David Craft et al 2005 Phys. Med. Biol. 50 5857 doi:10.1088/0031-9155/50/24/007
David Craft, Tarek Halabi and Thomas Bortfeld
Show affiliationsThe purpose of this study is to calculate Pareto surfaces in multi-criteria radiation treatment planning and to analyse the dependency of the Pareto surfaces on the objective functions used for the volumes of interest. We develop a linear approach that allows us to calculate truly Pareto optimal treatment plans, and we apply it to explore the tradeoff between tumour dose homogeneity and critical structure sparing. We show that for two phantom and two clinical cases, a smooth (as opposed to kinked) Pareto tradeoff curve exists. We find that in the paraspinal cases the Pareto surface is invariant to the response function used on the spinal cord: whether the mean cord dose or the maximum cord dose is used, the Pareto plan database is similar. This is not true for the lung studies, where the choice of objective function on the healthy lung tissue influences the resulting Pareto surface greatly. We conclude that in the special case when the tumour wraps around the organ at risk, e.g. prostate cases and paraspinal cases, the Pareto surface will be largely invariant to the objective function used to model the organ at risk.
Issue 24 (21 December 2005)
Received 30 June 2005, in final form 30 September 2005
Published 7 December 2005
David Craft et al 2005 Phys. Med. Biol. 50 5857
Alex D Charpentier et al 2009 Environ. Res. Lett. 4 014005
Ilaria Cacciari et al 2007 J. Phys. A: Math. Theor. 40 12439
C. Abia 2008 The Astronomical Journal 136 250
D R Grigore 2000 J. Phys. A: Math. Gen. 33 8443
S I Kuchanov and M A Aliev 1997 J. Phys. A: Math. Gen. 30 8479
Jochen M Schneider et al 2005 J. Phys.: Condens. Matter 17 6047
A V Gladyshev et al 2009 J. Phys. G: Nucl. Part. Phys. 36 125009
J D Yan et al 1999 J. Phys. D: Appl. Phys. 32 1401
G García-Pacheco et al 2006 Nanotechnology 17 2528