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Efficient, effective, and insightful tackling of the high-dose-rate brachytherapy treatment planning problem for prostate cancer using evolutionary multi-objective optimization algorithms

Authors: Ngoc Hoang Luong; Anton Bouter; Marjolein C. van der Meer; Yury Niatsetski; Cees Witteveen; Arjan Bel; Tanja Alderliesten; +1 Authors

Efficient, effective, and insightful tackling of the high-dose-rate brachytherapy treatment planning problem for prostate cancer using evolutionary multi-objective optimization algorithms

Abstract

We address the problem of high-dose-rate brachytherapy treatment planning for prostate cancer. The problem involves determining a treatment plan consisting of the so-called dwell times that a radiation source resides at different positions inside the patient such that the prostate volume and the seminal vesicles are covered by the prescribed radiation dose level as much as possible while the organs at risk, e.g., bladder, rectum, and urethra, are irradiated as little as possible. The problem is highly constrained, following clinical requirements for radiation dose distribution while the planning process for treatment planners to design a clinically-acceptable treatment plan is strictly time-limited. In this paper, we propose that the problem can be formulated as a bi-objective optimization problem that intuitively describes trade-offs between target volumes to be radiated and organs to be spared. We solve this problem with the recently-introduced Multi-Objective Real-Valued Gene-pool Optimal Mixing Evolutionary Algorithm (MO-RV-GOMEA), which is a promising MOEA that is able to effectively exploit dependencies between problem variables to tackle complicated problems in the continuous domain. MO-RV-GOMEA also has the capability to perform partial evaluations if problem structures allow local variations in existing solutions to be efficiently computed, substantially accelerating the overall optimization performance. Experiments on real medical data and comparison with state-of-the-art MOEAs confirm our claims.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average