Abstract
A wide variety of optimization problems and techniques are used in radiation treatment planning. The problems typically involve large amounts of data, derived from simulations of patient anatomy and the properties of the delivery device. We investigate a three phase approach for their solution based on sampling of the underlying data that determines optimal beam angles, wedge orientations and delivery intensities in patient examples. Phase I uses multiple coarse samplings of the data and linear programming to adapt the sampling and determine a collection of promising angles to use. Phase II solves the adapted sample problems as mixed integer programs using only the promising angles. Phase III refines the sampling further, and fixes most of the discrete decision variables to reduce computation times. Particular emphasis will be given to general principles that are applicable to large classes of treatment planning problems. Specific examples show enormous increase in speed of planning, without detriment to the solution quality.
Similar content being viewed by others
References
Bortfeld, Th., A.L. Boyer, W. Schlegel, D.L. Kahler, and T.J. Waldron. (1994). “Realization and Verification of Three-Dimensional Conformal Radiotherapy with Modulated Fields.” International Journal of Radiation Oncology: Biology, Physics, 30(4), 899–908.
Bortfeld, Th., J. Burkelbach, R. Boesecke, and W. Schlegel. (1990). “Methods of Image Reconstruction from Projections Applied to Conformation Radiotherapy.” Physics in Medicine and Biology, 25(10), 1423–1434.
Bortfeld, Th. and W. Schlegel. (1993). “Optimization of Beam Orientations in Radiation Therapy: Some Theoretical Considerations.” Physics in Medicine and Biology, 38(2), 291–304.
Bortfeld, Th.R., D.L. Kahler, T.J. Waldron, and A.L. Boyer. (1994). “X-ray Field Compensation with Multileaf Collimators.” International Journal of Radiation Oncology, Biology and Physics, 28(3), 723–730.
Brahme, A. (1993). “Optimization of Radiation Therapy and the Development of Multileaf Collimation.” International Journal of Radiation Oncology, Biology and Physics, 25, 373–375.
Brewster, L., R. Mohan, G. Mageras, C. Burman, S. Leibel, and Z. Fuks. (1995). “Three Dimensional Conformal Treatment Planning with Multileaf Collimators.” International Journal of Radiation Oncology, Biology and Physics, 33(5), 1081–1089.
Chen, Y., D. Michalski, C. Houser, and J.M. Galvin. (2002). “A Deterministic Iterative Least-Squares Algorithm for Beam Weight Optimization in Conformal Radiotherapy.” Physics in Medicine and Biology, 47, 1647–1658.
Du, M.N., C.X. Yu, M. Symons, D. Yan, R. Taylor, R.C. Matter, G. Gustafson, A. Martinez, and J.W. Wong. (1994). “A Multileaf Collimator Field Prescription Preparation System for Conventional Radiotherapy.” International Journal of Radiation Oncology, Biology and Physics, 30(3), 707–714.
Holder, A. (2004). “Radiotherapy Treatment design and linear programming. In M.L. Brandeau, F. Sainfort, and W.P. Pierskalla (eds.), Operations Research and Health Care: A Handbook of Methods and Applications. Kluwer Academic Publishers, Boston, pp. 741–774.
Intensity Modulated Radiation Therapy Collaborative Working Group (2001). “Intensity-modulated Radiotherapy: Current Status and Issues of Interest.” International Journal of Radiation Oncology: Biology, Physics, 51(4), 880–914.
Jordan, T.J. and P.C. Williams. (1994). “The Design and Performance Characteristics of a Multileaf Collimator. Physics in Medicine and Biology, 39, 231–251.
Langer, M., R. Brown, M. Urie, J. Leong, M. Stracher, and J. Shapiro. (1990). “Large Scale Optimization of Beam Weights Under Dose-Volume Restrictions.” International Journal of Radiation Oncology, Biology and Physics, 18, 887–893.
Leavitt, D.D., M. Martin, J.H. Moeller, and W.L. Lee. (1990). “Dynamic Wedge Field Techniques Through Computer-Controlled Collimator Motion and Dose Delivery.” Medical Physics, 17(1), 87–92.
