PMID- 36196407 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221007 IS - 1507-1367 (Print) IS - 2083-4640 (Electronic) IS - 1507-1367 (Linking) VI - 27 IP - 4 DP - 2022 TI - Integrated scoring approach to assess radiotherapy plan quality for breast cancer treatment. PG - 707-716 LID - 10.5603/RPOR.a2022.0083 [doi] AB - BACKGROUND: Proposal of an integrated scoring approach assessing the quality of different treatment techniques in a radiotherapy planning comparison. This scoring method incorporates all dosimetric indices of planning target volumes (PTVs) as well as organs at risk (OARs) and provides a single quantitative measure to select an ideal plan. MATERIALS AND METHODS: The radiotherapy planning techniques compared were field-in-field (FinF), intensity modulated radiation therapy (IMRT), volumetric modulated arc therapy (VMAT), hybrid IMRT (H-IMRT), and hybrid VMAT (H-VMAT). These plans were generated for twenty-five locally advanced left-sided breast cancer patients. The PTVs were prescribed a hypofractionation dose of 40.5 Gy in 15 fractions. The integrated score for each planning technique was calculated using the proposed formula. RESULTS: An integrated score value that is close to zero indicates a superior plan. The integrated score that incorporates all dosimetric indices (PTVs and OARs) were 1.37, 1.64, 1.72, 1.18, and 1.24 for FinF, IMRT, VMAT, H-IMRT, and H-VMAT plans, respectively. CONCLUSION: The proposed integrated scoring approach is scientific to select a better plan and flexible to incorporate the patient-specific clinical demands. This simple tool is useful to quantify the treatment techniques and able to differentiate the acceptable and unacceptable plans. CI - (c) 2022 Greater Poland Cancer Centre. FAU - Balaji, Karunakaran AU - Balaji K AD - School of Advanced Sciences, Vellore Institute of Technology, Vellore, India. AD - Department of Radiation Oncology, Gleneagles Global Hospitals, Chennai, India. FAU - Ramasubramanian, Velayudham AU - Ramasubramanian V AD - School of Advanced Sciences, Vellore Institute of Technology, Vellore, India. LA - eng PT - Journal Article DEP - 20220919 PL - Poland TA - Rep Pract Oncol Radiother JT - Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology JID - 100885761 PMC - PMC9521686 OTO - NOTNLM OT - IMRT OT - VMAT OT - breast cancer OT - dosimetric index OT - integrated score COIS- Conflict of interest The authors declare no conflicts of interest. EDAT- 2022/10/06 06:00 MHDA- 2022/10/06 06:01 PMCR- 2022/09/19 CRDT- 2022/10/05 01:50 PHST- 2021/11/08 00:00 [received] PHST- 2022/07/05 00:00 [accepted] PHST- 2022/10/05 01:50 [entrez] PHST- 2022/10/06 06:00 [pubmed] PHST- 2022/10/06 06:01 [medline] PHST- 2022/09/19 00:00 [pmc-release] AID - rpor-27-4-707 [pii] AID - 10.5603/RPOR.a2022.0083 [doi] PST - epublish SO - Rep Pract Oncol Radiother. 2022 Sep 19;27(4):707-716. doi: 10.5603/RPOR.a2022.0083. eCollection 2022.