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Optimization of intensity-modulated radiation therapy with biological objectives

A Ólafsson1, R Jeraj2 and S J Wright3

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IMRT treatment planning via biological objectives gives rise to constrained nonlinear optimization problems. We consider formulations with nonlinear objectives based on the equivalent uniform dose (EUD), with bound constraints on the beamlet weights, and describe fast, flexible variants of the two-metric gradient-projection approach for solving them efficiently and in a mathematically sound manner. We conclude that an approach that calculates the Newton component of the step iteratively, by means of the conjugate-gradient algorithm and an implicit representation of the Hessian matrix, is most effective. We also present an efficient heuristic for obtaining an approximate solution with a smoother distribution of beamlet weights. The effectiveness of the methods is verified by testing on a medium-scale clinical case.


PACS

87.55.-x Treatment strategy

87.56.ng Wedges and compensators

02.10.Yn Matrix theory

Subjects

Mathematical physics

Medical physics

Dates

Issue 22 (21 November 2005)

Received 5 July 2005, in final form 4 October 2005

Published 2 November 2005



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