Abstract

This article introduces a new framework for beam angle optimization (BAO) in intensity-modulated radiation therapy (IMRT) using the Scatter Search Based Algorithm. The potential benefits of plans employing the coplanar optimized beam sets are also examined. In the proposed beam angle selection algorithm, the problem is solved in two steps. Initially, the gantry angles are selected using the Scatter Search Based Algorithm, which is a global optimization method. Then, for each beam configuration, the intensity profile is calculated by the conjugate gradient method to score each beam angle set chosen. A simulated phantom case with obvious optimal beam angles was used to benchmark the validity of the presented algorithm. Two clinical cases (TG-119 phantom and prostate cases) were examined to prepare a dose volume histogram (DVH) and determine the dose distribution to evaluate efficiency of the algorithm. A clinical plan with the optimized beam configuration was compared with an equiangular plan to determine the efficiency of the proposed algorithm. The BAO plans yielded significant improvements in the DVHs and dose distributions compared to the equispaced coplanar beams for each case. The proposed algorithm showed its potential to effectively select the beam direction for IMRT inverse planning at different tumor sites.

Highlights

  • Intensity-modulated radiation therapy (IMRT) is an advanced form of the state-of-the-art three-dimensional conformal radiation treatment that improves therapeutic ratios

  • The proposed beam angle selection algorithm was tested using simulated and clinical cases. These involved a box phantom to benchmark the framework for finding the best optimal solution along with a TG-119 phantom and a prostate case to compare the plan quality of the optimal angles with equispaced beam angle selection (Figure 2)

  • Dose volume histogram (DVH) analysis was used to evaluate the quality of proposed treatment plans

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Summary

Introduction

Intensity-modulated radiation therapy (IMRT) is an advanced form of the state-of-the-art three-dimensional conformal radiation treatment that improves therapeutic ratios. IMRT treatment planning starts with beam angle selection and is followed by determination of the intensity profiles for preselected beams using an inverse planning method [2, 3]. In many locations, beam angle selection for IMRT treatment planning is done by choosing equiangular spaced beams or through time-consuming trial and error based on the experience of the treatment planners. These methods provide little chance for arriving at the optimal beam configuration because the total dose distribution is affected by the complexity of the profile intensities from every beam direction [4,5,6]

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