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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

Geometric uncertainty can degrade treatment quality in radiation therapy. While margins and robust optimization mitigate these effects, they provide only implicit control over clinical goal fulfillment probability. We therefore develop a…

Medical Physics · Physics 2026-01-14 Albin Fredriksson , Erik Engwall , Jenneke de Jong , Johan Sundström

Advanced radiotherapy approaches such as FLASH irradiation and spatially fractionated radiotherapy (SFRT) show potential to improve the therapeutic ratio, yet their biological mechanisms and optimal delivery parameters remain uncertain.…

Volumetric modulated arc therapy planning is a challenging problem in high-dimensional, non-convex optimization. Traditionally, heuristics such as fluence-map-optimization-informed segment initialization use locally optimal solutions to…

Machine Learning · Computer Science 2021-11-17 Noah Bice , Mohamad Fakhreddine , Ruiqi Li , Dan Nguyen , Christopher Kabat , Pamela Myers , Niko Papanikolaou , Neil Kirby

Over the last years, novel low-complexity approaches to the equalization of MIMO channels have gained much attention. Thereby, methods based on lattice basis reduction are of special interest, as they achieve the optimum diversity order. In…

Information Theory · Computer Science 2010-08-13 Robert F. H. Fischer

The FLASH effect, characterized by potential sparing of organs at risk (OAR) through ultra-high dose rate irradiation, has garnered significant attention for its capability to address indications previously untreatable at conventional dose…

Medical Physics · Physics 2024-10-16 S. Wuyckens , M. Chocan Vera , R. Nilsson , V. Wase , D. Di Perri , X. Geets , E. Sterpin , J. A. Lee

Background: Ultra-high-dose-rate (UHDR) radiation therapy has demonstrated promising potential in reducing toxicity to organs-at-risk (OARs). Proton therapy is uniquely positioned to deliver UHDR by leveraging the Bragg peak in conjunction…

Medical Physics · Physics 2025-04-30 Jiayue Han , Ya-Nan Zhu , Aoxiang Wang , Wangyao Li , Yuting Lin , Hao Gao

We investigated the effects of scanning speed, beam configuration, and dose-rate modeling on the FLASH effect in post-mastectomy proton transmission-beam (TB) planning and evaluated whether optimizing the spot-scanning path can enhance…

A framework for online robust adaptive radiation therapy (ART) is presented. This framework is designed to (i) handle interfractional geometric variations following a probability distribution different from the a priori hypothesis, (ii)…

Medical Physics · Physics 2020-09-09 Michelle Böck

Purpose: To develop a novel aperture-based algorithm for volumetric modulated arc therapy (VMAT) treatment plan optimization with high quality and high efficiency. Methods: The VMAT optimization problem is formulated as a large-scale convex…

Medical Physics · Physics 2015-05-19 Chunhua Men , H. Edwin Romeijn , Xun Jia , Steve B. Jiang

We present a novel application of Tensor Network methods in cancer treatment as a potential tool to solve the dose optimization problem in radiotherapy. In particular, the Intensity-Modulated Radiation Therapy (IMRT) technique - that allows…

Medical Physics · Physics 2021-08-11 Samuele Cavinato , Timo Felser , Marco Fusella , Marta Paiusco , Simone Montangero

An optimization method for the design of multi-lattice structures satisfying local buckling constraints is proposed in this paper. First, the concept of free material optimization is introduced to find an optimal elastic tensor distribution…

Computational Geometry · Computer Science 2021-11-10 Xingtong Yang , Xinzhuo Hu , Liangchao Zhu , Ming Li

We present a new algorithm for the design of the connection region between different lattice materials. We solve a Stokes-type topology optimization problem on a narrow morphing region to smoothly connect two different unit cells. The…

Computational Engineering, Finance, and Science · Computer Science 2022-06-03 Nicola Ferro , Simona Perotto , Matteo Gavazzoni

We propose a new regularization scheme to study the bound state of two-nucleon systems in Lattice Effective Field Theory. Inspired by continuum EFT calculation, we study an exponential regulator acting on the leading-order (LO) and…

Nuclear Theory · Physics 2020-10-16 M. Ahmadi , M. R. Hadizadeh , M. Radin , S. Bayegan

Evidence is accumulating in favour of using stereotactic ablative body radiotherapy (SABR) to treat multiple cancer lesions in the lung. Multi-lesion lung SABR plans are complex and require significant resources to create. In this work, we…

Medical Physics · Physics 2024-07-12 Edward Wang , Ryan Au , Pencilla Lang , Sarah A. Mattonen

The authors propose robust adaptive strategies based on stochastic minimax optimization for a series of simulated treatments on a one-dimensional patient phantom. The plan applied during the first fractions should be able to handle…

Optimization and Control · Mathematics 2018-10-01 Michelle Böck , Anders Forsgren , Kjell Eriksson , Björn Hårdemark

Metastasis is the process by which cells from a primary tumor disperse and form new tumors at distant anatomical locations. The treatment and prevention of metastatic cancer remains an extremely challenging problem. This work introduces a…

Tissues and Organs · Quantitative Biology 2015-11-18 Hamidreza Badri , Jagdish Ramakrishnan , Kevin Leder

Spatially fractionated radiation therapy (SFRT) planning requires three coordinated tasks: generation of high-dose sphere structures, position-aware optimization, and peak-valley dose ratio evaluation. We present MAAS-SFRThelper, a…

Intensity modulated proton therapy (IMPT) provides highly conformal dose distributions through the application of multiple, angularly spaced fields, each applying an ad-hoc pattern of spatially varying particle fluences. In particular,…

Medical Physics · Physics 2017-03-10 F. Arcadu

Purpose: To improve the delivery efficiency of VMAT by extending the recently published VMAT treatment planning algorithm vmerge to automatically generate optimal partial-arc plans. Methods and materials: A high-quality initial plan is…

Medical Physics · Physics 2015-06-05 Jeremiah Wala , Ehsan Salari , Wei Chen , David Craft