Cone-beam computed tomography (CBCT) for image-guided radiotherapy lacks soft-tissue contrast and accuracy in dose calculation, leading to interest in Synthetic CT (sCT) generation using deep learning methods.
A privacy-preserving federated learning (FL) framework was proposed for CBCT-to-sCT translation in head and neck regions, showcasing cross-silo horizontal FL approach.
A generative adversarial network was collaboratively trained on data from three European medical centers, demonstrating good generalization across centers with promising results on an external validation dataset.
The federated model achieved comparable performance on the validation dataset without additional training, highlighting the potential of FL for CBCT-to-sCT synthesis across institutions while preserving data privacy.