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Using inverse planning tools to create radiotherapy treatment plans is an iterative process, where clinical trade-offs are explored by changing the relative importance of different objectives and rerunning the optimizer until a desirable…

Manual forward planning for GK radiosurgery is complicated and time-consuming, particularly for cases with large or irregularly shaped targets. Inverse planning eases GK planning by solving an optimization problem. However, due to the vast…

Medical Physics · Physics 2020-07-01 Zhen Tian , Xiaofeng Yang , Matt Giles , Tonghe Wang , Hao Gao , Elizabeth Butker , Tian Liu , Shannon Kahn

Policy optimization in reinforcement learning requires the selection of numerous hyperparameters across different environments. Fixing them incorrectly may negatively impact optimization performance leading notably to insufficient or…

Robotics · Computer Science 2021-03-26 Jiancong Huang , Juan Rojas , Matthieu Zimmer , Hongmin Wu , Yisheng Guan , Paul Weng

Purpose: In high-dose-rate (HDR) prostate brachytherapy procedures, the pattern of needle placement solely relies on physician experience. We investigated the feasibility of using reinforcement learning (RL) to provide needle positions and…

Medical Physics · Physics 2025-06-12 Tonghe Wang , Yining Feng , Xiaofeng Yang

Objective: We propose a semiautomatic pipeline for radiation therapy treatment planning, combining ideas from machine learning-automated planning and multicriteria optimization (MCO). Approach: Using knowledge extracted from historically…

Medical Physics · Physics 2022-02-16 Tianfang Zhang , Rasmus Bokrantz , Jimmy Olsson

We present a method for handling dose constraints as part of a convex programming framework for inverse treatment planning. Our method uniformly handles mean dose, maximum dose, minimum dose, and dose-volume (i.e., percentile) constraints…

Medical Physics · Physics 2019-03-05 Anqi Fu , Baris Ungun , Lei Xing , Stephen Boyd

Noncoplanar radiation therapy treatment planning has the potential to improve dosimetric quality as compared to traditional coplanar techniques. Likewise, automated treatment planning algorithms can reduce a planner's active treatment…

Medical Physics · Physics 2022-01-19 Charles Huang , Yong Yang , Lei Xing

We determine how prediction methods combine with optimization methods in two-stage knowledge-based planning (KBP) pipelines to produce radiation therapy treatment plans. We trained two dose prediction methods, a generative adversarial…

Medical Physics · Physics 2019-11-01 Aaron Babier , Rafid Mahmood , Andrea L. McNiven , Adam Diamant , Timothy C. Y. Chan

Temporally modulated pulsed radiotherapy (TMPRT) delivers conventional fraction doses of radiation using temporally separated pulses of low doses (<30 cGy) yielding fraction-effective dose rates of around 6.7 cGy/min with the goal to…

Medical Physics · Physics 2026-01-13 Christian Velten , Adam Bayliss , Jiayi Huang , Wolfgang A. Tomé

Objective: This study aims to uncover the opaque decision-making process of an artificial intelligence (AI) agent for automatic treatment planning. Approach: We examined a previously developed AI agent based on the Actor-Critic with…

Medical Physics · Physics 2025-08-21 Md Mainul Abrar , Xun Jia , Yujie Chi

In radiation therapy (RT) treatment planning, multi-criteria optimization (MCO) supports efficient plan selection but is usually solved for population-based dosimetric criteria and ignores patient-specific biological risk, potentially…

Medical Physics · Physics 2026-01-09 Mara Schubert , Katrin Teichert , Zhongxing Liao , Thomas Bortfeld , Ali Ajdari

Background and Purpose: Reirradiation for non-small cell lung cancer (NSCLC) is commonly delivered using coplanar techniques. In this study, we developed a beam orientation optimization algorithm for reirradiation planning to investigate…

The Radiotherapy treatment planning optimization process based on a quasi-Newton algorithm with an object function containing dose-volume constraints is not guaranteed to converge when the dose value in the dose-volume constraint is a…

Classical Analysis and ODEs · Mathematics 2008-12-02 I. Hoveijn

A central problem in the field of radiation therapy (RT) is how to optimally deliver dose to a patient in a way that fully accounts for anatomical position changes over time. As current RT is a static process, where beam intensities are…

Medical Physics · Physics 2019-09-04 Rodney D. Wiersma , Xinmin Liu

We present a method of directly optimizing on deviations in clinical goal values in radiation therapy treatment planning. Using a new mathematical framework in which metrics derived from the dose-volume histogram are regarded as functionals…

Medical Physics · Physics 2021-09-07 Tianfang Zhang , Rasmus Bokrantz , Jimmy Olsson

Leksell Gamma Knife is a stereotactic radiosurgery system that allows fine-grained control of the delivered dose distribution. We describe a new inverse planning approach that both resolves shortcomings of earlier approaches and unlocks new…

Medical Physics · Physics 2019-05-20 Jens Sjölund , Stella Riad , Marcus Hennix , Håkan Nordström

Objectives: A new dosimetric variable, dose dropping speed (DDS), was proposed and used to evaluate normal tissue sparing among stereotactic radiosurgery (SRS) plans with different prescription isodose lines. Methods: Forty plans were…

Medical Physics · Physics 2014-08-28 Q. Zhang , D. Zheng , Y. Lei , B. Morgan , J. Driewer , M. Zhang , S. Li , S. Zhou , W. Zhen , R. Thompson , A. Wahl , C. Lin , C. Enke

Treatment planning system calculations in inhomogeneous regions may present significant inaccuracies due to loss of electronic equilibrium. In this study, three different dose calculation algorithms, pencil beam, collapsed cone, and…

Medical Physics · Physics 2015-03-12 Sung Jin Kim , Dong Ho Kim , Sung Kyu Kim

Purpose: This study explored the feasibility of a streamlined pin-shaped ridge filter (pin-RF) design for single-energy proton FLASH planning. Methods: An inverse planning framework integrated within a TPS was established for FLASH…

Radiotherapy planning is a highly complex process that often varies significantly across institutions and individual planners. Most existing deep learning approaches for 3D dose prediction rely on reference plans as ground truth during…

Computer Vision and Pattern Recognition · Computer Science 2025-12-11 Riqiang Gao , Simon Arberet , Martin Kraus , Han Liu , Wilko FAR Verbakel , Dorin Comaniciu , Florin-Cristian Ghesu , Ali Kamen