Quick search Find article
Quick search
Find article

Exploration of tradeoffs in intensity-modulated radiotherapy

David Craft, Tarek Halabi and Thomas Bortfeld

Show affiliations


The 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.


PACS

87.55.-x Treatment strategy

87.56.ng Wedges and compensators

Subjects

Medical physics

Dates

Issue 24 (21 December 2005)

Received 30 June 2005, in final form 30 September 2005

Published 7 December 2005



  1. Exploration of tradeoffs in intensity-modulated radiotherapy

    David Craft et al 2005 Phys. Med. Biol. 50 5857

  2. Understanding the Canadian oil sands industry's greenhouse gas emissions

    Alex D Charpentier et al 2009 Environ. Res. Lett. 4 014005

  3. Quantum dynamics of a particle interacting with a double barrier

    Ilaria Cacciari et al 2007 J. Phys. A: Math. Theor. 40 12439

  4. Spectroscopy of Carbon Stars in the Draco and Ursa Minor Dwarf Spheroidal Galaxies

    C. Abia 2008 The Astronomical Journal 136 250

  5. The standard model and its generalizations in the Epstein-Glaser approach to renormalization theory

    D R Grigore 2000 J. Phys. A: Math. Gen. 33 8443

  6. Correlation functions in a one-dimensional kinetic Ising model

    S I Kuchanov and M A Aliev 1997 J. Phys. A: Math. Gen. 30 8479

  7. Theoretical investigation of the bonding and solubility in Nb2−xWxAlC

    Jochen M Schneider et al 2005 J. Phys.: Condens. Matter 17 6047

  8. Long-lived charginos in the focus-point region of the MSSM parameter space

    A V Gladyshev et al 2009 J. Phys. G: Nucl. Part. Phys. 36 125009

  9. A comparative study of turbulence models for SF6 arcs in a supersonic nozzle

    J D Yan et al 1999 J. Phys. D: Appl. Phys. 32 1401

  10. Co3O4 nanoparticles produced by mechanochemical reactions

    G García-Pacheco et al 2006 Nanotechnology 17 2528

Related review articles

What's this?
View review articles related to this research to gain an insight into the key trends in this subject area. Related review articles are selected based on PACS/MSC codes, and are no more than three years old.

  1. The history of IRPA—up to the millennium
  2. Malignant pleural mesothelioma risk among nuclear workers: a review

View by subject




Export








Please login to access our web services, or create an account if you don't yet have one.

You must have cookies enabled in your web browser to be able to login.

Username
Password

Forgotten your password? Get a new one here.