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Verification of an optimizer algorithm by the beam delivery evaluation of intensity-modulated arc therapy plans Cover

Verification of an optimizer algorithm by the beam delivery evaluation of intensity-modulated arc therapy plans

Open Access
|Nov 2021

Figures & Tables

Figure 1

(A) The average value of gamma passing rates according to the used optimization separated by normalization, and the gamma passing rates according to the normalization (B) and optimization (C) dose values.

Figure 2

The effect of the normalization dose (A) and the optimization dose (B) values on the aperture complexity metric (ACM) score.

Figure 3

The connection between the complexity score and the gamma passing rate.

Figure 4

The effect of the average gantry speed (A) and standard deviation (B), and the average dose rate (C) and standard deviation (D) on the gamma passing rates.

Figure 5

The predicted and measured number of maximum (blue) and the central-axis (red) calibrated units (CU) for 1 Gy according to the fraction dose.PDIP = portal dose image prediction;

The parameters of the selected patients and irradiated volumes

SexAge [years]LobeGTV_volume [ccm]Tumor movement [mm]ITV_volume [ccm]PTV_volume [ccm]
Male84Right-lower3.72010.733.3
Male66Left-upper1.342.211.5
Male72Left-upper4.857.224.9
Female61Right-mid2.643.915.1
Female67Right-mid0.721.17.6

The mean values and the standard deviations of the plan quality parameters

2 Gy/fraction3 Gy/fraction6 Gy/fraction12 Gy/fraction20 Gy/fraction
PTV_Dmean (cGy)6706±966713±856701±976715±916686±96
PTV_V95 (%)98.17±2.3498.44±1.6198.32±1.7298.43±1.6798.22±1.93
PTV_V100 (%)91.12±5.2991.85±4.3491.31±4.6391.82±4.5490.78±4.93
PTV_V98 (%)94.9±4.2495.47±3.2894.97±3.5495.39±3.4894.75±3.84
PTV_D98 (cGy)5759±1415771±1165760±1285773±1265755±128
PTV_D50 (cGy)6749±1286762±1076750±1256760±1196726±125
PTV_D2 (cGy)7515±1147472±947461±1067487±917454±87
ITV_Dmean (cGy)7234±1507229±1267113±3017124±2627106±272
ITV_D98 (cGy)6867±1306901±1016862±1526877±1256848±144
ITV_D50 (cGy)7242±1547229±1347221±1457238±1177219±105
ITV_D2 (cGy)7581±1647556±1627531±1507561±1427539±166
BODY_V100 (ccm)17.1±9.5617.25±9.6417.13±9.6617.24±9.7217.16±9.57
BODY_V50 (ccm)75.02±35.1675.09±35.1774.96±35.6875.31±35.7974.74±35.45
BODY_V98 (ccm)18.2±10.0318.34±10.1118.22±10.1318.34±10.1918.1±10.16
Dmax (cGy)7816±1287777±1067731±1067794±167691±288
Lung_V5Gy (%)15.57±7.2515.51±7.3115.59±7.2415.57±7.315.56±7.26
Lung_V20Gy (%)4.25±2.324.28±2.334.25±2.334.27±2.344.26±2.34
Lung_Dmean (cGy)342±148343±149342±149343±149342±149
# MU / cGy2.84±0.152.81±0.12.8±0.122.81±0.112.81±0.12
R50%4.27±0.524.27±0.514.25±0.514.27±0.54.24±0.49
CI98%_PTV0.93±0.060.94±0.050.93±0.060.94±0.050.94±0.06
CN98%_PTV0.9±0.030.91±0.020.91±0.020.91±0.020.91±0.03
DOI: https://doi.org/10.2478/raon-2021-0046 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 508 - 515
Submitted on: Jun 25, 2021
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Accepted on: Aug 17, 2021
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Published on: Nov 19, 2021
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Tamas Pocza, Domonkos Szegedi, Tibor Major, Csilla Pesznyak, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.