven to improve the efficiency and accuracy of radiotherapy. However, conventional radiotherapy treatment planning process has the automated contouring and treatment planning as separate tasks. Moreover in deep learning (DL), the contouring and dose prediction tasks for automated treatment planning are done independently. In this study, we applied the multi-task learning (MTL) approach in order to seamlessly integrate automated contouring and voxel-based dose prediction tasks, as MTL can leverage common information between the two tasks and be able able to increase the efficiency of the automated tasks. We developed our MTL framework using the two datasets: in-house prostate cancer dataset and the publicly available head and neck cancer dataset, OpenKBP. Compared to the sequential DL contouring and treatment planning tasks, our proposed method using MTL improved the mean absolute difference of dose volume histogram metrics of prostate and head and neck sites by 19.82% and 16.33%, respectively. Our MTL model for automated contouring and dose prediction tasks demonstrated enhanced dose prediction performance while maintaining or sometimes even improving the contouring accuracy. Compared to the baseline automated contouring model with the dice score coefficients of 0.818 for prostate and 0.674 for head and neck datasets, our MTL approach achieved average scores of 0.824 and 0.716 for these datasets, respectively. Our study highlights the potential of the proposed automated contouring and planning using MTL to support the development of efficient and accurate automated treatment planning for radiotherapy.