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Journal of Medical Physics and Applied Sciences

ISSN: 2574-285X

I n t e r n a t i o n a l C o n f e r e n c e o n

Nuclear Medicine &

Radiation Therapy

Nuclear Medicine & Radiation Therapy 2018

O c t o b e r 0 1 - 0 2 , 2 0 1 8

S t o c k h o l m , S w e d e n

Evolutionary DVH evaluation for beam orientations

in intensity modulated radiation therapy

Ahmad Saher Azizi Sultan

Taibah University, Saudi Arabia

Ahmad Saher Azizi Sultan, J. med phys & appl sci 2018, Volume: 3

DOI: 10.21767/2574-285X-C1-003

Biography

Ahmad Saher Azizi Sultan received his Diploma and PhD in

Mathematics from Kaiserslautern University, Fraunhofer Insti-

tute, where he gained his training in Industrial Mathematics for

several years. He has received his Diploma and PhD; he started

his Post-doctoral training in Mathematical Logic at the Inter-

national Centre for Computational Logic in Dresden. He then

moved to Saudi Arabia and started his own research at Tai-

bah University. His interdisciplinary research focuses on Dose

Evaluation and Beam Orientations in Multi-criteria Intensity

Modulated Radiation Therapy. Especially his knowledge about

industrial multi-criteria optimization made him one of the refer-

ees for some journals such as

European journal of Operational

Research

and

Science Journal of Mathematics and Statistics

.

On the other hand, he is currently developing techniques in com-

putational logic to speedup SAT solvers.

sultansaher@hotmail.com

T

he problem of beam orientations in intensity-modulated radiation therapy

(IMRT) is an important, but large-scale non-deterministic polynomial-time

(NP) hard optimization problem. A considerable part of this difficulty is due to

the essential prerequisite of defining, appropriately, counter-intuitive criteria for

a mathematical plan evaluation that coincides with the clinical judgement of the

considered plan. Moreover, the quality of beam directions depends heavily on its

corresponding beam intensity profiles. Usually a stochastic selector is utilized

for optimizing beam orientations, and an inverse treatment planning algorithm

is employed to optimize beam intensity profiles for every selection of beam

orientations. Thus, intensity profiles are calculated many thousands of times,

each time for a different selection of beam directions, resulting in excessive time

complexity. Therefore selecting an appropriate set of beam directions in IMRT

is still a time consuming manual trial and error search procedure that depends

on intuition and empirical knowledge. To overcome these difficulties, this work

utilizes the concept of dose volume histogram (DVH), which is one of the main

recognized quantitative measurement tools used for plan judgement, to present

a DVH evaluation scheme that parallelizes plan evaluation with clinical plan

judgement. The DVH evaluation scheme is then combined with an evolutionary

algorithm manufactured particularly to solve the problem of beam orientation

in IMRT. The results of applying the presented methods to real clinical cases

demonstrated that while the evolutionary algorithm converges to appropriate

solutions in practical clinical time slot, significant improvement were reported in

all clinical cases in comparison to the standard equally spaced beam plans, even

when sometimes using a fewer number of beams. A fewer number of beams is

always desirable without compromising the quality of the treatment plan. This

results in a shorter treatment delivery time which reduces potential errors in terms

of patient movements and decreases discomfort, as well as the risk of reoccurring

cancers in the future.