Title
A Column Generation Approach to Radiation Therapy Treatment Planning Using Aperture Modulation
Abstract
This paper considers the problem of radiation therapy treatment planning for cancer patients. During radiation therapy, beams of radiation pass through a patient. This radiation kills both cancerous and normal cells, so the radiation therapy must be carefully planned to deliver a clinically prescribed dose to certain targets while sparing nearby organs and tissues. Currently, a technique called intensity modulated radiation therapy (IMRT) is considered to be the most effective radiation therapy for many forms of cancer. In IMRT, the patient is irradiated from several different directions. From each direction, one or more irregularly shaped radiation beams of uniform intensity are used to deliver the treatment. This paper deals with the problem of designing a treatment plan for IMRT that determines an optimal set of such shapes (called apertures) and their corresponding intensities. This is in contrast with established two-stage approaches where, in the first phase, each radiation beam is viewed as consisting of a set of individual beamlets, each with its own intensity. A second phase is then needed to approximate and decompose the optimal intensity profile into a set of apertures with corresponding intensities. The problem is formulated as a large-scale convex programming problem, and a column generation approach to deal with its dimensionality is developed. The associated pricing problem determines, in each iteration, one or more apertures to be added to our problem. Several variants of this pricing problem are discussed, each corresponding to a particular set of constraints that the apertures must satisfy in one or more of the currently available types of commercial IMRT equipment. Polynomial-time algorithms are presented for solving each of these variants of the pricing problem to optimality. Finally, the effectiveness of our approach is demonstrated on clinical data.
Year
DOI
Venue
2005
10.1137/040606612
SIAM Journal on Optimization
Keywords
Field
DocType
associated pricing problem,irregularly shaped radiation beam,radiation beam,effective radiation therapy,radiation pass,radiation therapy,column generation,convex optimization,pricing problem,aperture modulation,radiation therapy treatment planning,intensity modulated radiation therapy,corresponding intensity,column generation approach,convex programming,treatment planning,satisfiability
Aperture,Mathematical optimization,Column generation,Radiation treatment planning,Curse of dimensionality,Radiation therapy,Beam (structure),Convex optimization,Mathematics,Radiation
Journal
Volume
Issue
ISSN
15
3
1052-6234
Citations 
PageRank 
References 
24
2.08
12
Authors
4
Name
Order
Citations
PageRank
H. Edwin Romeijn176983.88
Ravindra K. Ahuja21377112.09
James F. Dempsey31198.62
Arvind Kumar4254.13