Although artificial intelligence algorithms are often developed and applied for narrow tasks, their implementation in other medical settings could help to improve patient care. Here we assess whether a deep-learning system for volumetric heart segmentation on computed tomography (CT) scans developed in cardiovascular radiology can optimize treatment planning in radiation oncology. The system was trained using multi-center data (n = 858) with manual heart segmentations provided by cardiovascular radiologists. Validation of the system was performed in an independent real-world dataset of 5677 breast cancer patients treated with radiation therapy at the Dana-Farber/Brigham and Women's Cancer Center between 2008-2018. In a subset of 20 patients, the performance of the system was compared to eight radiation oncology experts by assessing segmentation time, agreement between experts, and accuracy with and without deep-learning assistance. To compare the performance to segmentations used in the clinic, concordance and failures (defined as Dice < 0.85) of the system were evaluated in the entire dataset. The system was successfully applied without retraining. With deep-learning assistance, segmentation time significantly decreased (4.0 min IQR 3.1-5.0 vs. 2.0 min IQR 1.3-3.5; p < 0.001), and agreement increased (Dice 0.95 IQR = 0.02; vs. 0.97 IQR = 0.02, p < 0.001). Expert accuracy was similar with and without deep-learning assistance (Dice 0.92 IQR = 0.02 vs. 0.92 IQR = 0.02; p = 0.48), and not significantly different from deep-learning-only segmentations (Dice 0.92 IQR = 0.02; p ≥ 0.1). In comparison to real-world data, the system showed high concordance (Dice 0.89 IQR = 0.06) across 5677 patients and a significantly lower failure rate (p < 0.001). These results suggest that deep-learning algorithms can successfully be applied across medical specialties and improve clinical care beyond the original field of interest.