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This paper presents a decision support system for radiotherapy treatment planning for head, neck and brain cancer. The aim of a treatment plan is to apply radiation to kill tumor cells, while minimizing the damage to healthy tissue and critical organs. Since treatment planning is a complex decision making process that relies heavily on the subjective experience of clinicians, we propose the use of case-based reasoning (CBR), in which problems are solved based on the solutions of similar past problems. This paper focuses on the case retrieval process of a CBR system. The attributes, which describe the cases, are selected by assessing their effect on the performance of the CBR system. We have developed a context sensitive local weighting scheme that assigns weights to attributes based on their value and the values of other attributes in the target case. A novel two phase retrieval mechanism is developed, in which each phase is optimized to retrieve a particular part of the solution. We also present an original use of fuzzy logic in order to represent nonlinearity in the similarity measure. Experiments, which evaluate the similarity measure using real brain cancer patient cases, show promising results.

Abstract. This paper presents a decision support system for treatment planning in brain cancer radiotherapy. The aim of a radiotherapy treatment plan is to apply radiation in a way that destroys tumour cells but minimizes the damage to healthy tissue and organs at risk. Treatment planning for brain cancer patients is a complex decision-making process that relies heavily on the subjective experience and expert domain knowledge of clinicians. We propose to capture this experience by using case-based reasoning. Central to the working of our case-based reasoning system is a novel similarity measure that takes into account the non-linear effect of the individual case attributes on the similarity measure. The similarity measure employs fuzzy sets. Experiments, which were carried out to evaluate the similarity measure using real brain cancer patient cases show promising results.

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