Introduction ...........................................................103 IMRT or 3DCRT? ...................................................105 The MSKCC IMRT Planning Process....................107 Patient Selection • Patient Simulation And Structure Localization • Selection Of Beam Energy, Number, And Direction • Optimization • Conversion Of Intensity Profiles To Leaf Motion • Forward Dose ...

In intensity-modulated radiation therapy (IMRT) not only is the shape of the beam controlled, but combinations of open and closed multileaf collimators modulate the intensity as well. In this paper, we offer a mixed integer programming approach which allows optimization over beamlet fluence weights as well as beam and couch angles. Computational strategies, including a constraint and column gen...

PURPOSE Exit 2D detectors are widely used in clinics as a tool for pre- treatment field verification. It is desired to have accurate modeling of the detector dose for each IMRT plan with patient geometry for in-vivo delivery verification. We propose a novel hybrid of model and measurement based methods to estimate the detector dose using the information from TPS and plan/verification CT. METH...

Background: The study summarised in this report aimed to investigate the interplay between fluence complexity, dose calculation algorithms, dose calculation spatial resolution and delivery characteristics (monitor units, effective field width and dose delivery against dose prediction agreement) was investigated. A sample set of complex planning cases was selected and tested using a commercial t...

A methodology for the dosimetric verification of micro-multileaf collimator MMLC) based intensity modulated radiation therapy (IMRT) plans intended for stereotactic applications is described. The procedure is similar to that of conventional IMRT patient-specific quality assurance with some notable exceptions. Relative dosimetry measurements are performed with radiographic film, a commercial fil...

ID: 8181 Title: An algorithm to incorporate leaf transmission and head scatter corrections into step-and-shoot leaf sequences for IMRT Leaf transmission and head scatter are two most important factors that influence IMRT delivery and should be fully taken into account when generating MLC leaf sequences. Significant discrepancies between the desired and delivered intensity profiles could otherwi...

IMRT delivery follows a planned leaf sequence, which is optimized before treatment delivery. However, it is hard to model real-time variations, such as respiration, in the planning procedure. In this paper, we propose a negative feedback system of IMRT delivery that incorporates real-time optimization to account for intra-fraction motion. Specifically, we developed a feasible workflow of real-t...

We consider a problem dealing with the efficient delivery of Intensity Modulated Radiation Therapy (IMRT) to individual patients. IMRT treatment planning is usually performed in three phases. The first phase determines a set of beam angles through which radiation is delivered, followed by a second phase that determines an optimal radiation intensity profile (or fluence map). This intensity prof...

The purpose of the study was to investigate the potential of direct machine parameter optimization (DMPO) to achieve parotid sparing without compromising target coverage in IMRT of oropharyngeal cancer as compared to fluence modulation with subsequent leaf sequencing (IM) and forward planned 2-step arc therapy (IMAT). IMRT plans were generated for 10 oropharyngeal cancer patients using DMPO and...