Authors: | Lu, R.; Radke, R. J.; Happersett, L.; Yang, J.; Chui, C. S.; Yorke, E.; Jackson, A. |
Article Title: | Reduced-order parameter optimization for simplifying prostate IMRT planning |
Abstract: | Intensity-modulated radiotherapy (IMRT) has become an effective tool for cancer treatment with radiation. However, even expert radiation planners still need to spend a substantial amount of time manually adjusting IMRT optimization parameters such as dose limits and costlet weights in order to obtain a clinically acceptable plan. In this paper, we describe two main advances that simplify the parameter adjustment process for five-field prostate IMRT planning. First, we report the results of a sensitivity analysis that quantifies the effect of each hand-tunable parameter of the IMRT cost function on each clinical objective and the overall quality of the resulting plan. Second, we show that a recursive random search over the six most sensitive parameters as an outer loop in IMRT planning can quickly and automatically determine parameters for the cost function that lead to a plan meeting the clinical requirements. Our experiments on a ten-patient dataset show that for 70% of the cases, we can automatically determine a plan in 10 min (on the average) that is either clinically acceptable or requires only minor adjustment by the planner. The outer-loop optimization can be easily integrated into a traditional IMRT planning system. © 2007 IOP Publishing Ltd. |
Keywords: | clinical article; intensity modulated radiation therapy; treatment planning; radiation dose; sensitivity and specificity; sensitivity analysis; statistics; radiotherapy; algorithms; automation; prostate cancer; prostatic neoplasms; health care quality; prostate; algorithm; radiotherapy, intensity-modulated; dosimetry; models, statistical; prostate tumor; radiotherapy planning, computer-assisted; computer assisted radiotherapy; statistical model; optimization; parameter estimation; biophysics; radiological parameters; intensity-modulated radiotherapy (imrt); medical problems; light modulation; prosthetics; outer-loop optimization; parameter optimization; tunable parameters |
Journal Title: | Physics in Medicine and Biology |
Volume: | 52 |
Issue: | 3 |
ISSN: | 0031-9155 |
Publisher: | IOP Publishing Ltd |
Date Published: | 2007-02-07 |
Start Page: | 849 |
End Page: | 870 |
Language: | English |
DOI: | 10.1088/0031-9155/52/3/022 |
PUBMED: | 17228125 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Cited By (since 1996): 5" - "Export Date: 17 November 2011" - "Art. No.: 022" - "CODEN: PHMBA" - "Source: Scopus" |