Dosimetric comparison of graphical optimization and inverse planning simulated annealing for brachytherapy of cervical cancer

Bin Tang; Xiangyu Liu; Xianliang Wang; Shengwei Kang; Pei Wang; Jie Li; Lucia Orlandini

doi:10.5114/jcb.2019.87145

eISSN: 2081-2841
ISSN: 1689-832X

Journal of Contemporary Brachytherapy

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4/2019
vol. 11

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abstract:

Original paper

Dosimetric comparison of graphical optimization and inverse planning simulated annealing for brachytherapy of cervical cancer

Bin Tang

^{1, 2}

,

Xiangyu Liu

³

,

Xianliang Wang

^{1, 2}

,

Shengwei Kang

^{1, 2}

,

Pei Wang

¹

,

Jie Li

¹

,

Lucia Clara Orlandini

¹

Radiation Oncology Department, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Radiation Oncology Key Laboratory of Sichuan Province, 610041 Chengdu, China
Key Laboratory of Radiation Physics and Technology, Ministry of Education, Institute of Nuclear Science and Technology, Sichuan University, 610064 Chengdu, China
Key Laboratory for Biorheological Science and Technology of Ministry of Education, Chongqing University, Chongqing University Cancer Hospital and Chongqing Cancer Institute and Chongqing Cancer Hospital, 400044 Chongqing, China

J Contemp Brachytherapy 2019; 11, 4: 379–383

DOI: https://doi.org/10.5114/jcb.2019.87145

Online publish date: 2019/08/22

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Purpose
Graphical optimization (GO) and inverse planning simulated annealing (IPSA) are the main treatment planning optimization techniques used in patients undergoing 3D brachytherapy treatment. This study aims to compare the dosimetric difference of plans optimized by GO and IPSA in cervical cancer brachytherapy.

Material and methods
21 cervical cancer patients data sets consisted of computed tomography (CT) and magnetic resonance imaging (MRI), acquired with the Fletcher applicator in situ were transferred to the Oncentra brachytherapy planning system. For each patient, the treatment plan was initially optimized with GO to reach a maximal D₉₀ tumor dose (6 Gy/fraction, 5 fractions), while keeping the dose to organs at risk (OARs) as low as possible. A second plan was then optimized with IPSA on the same CT images and data set (i.e., contours, catheters, and location of dwell points). Targets and OARs dose volume histograms and irradiation time were compared; data were analyzed with paired t-test; p value < 0.05 was considered statistically significant.

Results
The plans with both optimizations meet the clinical requirements. The mean D₉₀ of the clinical target volume was comparable for GO and IPSA. Similar values (p > 0.05) of target V₁₀₀, V₁₅₀, V₂₀₀, HI, and CI were registered for GO and IPSA optimizations. Bladder and rectum D_1cc and D_2cc obtained by GO resulted in larger values than those obtained by IPSA (p = 0.002). V₇₅ for bladder and rectum were slightly higher for IPSA, but without statistical difference (p > 0.05). The irradiation time was comparable (p > 0.05).

Conclusions
In 3D brachytherapy of cervical cancer, GO and IPSA optimizations do not present a significant difference in target dose coverage; nevertheless, IPSA may reduce the maximum dose to normal tissue when compared with GO.

keywords:

Dosimetric comparison of graphical optimization and inverse planning simulated annealing for brachytherapy of cervical cancer

Bin Tang 1, 2 , Xiangyu Liu 3 , Xianliang Wang 1, 2 , Shengwei Kang 1, 2 , Pei Wang 1 , Jie Li 1 , Lucia Clara Orlandini 1

cervical cancer, 3D brachytherapy, optimization methods

Bin Tang

^{1, 2}

,

Xiangyu Liu

³

,

Xianliang Wang

^{1, 2}

,

Shengwei Kang

^{1, 2}

,

Pei Wang

¹

,

Jie Li

¹

,

Lucia Clara Orlandini

¹