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Beam angle optimization in IMRT: are we really optimizing what matters?

dc.contributor.authorRocha, Humberto
dc.contributor.authorDias, Joana Matos
dc.contributor.authorVentura, Tiago
dc.contributor.authorBC Ferreira
dc.contributor.authorLopes, Maria do Carmo
dc.date.accessioned2019-06-07T12:30:16Z
dc.date.available2019-06-07T12:30:16Z
dc.date.issued2018
dc.description.abstractIntensity‐modulated radiation therapy (IMRT) is a modern radiotherapy modality that uses a multileaf collimator to enable the irradiation of the patient with nonuniform maps of radiation from a set of distinct beam irradiation directions. The aim of IMRT is to eradicate all cancerous cells by irradiating the tumor with a prescribed dose while simultaneously sparing, as much as possible, the neighboring tissues and organs. The optimal choice of beam irradiation directions—beam angle optimization (BAO)—can play an important role in IMRT treatment planning by improving organ sparing and tumor coverage, increasing the treatment plan quality. Typically, the BAO search is guided by the optimal value of the fluence map optimization (FMO)—the problem of obtaining the most appropriate radiation intensities for each beam direction. In this paper, a new score to guide the BAO search is introduced and embedded in a parallel multistart derivative‐free optimization framework that is detailed for the extremely challenging continuous BAO problem. For the set of 10 clinical nasopharyngeal tumor cases considered, treatment plans obtained for optimized beam directions clearly outperform the benchmark treatment plans obtained considering equidistant beam directions typically used in clinical practice. Furthermore, treatment plans obtained considering the proposed score clearly improve the quality of the plans resulting from the use of the optimal value of the FMO problem to guide the BAO search.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1111/itor.12587pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.22/13917
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/itor.12587pt_PT
dc.subjectIntensity-modulated radiation therapypt_PT
dc.subjectBeam angle optimizationpt_PT
dc.subjectParallel multistartpt_PT
dc.subjectDerivative-free optimizationpt_PT
dc.titleBeam angle optimization in IMRT: are we really optimizing what matters?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876/UID%2FMulti%2F00308%2F2013/PT
oaire.citation.endPage928pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage908pt_PT
oaire.citation.titleInternational Transactions in Operational Researchpt_PT
oaire.citation.volume26pt_PT
oaire.fundingStream5876
person.familyNameCosta Ferreira
person.givenNameBrigida
person.identifier1167997
person.identifier.ciencia-idA61B-E07B-84B3
person.identifier.orcid0000-0001-7988-7545
person.identifier.scopus-author-id14050253300
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationeac8b2c3-0ef3-48f5-a3c7-8ca796a098ae
relation.isAuthorOfPublication.latestForDiscoveryeac8b2c3-0ef3-48f5-a3c7-8ca796a098ae
relation.isProjectOfPublicationc62bc2c1-fa52-4719-ac2f-51bbd780c4c9
relation.isProjectOfPublication.latestForDiscoveryc62bc2c1-fa52-4719-ac2f-51bbd780c4c9

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