Numerical scoring of treatment plans Journal Article


Authors: Munzenrider, J. E.; Brown, A. P.; Chu, J. C. H.; Coia, L. R.; Doppke, K. P.; Emami, B.; Kutcher, G. J.; Mohan, R.; Purdy, J. A.; Shank, B.; Simpson, J. R.; Solin, L. J.; Urie, M. M.
Article Title: Numerical scoring of treatment plans
Abstract: This is a report on numerical scoring techniques developed for the evaluation of treatment plans as part of a four-institution study of the role of 3-D planning in high energy external beam photon therapy. A formal evaluation process was developed in which plans were assessed by a clinician who displayed dose distributions in transverse, sagittal, coronal, and arbitrary oblique planes, viewed dose-volume histograms which summarized dose distributions to target volumes and the normal tissues of interest, and reviewed dose statistics which characterized the volume dose distribution for each plan. In addition, tumor control probabilities were calculated for each biological target volume and normal tissue complication probabilities were calculated for each normal tissue defined in the agreed-upon protocols. To score a plan, the physician assigned a score for each normal tissue to reflect possible complications; for each target volume two separate scores were assigned, one representing the adequacy of tumor coverage, the second the likelihood of a complication. After scoring each target and normal tissue individually, two summary scores were given, one for target coverage, the second reflecting the impact on all normal tissues. Finally, each plan was given an overall rating (which could include a downgrading of the plan if the treatment was judged to be overly complex). © 1991.
Keywords: controlled study; cancer radiotherapy; neoplasms; radiotherapy; radiation dosage; probability; radiotherapy planning, computer-assisted; radiotherapy, high-energy; histogram; optimization; tumor control probability; tissue reaction; plan evaluation; dose-volume histogram; human; priority journal; article; support, u.s. gov't, p.h.s.; normal tissue complication probability; multidirectional tomography; 3-d treatment planning; numerical scoring
Journal Title: International Journal of Radiation Oncology, Biology, Physics
Volume: 21
Issue: 1
ISSN: 0360-3016
Publisher: Elsevier Inc.  
Date Published: 1991-05-15
Start Page: 147
End Page: 163
Language: English
DOI: 10.1016/0360-3016(91)90174-3
PUBMED: 1903371
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 27 September 2019 -- Source: Scopus
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MSK Authors
  1. Gerald J Kutcher
    106 Kutcher
  2. Radhe   Mohan
    97 Mohan
  3. Brenda M. Shank
    45 Shank
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