PMID- 32354897 OWN - NLM STAT- MEDLINE DCOM- 20210212 LR - 20210212 IS - 1791-7549 (Electronic) IS - 0258-851X (Print) IS - 0258-851X (Linking) VI - 34 IP - 3 DP - 2020 May-Jun TI - Dose-volume Histogram Analysis of Knowledge-based Volumetric-modulated Arc Therapy Planning in Postoperative Breast Cancer Irradiation. PG - 1095-1101 LID - 10.21873/invivo.11880 [doi] AB - BACKGROUND/AIM: We evaluated the dosimetric profiles of manually generated volumetric-modulated arc therapy (VMAT) plans and performance of a commercial knowledge-based planning system (KBP) in treating breast cancer. MATERIALS AND METHODS: We defined the manually generated VMAT plan as the manual plan (MP). Twenty MPs were generated for left-sided breast cancer patients who underwent breast-conserving surgery and used to develop a KBP training set. The other five patients were used for validation. The dosimetric parameters among MPs, tangential irradiation plans (TPs), and KBP-VMAT plans (KBP-Ps) were compared. RESULTS: D(95) and homogeneity of the planning target volume (PTV) were significantly higher and greater in MPs and KBP-Ps than in TPs. Lung V(20), V(40) The Dmean for the left anterior descending artery was lower in MPs and KBP-Ps than in TPs. KBP could save time in generating VMAT plans. CONCLUSION: MPs and KBP-Ps could ensure higher dose uniformity of PTV than TPs. KBP could faster generate comparable MPs for breast cancer. CI - Copyright(c) 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Inoue, Eri AU - Inoue E AD - Department of Radiation Oncology, Kindai University Faculty of Medicine, Osaka, Japan 1876c1@med.kindai.ac.jp. FAU - Doi, Hiroshi AU - Doi H AD - Department of Radiation Oncology, Kindai University Faculty of Medicine, Osaka, Japan. FAU - Monzen, Hajime AU - Monzen H AD - Department of Medical Physics, Graduate School of Medical Sciences, Kindai University, Osaka, Japan. FAU - Tamura, Mikoto AU - Tamura M AD - Department of Medical Physics, Graduate School of Medical Sciences, Kindai University, Osaka, Japan. FAU - Inada, Masahiro AU - Inada M AD - Department of Radiation Oncology, Kindai University Faculty of Medicine, Osaka, Japan. FAU - Ishikawa, Kazuki AU - Ishikawa K AD - Department of Radiation Oncology, Kindai University Faculty of Medicine, Osaka, Japan. FAU - Nakamatsu, Kiyoshi AU - Nakamatsu K AD - Department of Radiation Oncology, Kindai University Faculty of Medicine, Osaka, Japan. FAU - Nishimura, Yasumasa AU - Nishimura Y AD - Department of Radiation Oncology, Kindai University Faculty of Medicine, Osaka, Japan. LA - eng PT - Journal Article PL - Greece TA - In Vivo JT - In vivo (Athens, Greece) JID - 8806809 SB - IM MH - Adult MH - Aged MH - *Algorithms MH - Breast Neoplasms/diagnosis/*radiotherapy MH - Disease Management MH - Female MH - Humans MH - Middle Aged MH - *Postoperative Care MH - *Radiotherapy Dosage MH - *Radiotherapy Planning, Computer-Assisted MH - *Radiotherapy, Intensity-Modulated/methods/standards MH - Tumor Burden PMC - PMC7279853 OTO - NOTNLM OT - Volumetric-modulated arc therapy OT - breast cancer OT - intensity-modulated radiation therapy OT - knowledge-based planning COIS- The Authors declare that no conflicts of interest exist regarding this study. EDAT- 2020/05/02 06:00 MHDA- 2021/02/13 06:00 PMCR- 2020/05/03 CRDT- 2020/05/02 06:00 PHST- 2020/01/22 00:00 [received] PHST- 2020/02/04 00:00 [revised] PHST- 2020/02/10 00:00 [accepted] PHST- 2020/05/02 06:00 [entrez] PHST- 2020/05/02 06:00 [pubmed] PHST- 2021/02/13 06:00 [medline] PHST- 2020/05/03 00:00 [pmc-release] AID - 34/3/1095 [pii] AID - 10.21873/invivo.11880 [doi] PST - ppublish SO - In Vivo. 2020 May-Jun;34(3):1095-1101. doi: 10.21873/invivo.11880.