Discrepancies between selected Pareto optimal plans and final deliverable plans in radiotherapy multi-criteria optimization

Radiother Oncol. 2016 Aug;120(2):346-8. doi: 10.1016/j.radonc.2016.05.018. Epub 2016 Jun 3.

Abstract

Multi-criteria optimization provides decision makers with a range of clinical choices through Pareto plans that can be explored during real time navigation and then converted into deliverable plans. Our study shows that dosimetric differences can arise between the two steps, which could compromise the clinical choices made during navigation.

Keywords: Deliverable; Multi-criteria optimization; Navigated; Pareto fronts.

MeSH terms

  • Carcinoma, Non-Small-Cell Lung / radiotherapy*
  • Humans
  • Lung Neoplasms / radiotherapy*
  • Male
  • Prostatic Neoplasms / radiotherapy*
  • Radiometry
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted / methods*
  • Radiotherapy Planning, Computer-Assisted / standards
  • Radiotherapy, Intensity-Modulated
  • Retrospective Studies