Authors: | Bauer, J. D.; Jackson, A.; Skwarchuk, M.; Zelefsky, M. |
Article Title: | Principal component, Varimax rotation and cost analysis of volume effects in rectal bleeding in patients treated with 3D-CRT for prostate cancer |
Abstract: | We investigate the utility of principal component analysis as a tool for obtaining dose-volume combinations related to rectal bleeding after radiotherapy for prostate cancer. A direct implementation of principal component analysis reduces the number of degrees of freedom from the patient's dose-volume histograms that are associated with bleeding. However, when low-variance principal components are strongly correlated to outcome, their interpretation is problematic. A Varimax rotation is employed to aid in interpretability of the low-variance principal components. This procedure brings us closer to finding unique dose-volume combinations related to outcome but reintroduces correlation, requiring analysis of the overlap of information contained in such modes. Finally, we present examples of cost-benefit analyses for candidate dose-volume constraints for use in treatment planning. © 2006 IOP Publishing Ltd. |
Keywords: | major clinical study; gastrointestinal hemorrhage; treatment planning; radiation dose; tumor volume; radiotherapy; risk factors; radiation injury; oncology; risk assessment; mathematical model; prostate cancer; prostatic neoplasms; radiation injuries; radiotherapy planning, computer-assisted; radiotherapy, conformal; patient treatment; computer assisted radiotherapy; logistic regression analysis; false positive result; cost benefit analysis; histogram; receiver operating characteristic; rectum; rectum hemorrhage; principal component analysis; covariance; interpretability; dose volume combinations; rectal bleeding; cathode ray tubes; degrees of freedom (mechanics); varimax rotation |
Journal Title: | Physics in Medicine and Biology |
Volume: | 51 |
Issue: | 20 |
ISSN: | 0031-9155 |
Publisher: | IOP Publishing Ltd |
Date Published: | 2006-10-01 |
Start Page: | 5105 |
End Page: | 5123 |
Language: | English |
DOI: | 10.1088/0031-9155/51/20/003 |
PUBMED: | 17019028 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Cited By (since 1996): 4" - "Export Date: 4 June 2012" - "Article No.: 003" - "CODEN: PHMBA" - "Source: Scopus" |