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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References
Interstitial Collaborative Working Group. (1990). Interstitial Brachytherapy. Physical, Biological, and Clinical Considerations. Raven Press, New York, 1990.
Sloboda, R.S. (1992). Optimization of brachytherapy dose distribution by simulated annealing. Medical Physics, 19, 964.
Pouliot, J., D. Tremblay, J. Roy, and S. Filice (1996). Optimization of permanent I-125 prostate implants using fast simulated annealing. International Journal of Radiation Oncology Biology Physics, 36, 711–720.
Yu, Y. and M.C. Schell (1996). A genetic algorithm for the optimization of prostate implants. Medical Physics, 23, 2085–2091.
Silvern, D.A., E.K. Lee, RJ. Gallagher, L.G. Stabile, R.D. Ennis, C.R. Moorthy, and M. Zaider (1997). Treatment planning for permanent prostate implants. Genetic algorithms versus integer programming. Medical and Biological Engineering Computing, 35, Suppl, Part 2, 850.
Gallagher, R.J. and E.K. Lee. (1997). Mixed integer programming optimization models for brachytherapy treatment planning. Proceedings of the American Medical Imaging Association Annual Fall Symposium, 278–282.
Silvern, D.A (1998). Automated OR prostate brachytherapy treatment planning using genetic optimization. PhD Dissertation, Columbia University, New York, NY.
Yang, G., L.E. Reinstein, S. Pai, Z. Xu, and D.L. Carroll. (1998). A new genetic algorithm technique in optimization of permanent I-125 prostate implants. Medical Physics, 25, 2308–2315.
Lee, E.K., RJ. Gallagher, D. Silvern, C.S. Wu, and M. Zaider (1999). Treatment planning for brachytherapy. An integer programming model, two computational approaches and experiments with permanent prostate implant planning. Physics in Medicine and Biology, 44, 145–165.
Lee, E.K. and M. Zaider (2003). Mixed integer programming approaches to treatment planning for brachytherapy. Annals of Operations Research, Optimization in Medicine, 119, 147–163.
Anderson, L.L., R. Nath, A.J. Olch, et al. (1991). American Endocurietherapy Society recommendations for dose specifications in brachytherapy. Endocurietherapy Hypertherm Oncolology, 7, 1.
Brahme, A. (1995). Optimization of the 3-dimensional dose delivery and tomotherapy. International Journal of Imaging Systems and Technology, 6, 1.
Zaider, M., M. Zelefsky, E.K. Lee, K. Zakian, H.A. Amols, J. Dyke, and J. Koutcher (2000). Treatment planning for prostate implants using MR spectroscopy imaging. International Journal of Radiation Oncology Biology Physics, 47, 1085–96.
Lee, E.K. and M. Zaider (2001). Determining an effective planning volume for permanent prostate implants. International Journal of Radiation Oncology Biology Physics, 49, 1197–1206.
Lee, E.K. and M. Zaider (2003). Intra-operative dynamic dose optimization in permanent prostate implants. International Journal of Radiation Oncology Biology Physics, 56, 854–861.
Wuu, C.S. and M. Zaider (1998). A calculation of the relative biological effectiveness of 125I and 103Pd brachytherapy sources using the concept of proximity function. Medical Physics, 25, 2186–2189.
Wuu, C.S., P. Kliauga, M. Zaider, and H.I. Amols (1996). Microdosimetric evaluation of relative biological effectiveness for 103Pd, 125I, 241Am, and 192Ir brachytherapy sources. International Journal of Radiation Oncology, Biology, Physics, 36, 689–697.
Ling, C.C., W.X. Li, and L.L. Anderson (1995). The relative biological effectiveness of I-125 and Pd-103. International Journal of Radiation Oncology, Biology, Physics, 32, 373–378.
Nath, R., A.S. Meigooni, and A. Melillo (1992). Some treatment planning considerations for pd-103 and I-125 permanent interstitial implants. International Journal of Radiation Oncology, Biology, Physics, 22, 1131–1138.
Zellmer, D.L., J.D. Shadley, and M.T. Gillin (1994). Comparisons of measured biological response and predictions from microdosimetric data applicable to brachytherapy. Radiation Protection Dosimetry, 52, 395–403.
Zellmer, D.L., M.T. Gillin, and J.F. Wilson (1992). Microdosimetric single event spectra of yb-169 compared with commonly used brachytherapy sources and teletherapy beams. International Journal of Radiation Oncology, Biology, Physics, 23, 627–632.
International Commission on Radiation Units and Measurements (1980). Radiation Quantities and Units. International Commission on Radiation Units and Measurements, Washington, DC.
Lee, E.K. (2001). Branch-and-bound methods. In Mauricio, G.C., Resende, Pardalos, P.M., Eds., Handbook of Applied Optimization. Oxford University Press, New York.
Schrijver, A. (1986) Theory of Linear and Integer Programming. Wiley, Chichester, UK.
Nemhauser, G.L. and L.A. Wolsey (1988). Integer and Combinatorial Optimization. Wiley, New York.
Parker, R.G. and R.L. Rardin (1988). Discrete Optimization. Academic Press, Boston, MA.
Holland, J.H. (1974). Erratum. Genetic algorithms and the optimal allocation of trials. SIAM Journal on Computing, 3, 326.
Holland, J.H. (1973). Genetic algorithms and the optimal allocation of trials. SIAM Journal on Computing, 2, 88–105.
Buckles, B.P. and F. Petry (1992). Genetic Algorithms. IEEE Computer Society Press, Los Alamitos, CA.
Wasserman, P.D. (1993). Advanced Methods in Neural Computing. Van Nostrand Reinhold, New York.
Aarts, E.H.L. and J. Korst (1989). Simulated Annealing and Boltzmann Machines: A Stochastic Approach to Combinatorial Optimization and Neural Computing. Wiley, Chichester, UK.
Kirkpatrick, S., C.D. Gelatt, and M.P. Vecchi (1983). Optimization by simulated annealing. Science, 220, 671–680.
Cerny, V. (1985). Thermodynamical approach to the traveling salesman problem. An efficient simulation algorithm. Journal of Optimization Theory and Applications, 45, 41–51.
Metropolis, N.A., A. Rosenbluth, M. Rosenbluth, A. Teller, and E. Teller (1953). Equation of state calculations by fast computing machines. Journal of Chemical Physics, 21, 1087–1092.
Aarts, E.H.L., J.H.M. Korst, and J.K. Lenstra (1997). Simulating annealing 8. In Aarts, E.H.L. and J.K. Lenstra, Eds., Local Search in Combinatorial Optimization. Wiley, Chichester, UK, 91–120.
Hajek, B. (1985). A tutorial of theory and applications of simulated annealing. Proceedings of the 24th Conference on Decision and Control, 755–759.
Anderson, LL. (1993). Plan optimization and dose evaluation in brachytherapy. Seminars in Radiation Oncology, 3, 290–300.
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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
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