Abstract:
:All radiation therapy treatment planning relies on accurate dose calculation. Uncertainties in dosimetric prediction can significantly degrade an otherwise optimal plan. In this work, we introduce a robust optimization method which handles dosimetric errors and warrants for high-quality IMRT plans. Unlike other dose error estimations, we do not rely on the detailed knowledge about the sources of the uncertainty and use a generic error model based on random perturbation. This generality is sought in order to cope with a large variety of error sources. We demonstrate the method on a clinical case of lung cancer and show that our method provides plans that are more robust against dosimetric errors and are clinically acceptable. In fact, the robust plan exhibits a two-fold improved equivalent uniform dose compared to the non-robust but optimized plan. The achieved speedup will allow computationally extensive multi-criteria or beam-angle optimization approaches to warrant for dosimetrically relevant plans.
journal_name
Phys Med Bioljournal_title
Physics in medicine and biologyauthors
Nohadani O,Seco J,Martin BC,Bortfeld Tdoi
10.1088/0031-9155/54/11/010subject
Has Abstractpub_date
2009-06-07 00:00:00pages
3421-32issue
11eissn
0031-9155issn
1361-6560pii
S0031-9155(09)04393-0journal_volume
54pub_type
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