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Original paper| Volume 31, ISSUE 2, P130-136, March 2015

Scan path optimization with/without clustering for active beam delivery in charged particle therapy

  • Author Footnotes
    1 Permanent address: Rua Joao Francisco no 2, Povoa da Galega, 2665-313 Milharado, Portugal. Tel.: +351 916000509.
    Marta F. Dias
    Correspondence
    Corresponding author. Present address: 88 Fairview Ave, Belmont, 02478 MA, USA. Tel.: +1 6172299058.
    Footnotes
    1 Permanent address: Rua Joao Francisco no 2, Povoa da Galega, 2665-313 Milharado, Portugal. Tel.: +351 916000509.
    Affiliations
    Department of Physics, Faculty of Sciences, University of Lisbon, Lisbon 1749, Portugal

    Laboratório de Instrumentação e Física de Partículas, Lisbon 1749, Portugal

    Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan 20133, Italy
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  • Marco Riboldi
    Affiliations
    Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan 20133, Italy

    Bioengineering Unit, Centro Nazionale di Adroterapia Oncologica, Pavia 27100, Italy
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  • Joao Seco
    Affiliations
    Department of Radiation Oncology, Massachusetts General Hospital – Harvard Medical School, Boston, MA 02114, USA
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  • Inês Castelhano
    Affiliations
    Institute of Biophysics and Biomedical Engineering, Faculty of Sciences, University of Lisbon, Lisbon 1749, Portugal

    Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan 20133, Italy
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  • Andrea Pella
    Affiliations
    Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan 20133, Italy
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  • Alfredo Mirandola
    Affiliations
    Medical Physics, Centro Nazionale di Adroterapia Oncologica, Pavia 27100, Italy
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  • Luís Peralta
    Affiliations
    Department of Physics, Faculty of Sciences, University of Lisbon, Lisbon 1749, Portugal

    Laboratório de Instrumentação e Física de Partículas, Lisbon 1749, Portugal
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  • Mario Ciocca
    Affiliations
    Medical Physics, Centro Nazionale di Adroterapia Oncologica, Pavia 27100, Italy
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  • Roberto Orecchia
    Affiliations
    Medical Department, Centro Nazionale di Adroterapia Oncologica, Pavia 27100, Italy

    Advanced Radiotherapy Center – Radiotherapy Division, European Institute of Oncology, Milano 20141, Italy

    Department of Science and Biomedical Technologies, Università degli Studi di Milano, Milano 20122, Italy
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  • Guido Baroni
    Affiliations
    Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan 20133, Italy

    Bioengineering Unit, Centro Nazionale di Adroterapia Oncologica, Pavia 27100, Italy
    Search for articles by this author
  • Author Footnotes
    1 Permanent address: Rua Joao Francisco no 2, Povoa da Galega, 2665-313 Milharado, Portugal. Tel.: +351 916000509.
Published:January 20, 2015DOI:https://doi.org/10.1016/j.ejmp.2015.01.001

      Highlights

      • We analyze the impact of different optimization methods in the charged particle therapy scanning paths.
      • We access the possibility to deflect the beam out of the extraction line during irradiation.
      • Beam deflection reduces the number of unnecessary particles delivered.
      • Beam deflections increases treatment time and number of wasted particles.

      Abstract

      Purpose

      To compare different algorithms to optimize the scanning path in charged particle therapy with quasidiscrete scanning. We implemented a Hybrid Genetic Algorithm with Heuristics (HyGA) and combined it with clustering techniques. The performance was compared to Simulated Annealing (SA) and to commercially available treatment planning system (TPS).

      Methods

      Performance and clinical implications were assessed using data from 10 patients treated at CNAO (Centro Nazionale di Adroterapia Oncologica). Clinical treatments are performed relying on beam deflection, avoiding irradiation for transitions between adjacent spots larger than 2 cm. A clustering method was implemented with HyGA (HyGA_Cl), which assumes beam deflection during transition between clusters. Clinical performance was determined as the total number of particles delivered during spot transitions and the number of particles wasted due to beam deflection. Results were compared to scan paths obtained with CNAO TPS.

      Results

      SA and HyGA produced on average shorter paths compared to the currently available TPS. This did not result in a reduction of transit particles, due to the concomitant effect of beam deflection out of the extraction line. HyGA_Cl achieved 2% average reduction in transit particles when compared to CNAO TPS. As a drawback, wasted particles increased, due to more frequent use of beam deflection. Both the SA and HyGA algorithms reduced the number of wasted particles.

      Conclusion

      SA and HyGA proved to be the most cost-effective methods in reducing wasted particles, with benefits in terms of shorter scan paths. A decrease in transit particles delivered with beam deflection can be achieved using HyGA_Cl.

      Keywords

      Abbreviations:

      CNAO (Centro Nazionale di Adroterapia Oncologica), HyGA (Hybrid Genetic Algorithm with Heuristics), HyGA_Cl (Hybrid Genetic Algorithm with Heuristics and Clustering), SA (Simulated Annealing), TPS (Treatment plan system), TSP (Traveling salesman problem)
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