Heuristics, Algorithms and Machine Learning: Evaluation & Testing in Radiation Therapy

ConditionCancer
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorCCTU- Cancer Theme

About this trial

The Hamlet.rt study is a prospective data collection and patient questionnaire study for patients undergoing image-guided radiotherapy with curative intent.

The aim of the study is to use novel machine learning and mathematical techniques to build a model that can predict the risk of significant side effects from radiotherapy treatment for an individual patient: using calculations of normal tissue dose from radiotherapy treatment planning and patient baseline characteristics derived from image and non-image data, continuously updated as the patient is reviewed both during and after treatment.

A secondary goal of the project is to facilitate research in machine learning and medical image processing for radiation therapy through the creation of a discoverable and shared data resource for research use.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participant is willing and able to give informed consent for participation in the study

Male or Female

Aged 18 years or older

Diagnosed with primary prostate cancer, head and neck cancer, lung cancer, or brain tumour

Disqualifiers

Participant is not willing or able to complete the protocol-stated requirements of the study, e.g. accessing & completing web-based long-term follow-up questionnaires.

Trial population

Adults suitable for radical image-guided radiotherapy with Prostate, Head \& Neck, Brain, or Lung Cancer. The variation in conditions is based on the requirements of Machine Learning algorithms requiring high levels of clinical applicability, which depends on the quality and quantity of the input data available. The input data set therefore should adequately encompass the variation in anatomy encountered in the population.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Radical Image-Guided Radiotherapy

    Radiation

    Questionnaires administered will monitor the clinical toxicity experienced by each patient up to 5 years post radiotherapy

Treatment groups

310 Participants
are divided into 4 treatment groups
Group A: Prostate Cancer1 intervention
Group B: Head & Neck Cancer1 intervention
Group C: Central Nervous System Tumours1 intervention
Group D: Lung Cancer1 intervention

Trial outcomes

Primary outcomes

1

Machine Learning Modelling

Characterise machine learning models for the four disease sites. Developing machine learning algorithms for autosegmentation of normal tissue anatomy, and to extend machine learning algorithms to identify and segment normal tissue structures in cone beam CT images, and to utilise the ML segmentations to evaluate image signatures correlated with treatment toxicity

Time frame
8 years from FPFV
2

Predictive Modelling

Predict performance matches with published techniques. Combining the machine learning models in outcome 1, with pre-treatment assessment data and on-treatment quantitative assessments in outcome 3 for the construction and evaluation of a predictive mathematical model

Time frame
8 years from FPFV
3

Clinical Toxicity Evaluation

Evaluation of the clinical toxicity experienced by each patient up to 5 years post radiotherapy to inform the predictive models in outcome 2

Time frame
8 years from FPFV

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

CCTU- Cancer Theme

Lead sponsor

Cambridge University Hospitals NHS Foundation Trust

Sponsor institution

University of Cambridge

Collaborator

Microsoft Research

Collaborator