Lim, J. H., M.C. Ferris, S.J. Wright, D.M. Shepard, and M.A. Earl. (2006). “An Optimization Framework for Conformal Radiation Treatment Planning.” INFORMS Journal on Computing, forthcoming.
Lodwick, W., S. McCourt, F. Newman, and S. Humphries. (1998). “Optimization Methods for Radiation Therapy Plans.” In C. Borgers and F. Natterer (eds.), Computational Radiology and Imaging: Therapy and Diagnosis, IMA Series in Applied Mathematics. Springer-Verlag, Berlin, Germany, pp. 229–250.
Mackie, T.R., T. Holmes, S. Swerdloff, P. Reckwerdt, J.O. Deasy, J. Yang, B. Paliwal, and T. Kinsella. (1993). “Tomotherapy: A New Concept for the Delivery of Dynamic Conformal Radiotherapy.” Medical Physics, 20(6), 1709–1719.
Mohan, R. (1995). “Field Shaping for Three-Dimensional Conformal Radiation Therapy and Multileaf Collimation.” Seminars in Radiation Oncology, 5(2), 86–99.
Olafsson, A. and S.J. Wright. (2006). “Linear Programming Formulations and Algorithms for Radiotherapy Treatment Planning.” Optimization Methods and Software, 21, 201–232.
Olivera, G.H., D.M. Shepard, K.J. Ruchala, J.S. Aldridge, J.M. Kapatoes, E.E. Fitchard, P.J. Reckwerdt, G. Fang, J. Balog, J. Zachman, and T.R. Mackie. (1999). “Tomotherapy.” In Dyk, J. Van (ed.), Modern Technology of Radiation Oncology. Medical Physics Publishing, Madison, Wisconsin, pp. 521–587.
Romeijn, H.E., R.K. Ahuja, J.F. Dempsey, and A. Kumar. (2006). “A New Linear Programming Approach to Radiation Therapy Treatment Planning Problems.” Operations Research, 54, 201–216.
Rosen, I., R. Lane, S. Morrill, and J. Belli. (1990). “Treatment Plan Optimization Using Linear Programming.” Medical Physics, 18(2), 141–152.
Shepard, D.M., M.C. Ferris, G. Olivera, and T.R. Mackie. (1999a). “Optimizing the Delivery of Radiation to Cancer Patients.” SIAM Review, 41, 721–744.
Shepard, D.M., G.H. Olivera, L. Angelos, O.A. Sauer, P.J. Reckwerdt, and T.R. Mackie. (1999b). “A Simple Model for Examining Issues in Radiotherapy Optimization.” Medical Physics, 26.
Tervo, J. and P. Kolmonen. (2000). “A Model for the Control of a Multileaf Collimator in Radiation Therapy Treatment Planning.” Inverse Problems, 16, 1875–1895.
Webb, S. (1998). “Configuration Options for Intensity-Modulated Radiation Therapy Using Multiple Static Fields Shaped by a Multileaf Collimator.” Physics in Medicine and Biology, 43, 241–260.
Wu, X. and Y. Zhu. (2001). “A Global Optimization Method for Three-Dimensional Conformal Radiotherapy Treatment Planning.” Physics in Medicine and Biology, 46, 109–119.
Xiao, Y., Y. Censor, D. Michalski, and J.M. Galvin. (2003). “The Least-Intensity Feasible Solution for Aperture-Based Inverse Planning in Radiation Therapy.” Annals of Operations Research, 119, 183–203.
Yu, C.X. (1995). “Intensity-Modulated Arc Therapy with Dynamic Multileaf Collimation: An Alternative to Tomotherapy.” Physics in Medicine and Biology, 40(9), 1435–1449.
Author information
Authors and Affiliations
Corresponding author
Additional information
This material is based on research supported by the National Science Foundation Grant ACI-0113051 and the Air Force Office of Scientific Research Grant FA9550-04-1-0192.
Rights and permissions
About this article
Cite this article
Ferris, M.C., Einarsson, R., Jiang, Z. et al. Sampling issues for optimization in radiotherapy. Ann Oper Res 148, 95–115 (2006). https://doi.org/10.1007/s10479-006-0083-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10479-006-0083-y