PMID- 11099195 OWN - NLM STAT- MEDLINE DCOM- 20010315 LR - 20170214 IS - 0094-2405 (Print) IS - 0094-2405 (Linking) VI - 27 IP - 10 DP - 2000 Oct TI - A dose-volume histogram based optimization algorithm for ultrasound guided prostate implants. PG - 2286-92 AB - The task of treatment planning for prostate implants is to find an optimal seed configuration, comprising the target coverage and dosimetric consideration of critical structures such as the rectum and urethra. An efficient method to accomplish this is to use an inverse planning technique that derives the optimized solution from a prescribed treatment goal. The goal can be specified in the voxel domain as the desired doses to the voxels of the target and critical structures, or in the dose volume representation as the desired dose volume histograms (DVHs) of the target and critical structures. The DVH based optimization has been successfully used in plan optimization for intensity-modulated radiation therapy (IMRT) but little attention has been paid to its application in prostate implants. Clinically, it has long been known that some normal structure tolerances are more accurately assessed by volumetric information. Dose-volume histograms are also widely used for plan evaluation. When working in the DVH domain for optimization one has more control over the final DVHs. We have constructed an objective function sensitive to the DVHs of the target and critical structures. The objective function is minimized using an iterative algorithm, starting from a randomly selected initial seed configuration. At each iteration step, a trial position is given to a randomly selected source and the trial position is accepted if the objective function is decreased. To avoid being trapped in a less optimal local minimum, the optimization process is repeated. The final plan is selected from a pool of optimized plans obtained from a series of randomized initial seed configurations. FAU - Chen, Y AU - Chen Y AD - Department of Radiation Oncology, Stanford University School of Medicine, California 94305, USA. yan.chen@mail.tju.edu FAU - Boyer, A L AU - Boyer AL FAU - Xing, L AU - Xing L LA - eng GR - CA 43840/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Med Phys JT - Medical physics JID - 0425746 SB - IM MH - *Algorithms MH - Brachytherapy/*methods/statistics & numerical data MH - Humans MH - Male MH - Prostatic Neoplasms/diagnostic imaging/*radiotherapy MH - Radiotherapy Planning, Computer-Assisted/*methods/statistics & numerical data MH - Ultrasonography EDAT- 2000/12/01 11:00 MHDA- 2001/03/17 10:01 CRDT- 2000/12/01 11:00 PHST- 2000/12/01 11:00 [pubmed] PHST- 2001/03/17 10:01 [medline] PHST- 2000/12/01 11:00 [entrez] AID - 10.1118/1.1308087 [doi] PST - ppublish SO - Med Phys. 2000 Oct;27(10):2286-92. doi: 10.1118/1.1308087.