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Medical Physics
Article
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Medical Physics
Article . 2021 . Peer-reviewed
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https://dx.doi.org/10.48550/ar...
Article . 2021
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Medical Physics
Article . 2021
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Fully automated noncoplanar radiation therapy treatment planning

Authors: Huang, Charles; Yang, Yong; Xing, Lei;

Fully automated noncoplanar radiation therapy treatment planning

Abstract

AbstractPurposeTo perform fully automated noncoplanar (NC) treatment planning, we propose a method called NC‐POPS to produce NC plans using the Pareto optimal projection search (POPS) algorithm.MethodsNC radiation therapy treatment planning has the potential to improve dosimetric quality as compared to traditional coplanar techniques. Likewise, automated treatment planning algorithms can reduce a planner's active treatment planning time and remove inter‐planner variability. Our NC‐POPS algorithm extends the original POPS algorithm to the NC setting with potential applications to both intensity‐modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT). The proposed algorithm consists of two main parts: (1) NC beam angle optimization (BAO) and (2) fully automated inverse planning using the POPS algorithm.ResultsWe evaluate the performance of NC‐POPS by comparing between various NC and coplanar configurations. To evaluate plan quality, we compute the homogeneity index (HI), conformity index (CI), and dose–volume histogram statistics for various organs‐at‐risk (OARs). As compared to the evaluated coplanar baseline methods, the proposed NC‐POPS method achieves significantly better OAR sparing, comparable or better dose conformity, and similar dose homogeneity.ConclusionsOur proposed NC‐POPS algorithm provides a modular approach for fully automated treatment planning of NC IMRT cases with the potential to substantially improve treatment planning workflow and plan quality.

Keywords

Organs at Risk, Radiotherapy Planning, Computer-Assisted, FOS: Physical sciences, Radiotherapy Dosage, Radiotherapy, Intensity-Modulated, Medical Physics (physics.med-ph), Radiometry, Physics - Medical Physics

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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!
7
Top 10%
Average
Top 10%
Green
bronze