Evaluating the Quality of Radiotherapy Treatment Plans for Prostate Cancer

Emma Stubington, Matthias Ehrgott, Glyn Shentall, Omid Nohadani

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

External beam radiation therapy is a common treatment method for cancer. Radiotherapy is planned with the aim to achieve conflicting goals: while a sufficiently high dose of radiation is necessary for tumour control, a low dose of radiation is desirable to avoid complications in normal, healthy, tissue. These goals are encoded in clinical protocols and a plan that does not meet the criteria set out in the protocol may have to be re-optimised using a trial and error process. To support the planning process, it is therefore important to evaluate the quality of treatment plans in order to recognise plans that will benefit from such re-optimisation and distinguish them from those for which this is unlikely to be the case. In this chapter we present a case study of evaluating the quality of prostate cancer treatment plans based on data collected from Rosemere Cancer Centre at the Royal Preston Hospital in the UK. We use Principal Component Analysis for data reduction, i.e., to select the most relevant data from the entire set available for each patient. We then apply Data Envelopment Analysis to assess the quality of individual plans. Each plan is compared against the entire set of plans to identify those that could realistically be improved. We further enhance this procedure with simulation techniques to account for uncertainties in the data for treatment plans. The proposed approach to plan evaluation provides a tool to support radiotherapy treatment planners in their task to determine the best possible radiotherapy treatment for cancer patients. With its combination of DEA, PCA and simulation, it allows focusing on the most significant determinants of plan quality, consideration of trade-offs between conflicting planning goals and incorporation of uncertainty in treatment data.

Original languageEnglish (US)
Title of host publicationInternational Series in Operations Research and Management Science
PublisherSpringer New York LLC
Pages41-66
Number of pages26
DOIs
StatePublished - Jan 1 2019

Publication series

NameInternational Series in Operations Research and Management Science
Volume274
ISSN (Print)0884-8289

Fingerprint

Radiotherapy
Prostate Cancer
Dosimetry
Radiation
Planning
Data envelopment analysis
Oncology
Cancer
Principal component analysis
Tumors
Data reduction
Tissue
Dose
Prostate cancer
Entire
Reoptimization
Radiation Therapy
Uncertainty
Trial and error
Process Planning

ASJC Scopus subject areas

  • Software
  • Computer Science Applications
  • Strategy and Management
  • Management Science and Operations Research
  • Applied Mathematics

Cite this

Stubington, E., Ehrgott, M., Shentall, G., & Nohadani, O. (2019). Evaluating the Quality of Radiotherapy Treatment Plans for Prostate Cancer. In International Series in Operations Research and Management Science (pp. 41-66). (International Series in Operations Research and Management Science; Vol. 274). Springer New York LLC. https://doi.org/10.1007/978-3-319-99304-1_2
Stubington, Emma ; Ehrgott, Matthias ; Shentall, Glyn ; Nohadani, Omid. / Evaluating the Quality of Radiotherapy Treatment Plans for Prostate Cancer. International Series in Operations Research and Management Science. Springer New York LLC, 2019. pp. 41-66 (International Series in Operations Research and Management Science).
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Stubington, E, Ehrgott, M, Shentall, G & Nohadani, O 2019, Evaluating the Quality of Radiotherapy Treatment Plans for Prostate Cancer. in International Series in Operations Research and Management Science. International Series in Operations Research and Management Science, vol. 274, Springer New York LLC, pp. 41-66. https://doi.org/10.1007/978-3-319-99304-1_2

Evaluating the Quality of Radiotherapy Treatment Plans for Prostate Cancer. / Stubington, Emma; Ehrgott, Matthias; Shentall, Glyn; Nohadani, Omid.

International Series in Operations Research and Management Science. Springer New York LLC, 2019. p. 41-66 (International Series in Operations Research and Management Science; Vol. 274).

Research output: Chapter in Book/Report/Conference proceedingChapter

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Stubington E, Ehrgott M, Shentall G, Nohadani O. Evaluating the Quality of Radiotherapy Treatment Plans for Prostate Cancer. In International Series in Operations Research and Management Science. Springer New York LLC. 2019. p. 41-66. (International Series in Operations Research and Management Science). https://doi.org/10.1007/978-3-319-99304-1_2