论文标题

使用遗传算法在质子治疗中优化弹道疗法:实施问题

Towards the optimization of ballistics in proton therapy using genetic algorithms: implementation issues

论文作者

Smekens, François, Freud, Nicolas, Sixou, Bruno, Beslon, Guillaume, Létang, Jean M

论文摘要

通过质子束传递给计划目标体积的剂量是高度保形的,具有危险和正常组织的保留器官。最近,已提出了适应现场扫描技术的新的治疗计划系统,以同时优化几个领域,从而改善剂量递送。在本文中,我们研究了基于遗传算法方法的新优化框架。该工具旨在通过使用增强的技术来探索新的治疗方案。优化框架的设计目的是用途广泛,并解释了许多自由度,而没有任何{\ it先验}技术约束。为了测试我们的算法的行为,我们在本文中提出了同时优化光束的电池,目标点和辐照方向的示例。 提出的优化程序通常会考虑到数千个固定尺寸的斑点。进化是由三个标准遗传算子进行的:突变,交叉和选择。合格图(或健身)基于目标函数,相对于肿瘤的剂量处方以及设置为有风险和正常组织的器官的极限。通过基于具有分析溶液的普通梯度进行特定方案,进行了通力优化。解决了几个特定的​​遗传算法问题:(i)调整突变率以平衡搜索和选择力,(ii)使用自举技术和(iii)选择初始种群以缩小计算时间,以快速的分析射线跟踪方法进行剂量计算,并进行多个分析方法。 在本文中,彻底描述了优化框架的实施问题。在基础和临床现实的测试用例中都说明了所提出的遗传算法的行为。

The dose delivered to the planning target volume by proton beams is highly conformal, sparing organs at risk and normal tissues. New treatment planning systems adapted to spot scanning techniques have been recently proposed to simultaneously optimize several fields and thus improve dose delivery. In this paper, we investigate a new optimization framework based on a genetic algorithm approach. This tool is intended to make it possible to explore new schemes of treatment delivery, possibly with future enhanced technologies. The optimization framework is designed to be versatile and to account for many degrees of freedom, without any {\it a priori} technological constraint. To test the behavior of our algorithm, we propose in this paper, as an example, to optimize beam fluences, target points and irradiation directions at the same time. The proposed optimization routine takes typically into account several thousands of spots of fixed size. The evolution is carried out by the three standard genetic operators: mutation, crossover and selection. The figure-of-merit (or fitness) is based on an objective function relative to the dose prescription to the tumor and to the limits set for organs at risk and normal tissues. Fluence optimization is carried out via a specific scheme based on a plain gradient with analytical solution. Several specific genetic algorithm issues are addressed: (i) the mutation rate is tuned to balance the search and selection forces, (ii) the initial population is selected using a bootstrap technique and (iii) to scale down the computation time, dose calculations are carried out with a fast analytical ray tracing method and are multi-threaded. In this paper implementation issues of the optimization framework are thoroughly described. The behavior of the proposed genetic algorithm is illustrated in both elementary and clinically-realistic test cases.

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