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Optimization and Decision Support in Brachytherapy Treatment Planning

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Operations Research and Health Care

Part of the book series: International Series in Operations Research & Management Science ((ISOR,volume 70))

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Summary

This chapter describes treatment planning optimization in brachytherapy and the design of a clinical decision support system. Brachytherapy refers to the placement of radioactive sources (seeds) inside a tumor site. The fundamental problem in treatment planning for brachytherapy is to determine where to place sources so as to deliver a sufficient radiation dose to kill the cancer, while limiting exposure of healthy tissue. We first present the sequence of steps that are involved in brachytherapy treatment planning. State-of-the-art mixed integer programming models are then described and some algorithmic approaches are outlined. The automated clinical decision support system allows for real-time generation of optimal seed configurations using ultrasound images acquired prior to seed implantation, and dynamic dose correction during the implantation process.

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Lee, E.K., Zaider, M. (2005). Optimization and Decision Support in Brachytherapy Treatment Planning. In: Brandeau, M.L., Sainfort, F., Pierskalla, W.P. (eds) Operations Research and Health Care. International Series in Operations Research & Management Science, vol 70. Springer, Boston, MA. https://doi.org/10.1007/1-4020-8066-2_28

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  • DOI: https://doi.org/10.1007/1-4020-8066-2_28

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4020-7629-9

  • Online ISBN: 978-1-4020-8066-1

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