arXiv subjects

Youfang Lai

Publications and source records attributed to Youfang Lai.

7 recordsLinked to original sources

arXiv2026

Large Language Models for AI-Assisted Radiotherapy Scheduling: A Feasibility Study Under Realistic Operational Constraints

Radiotherapy (RT) patient scheduling is a complex operational problem. Current scheduling often relies on manual coordination and can be difficult to adapt to changing clinical demands. This study evaluated the feasibility of using a large language model (LLM) to generate candidate RT patient schedules satisfying predefined clinical and operational constraints. A simulated three-LINAC RT scheduling environment was developed over one year using synthetic patient arrivals and treatment characteristics modeled after clinical practice. A total of 1,400 new patients across 12 treatment categories were generated. An LLM-based scheduling framework used structured natural-language prompts encoding clinical rules, operational constraints, and scheduling objectives. Performance was evaluated across scenarios involving weekly time consistency, LINAC continuity, gap-constrained temporal relaxation, and infeasible request handling. Generated schedules were validated using deterministic rule-based checks and manual review. LLM-generated schedules satisfied predefined feasibility rules in the evaluated scenarios. Approximately 99% of evaluated fractions remained within the preferred 60-minute weekly treatment-time window. Adding a LINAC-continuity objective reduced LINAC switching from 54.6% to 10.1%. Adding gap-constrained temporal relaxation reduced Friday mean daily gap time from 169.5 to 89.2 minutes while maintaining approximately 99% of fractions within the 60-minute window. The framework also identified infeasible scheduling requests and proposed interpretable corrective actions. These results suggested that LLMs may support RT patient scheduling in constraint-rich simulated clinical environments, motivating further investigation of LLM-assisted scheduling as a flexible, human-in-the-loop decision-support approach for RT operations.

physics.med-ph↗

arXiv2025

Large-scale automatic carbon ion treatment planning for head and neck cancers via parallel multi-agent reinforcement learning

Head-and-neck cancer (HNC) planning is difficult because multiple critical organs-at-risk (OARs) are close to complex targets. Intensity-modulated carbon-ion therapy (IMCT) offers superior dose conformity and OAR sparing but remains slow due to relative biological effectiveness (RBE) modeling, leading to laborious, experience-based, and often suboptimal tuning of many treatment-planning parameters (TPPs). Recent deep learning (DL) methods are limited by data bias and plan feasibility, while reinforcement learning (RL) struggles to efficiently explore the exponentially large TPP search space. We propose a scalable multi-agent RL (MARL) framework for parallel tuning of 45 TPPs in IMCT. It uses a centralized-training decentralized-execution (CTDE) QMIX backbone with Double DQN, Dueling DQN, and recurrent encoding (DRQN) for stable learning in a high-dimensional, non-stationary environment. To enhance efficiency, we (1) use compact historical DVH vectors as state inputs, (2) apply a linear action-to-value transform mapping small discrete actions to uniform parameter adjustments, and (3) design an absolute, clinically informed piecewise reward aligned with plan scores. A synchronous multi-process worker system interfaces with the PHOENIX TPS for parallel optimization and accelerated data collection. On a head-and-neck dataset (10 training, 10 testing), the method tuned 45 parameters simultaneously and produced plans comparable to or better than expert manual ones (relative plan score: RL $85.93\pm7.85%$ vs Manual $85.02\pm6.92%$), with significant (p-value $<$ 0.05) improvements for five OARs. The framework efficiently explores high-dimensional TPP spaces and generates clinically competitive IMCT plans through direct TPS interaction, notably improving OAR sparing.

cs.LG↗

arXiv2021

Image Synthesis for Data Augmentation in Medical CT using Deep Reinforcement Learning

Deep learning has shown great promise for CT image reconstruction, in particular to enable low dose imaging and integrated diagnostics. These merits, however, stand at great odds with the low availability of diverse image data which are needed to train these neural networks. We propose to overcome this bottleneck via a deep reinforcement learning (DRL) approach that is integrated with a style-transfer (ST) methodology, where the DRL generates the anatomical shapes and the ST synthesizes the texture detail. We show that our method bears high promise for generating novel and anatomically accurate high resolution CT images at large and diverse quantities. Our approach is specifically designed to work with even small image datasets which is desirable given the often low amount of image data many researchers have available to them.

