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Treatment plan modification using voxel-based weighting factors/dose prescription

Chuan Wu1, Gustavo H Olivera2,3, Robert Jeraj2,3,4, Harry Keller2 and Thomas R Mackie2,3

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Under various clinical situations, it is desirable to modify the original treatment plan to better suit the clinical goals. In this work, a method to help physicians modify treatment plans based on their clinical preferences is proposed. The method uses a weighted quadratic dose objective function. The commonly used organ-/ROI-based weighting factors are expanded to a set of voxel-based weighting factors in order to obtain greater flexibility in treatment plan modification. Two different but equivalent modification schemes based on Rustem's quadratic programming algorithms—modification of a weighting matrix and modification of prescribed doses—are presented. Case studies demonstrated the effectiveness of the two methods with regard to their capability to fine-tune treatment plans.


PACS

87.55.-x Treatment strategy

02.60.Pn Numerical optimization

Subjects

Computational physics

Dates

Issue 15 (7 August 2003)

Received 11 February 2003, in final form 12 May 2003

Published 22 July 2003



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