Abstract

Intensity-modulated radiation therapy is a well-known technique for treating cancer patients worldwide. A treatment plan in this technique requires decision-making for three main problems: selection of beam angles, intensity map calculation, and leaf sequencing. Previous works investigated these problems sequentially. We present a new integrated framework for simultaneous decision-making of directions, intensities, and aperture shape, called direct angle and aperture optimization, and develop a mixed-integer nonlinear mathematical model for the problem. Due to the nonlinearity and the dimension of the problem, three efficient metaheuristics based on differential evolution (DE) called classic differential evolution (cDE), discrete differential evolution (dDE), and adaptive hybrid discrete differential evolution-particle swarm optimization (ahdDE-PSO) algorithms are designed to solve the problem. Parameters calibration is performed using the Taguchi design of experiments. The performance of the algorithms is evaluated by solving the problem for ten real cases of liver cancer disease from the TROTS data set. The performed ablation study and statistical analysis of computational results demonstrate that ahdDE-PSO is capable of finding high-quality treatment plans.

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