Approximation algorithms for minimizing segments in radiation therapy

Intensity modulated radiation therapy (IMRT) is one of the most effective modalities for modern cancer treatment. The key to successful IMRT treatment hinges on the delivery of a two-dimensional discrete radiation intensity matrix using a device called a multileaf collimator (MLC). Mathematically, the delivery of an intensity matrix using an MLC can be viewed as the problem of representing a non-negative integral matrix (i.e. the intensity matrix) by a linear combination of certain special non-negative integral matrices called segments, where each such segment corresponds to one of the allowed states of the MLC. The problem of representing the intensity matrix with the minimum number of segments is known to be NP-complete. In this paper, we present two approximation algorithms for this matrix representation problem. To the best of our knowledge, these are the first algorithms to achieve non-trivial performance guarantees for multi-row intensity matrices.