Systems and methods are provided for target tracking using a quality indicator during radiation therapy treatment. An exemplary method may include determining a localization result indicating a location of a target in a plurality of images representative of images acquired in a radiation therapy treatment session. The method may also include determining a quality indicator for each localization result. The method may further include extracting one or more features from each localization result. In addition, the method may include training the classifier using the localization result and one or more of the extracted features.