Techniques for generating radiotherapy treatment plans and establishing machine learning models for the generation and optimization of radiotherapy dose data are disclosed. An example method for generating a radiotherapy dose distribution using a generative model, trained in a generative adversarial network, includes: receiving anatomical data of a human subject that indicates a mapping of an anatomical area for radiotherapy treatment; generating radiotherapy dose data corresponding to the mapping with use of the trained generative model, as the generative model processes the anatomical data as an input and provides the dose data as output; and identifying the radiotherapy dose distribution for the radiotherapy treatment of the human subject based on the dose data. Another example method for training of the generative model includes establishing values of the generative model and a discriminative model of the generative adversarial network using adversarial training, including in a conditional generative adversarial network arrangement.