cs.CV↗

arXiv2021

Noise Entangled GAN For Low-Dose CT Simulation

We propose a Noise Entangled GAN (NE-GAN) for simulating low-dose computed tomography (CT) images from a higher dose CT image. First, we present two schemes to generate a clean CT image and a noise image from the high-dose CT image. Then, given these generated images, an NE-GAN is proposed to simulate different levels of low-dose CT images, where the level of generated noise can be continuously controlled by a noise factor. NE-GAN consists of a generator and a set of discriminators, and the number of discriminators is determined by the number of noise levels during training. Compared with the traditional methods based on the projection data that are usually unavailable in real applications, NE-GAN can directly learn from the real and/or simulated CT images and may create low-dose CT images quickly without the need of raw data or other proprietary CT scanner information. The experimental results show that the proposed method has the potential to simulate realistic low-dose CT images.

eess.IV↗

arXiv2020

Experimental and numerical studies on kV scattered x-ray imaging for real-time image guidance in radiation therapy

Motion management is a critical component of image guidance radiotherapy for lung cancer. We previously proposed a scheme using kV scattered x-ray photons for marker-less real-time image guidance in lung cancer radiotherapy. This study reports our recently progress using the photon counting detection technique to demonstrate potential feasibility of this method and using Monte Carlo (MC) simulations and ray-tracing calculations to characterize the performance. In our scheme, a thin slice of x-ray beam was directed to the target and we measured the outgoing scattered photons using a photon counting detector with a parallel-hole collimator to establish the correspondence between detector pixels and scatter positions. Image corrections of geometry, beam attenuation and scattering angle were performed to convert the raw image to the actual image of Compton attenuation coefficient. We set up a MC simulation system using an in-house developed GPU-based MC package modeling the image formation process. We also performed ray-tracing calculations to investigate the impacts of imaging system geometry on resulting image resolution. The experiment demonstrated feasibility of using a photon counting detector to measure scattered x-ray photons and generate the proposed scattered x-ray image. After correction, x-ray scattering image intensity and Compton scattering attenuation coefficient were linearly related, with R2=0.91. Contrast to Noise Ratios of different objects were improved and the values in experimental results and MC simulation results agreed with each other. Ray-tracing calculations revealed the dependence of image resolution on imaging geometry. The image resolution increases with reduced source to object distance and increased collimator height. The study demonstrated potential feasibility of using scattered x-ray imaging as a real-time image guidance method in radiation therapy.

physics.med-ph↗

arXiv2019

Discovery of Two-Dimensional Multiferroicity in van der Waals CuCrP2S6 Layers

Multiferroic materials are potential to be applied in novel magnetoelectric devices, for example, high-density non-volatile storage. Last decades, research on multiferroic materials was focused on three-dimensional (3D) materials. However, 3D materials suffer from the dangling bonds and quantum tunneling in the nano-scale thin films. Two-dimensional (2D) materials might provide an elegant solution to these problems, and thus are highly on demand. Using first-principles calculations, we predict ferromagnetism and driven ferroelectricity in the monolayer and even a few-layers of CuCrP2S6. Although the total energy of the ferroelectric phase of monolayer is higher than that of the antiferroelectric phase, the ferroelectric phases can be realized by applying a large electric field. Besides the degrees of freedoms in the common multiferroic materials, the valley degree of freedom is also polarized according to our calculations. The spins, electric dipoles and valleys are coupled with each other as shown in the computational results. In experiment, we observe the out-of-plane ferroelectricity in a few-layer CuCrP2S6 (approximately 13 nm thick) at room temperature. 2D ferromagnetism of few-layers is inferred from magnetic hysteresis loops of the massively stacked nanosheets at 10 K. The experimental observations support our calculation very well. Our findings may provide a series of 2D materials for further device applications.

cond-mat.mtrl-sci↗

arXiv2018

Enhancement of exchange bias in ferromagnetic/antiferromagnetic core-shell nanoparticles through ferromagnetic domain wall formation

The spin configuration in the ferromagnetic part during the magnetization reversal plays a crucial role in the exchange bias effect. Through Monte Carlo simulation, the exchange bias effect in ferromagnetic-antiferromagnetic core-shell nanoparticles is investigated. Magnetization reversals in the ferromagnetic core were controlled between the coherent rotation and the domain wall motion by modulating ferromagnetic domain wall width with parameters of uniaxial anisotropy constant and exchange coupling strength. An anomalous monotonic dependence of exchange bias on the uniaxial anisotropy constant is found in systems with small exchange coupling, showing an obvious violation of classic Meiklejohn-Bean model, while domain walls are found to form close to the interface and propagate in the ferromagnetic core with larger uniaxial anisotropy in both branches of the hysteresis. The asymmetric magnetization reversal with the formation of a spherical domain wall dramatically reduces the coercive field in the ascending branch, leading to the enhancement of the exchange bias. The results provide another degree of freedom to optimize the magnetic properties of magnetic nanoparticles for applications.

physics.app-ph↗