TABLE 2.

Efficiency analysis of each framework component using the mean execution time. Note that in Element 9–10, the dose calculation time also includes some other prerequisite process time, such as contour integrity check, material overlap check, and so forth, which is hard to time separately.

Component	Action	HN (sec)	Lung (sec)	Prostate (sec)
Element 2	Import CBCT to TPS	7.1 ± 0.2	7.4 ± 0.3	7.5 ± 0.2
Element 3	Deform CBCT to planning CT	16.6 ± 2.8	15.6 ± 1.8	15.5 ± 4.0
Element 4	Generate cCBCT	18.0 ± 2.1	17.6 ± 1.6	18.6 ± 2.0
Element 5	Find CTVs	0.5 ± 0.06	0.3 ± 0.04	0.3 ± 0.06
	Find body structure	0.3 ± 0.05	0.1 ± 0.01	0.1 ± 0.02
	Deform planning CT to cCBCT	16.6 ± 2.8	15.6 ± 1.8	15.5 ± 4.0
Element 6	Find contour structures	2.6 ± 0.7	2.4 ± 1.7	1.6 ± 0.2
	Map contour structures	6.2 ± 2.9	10.2 ± 2.6	9.9 ± 6.4
Element 7	Generate vCT	15.5 ± 1.6	15.5 ± 0.8	17.2 ± 2.3
Element 8	Copy contour structures	1.6 ± 0.5	1.1 ± 0.2	1.0 ± 0.2
Element 9-	Compute Monte Carlo dose using cCBCT	30.9 ± 10.1	25.9 ± 2.4	33.9 ± 9.1
10	Compute Monte Carlo dose using vCT	30.6 ± 11.0	25.8 ± 2.4	34.3 ± 9.2
Total time	Use cCBCT for online evaluation	1.6 ± 0.4 (min)	1.6 ± 0.2 (min)	1.7 ± 0.4 (min)
	Use vCT for online evaluation	1.9 ± 0.4 (min)	1.9 ± 0.2 (min)	2.0 ± 0.5 (min)