Prediction method for organs at risk average dosage in intensity modulated radiation therapy and application thereof

An intensity-modulated radiation therapy and prediction method technology, which is applied in radiation therapy, X-ray/γ-ray/particle irradiation therapy, treatment, etc., can solve problems such as high requirements for equipment, lack of prediction methods, complex prediction methods, etc., and achieve data Ease, simple method, effect of reducing impact

Inactive Publication Date: 2016-10-26
THE AFFILIATED HOSPITAL OF SOUTHWEST MEDICAL UNIV
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  • Abstract
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  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, in the actual IM optimization process, due to the influence of optimization methods, means, and human factors, most radiotherapy centers control organs at risk within a limited range, but due to the lack of effective prediction methods, the final absorbed dose to organs at risk depends more on Based on the experience of each radiotherapy unit, subjective factors have a great influence on the optimization process of radiotherapy plan
[0005] The existing prediction method is to establish a prediction model for intensity-modulated radiotherapy by extracting the dose information of each sampling point of organs at risk in the treatment plan, and use this model to predict the dose-volume curve of organs at risk before making an intensity-modulated radiotherapy plan. Guarantee the quality of intensity-modulated radiotherapy plan, but the prediction method is relatively complicated and requires high requirements for related equipment, so it is difficult to be widely and specifically applied in the preparation of intensity-modulated radiotherapy plan

Method used

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  • Prediction method for organs at risk average dosage in intensity modulated radiation therapy and application thereof
  • Prediction method for organs at risk average dosage in intensity modulated radiation therapy and application thereof
  • Prediction method for organs at risk average dosage in intensity modulated radiation therapy and application thereof

Examples

Experimental program
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Effect test

Embodiment 1

[0059] In this embodiment, the medical records of two groups of intensity-modulated nasopharyngeal carcinoma patients and cervical cancer patients were selected, 50 copies for each group, and the inner ear, oral cavity, parotid gland, glottis and larynx of the patients with intensity-modulated nasopharyngeal carcinoma were selected respectively. The six organs-at-risk of the pharynx and esophagus, and the two organs-at-risk of the bladder and rectum of patients with cervical cancer were used as templates.

[0060] First, the volume of the selected organ at risk and the intersecting volume of the organ at risk and the planned target volume are collected. The specific collection process is as follows:

[0061] Scan the cross-sectional images of the corresponding parts of the patient through the CT machine; transfer the scanned CT images to the Pinnacle radiotherapy planning software; use the delineation tool in the Pinnacle software to delineate each organ at risk and the planned...

Embodiment 2

[0092] This example is based on the average dose prediction method for organs at risk in intensity-modulated radiotherapy described in the above examples, and provides a specific application method for the prediction method. The average dose obtained by optimization in the strong plan is not greater than the average dose obtained by prediction, thus reducing the influence of subjective factors in the process of radiotherapy plan optimization.

[0093] Specific steps such as Figure 9 shown, including the following steps:

[0094] (A) Given a definite prescribed dose Dp;

[0095] (B) Obtain the functional relationship formula between Vox / Vx and Dmx / Dp of the relevant organs at risk by the prediction method, and according to the known prescription dose Dp, the intersecting volume Vox of the tumor planning target area and the organ at risk, the volume of the organ at risk Vx , calculate and obtain the average dose Dmx1 of relevant organs at risk;

[0096] (C) Perform simulated i...

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Abstract

The invention discloses a method for predicting the average dose of organs at risk in intensity-modulated radiotherapy, comprising the following steps: 1) Obtaining the functional relationship formula between Vox/Vx and Dmx/Dp, wherein, Vx is the volume of organs at risk, and Vox is The intersection volume of the organ at risk and the planned target area, Dp is the prescribed dose, and Dmx is the average dose of the organ at risk; 2) The average dose of the organ at risk is predicted by the functional relationship formula. The specific application of this prediction method includes the following steps: A) determine Dp; B) obtain the average dose Dmx1 of the relevant organs at risk according to the functional relationship formula between Vox/Vx and Dmx/Dp obtained by the prediction method; C) carry out simulation adjustment Strong optimization, get the average dose Dmx2; D) Compare Dmx1 and Dmx2; E) When Dmx2≤Dmx1, meet the standard; Dmx2>Dmx1, continue to optimize the intensity modulation. The invention is easy to collect data, conveniently establishes an organ-at-risk prediction model suitable for corresponding departments' treatment planning systems and equipment, and reduces the influence of subjective factors in the optimization process of radiotherapy plans.

Description

technical field [0001] The invention relates to the technical field of medical radiation therapy, in particular to a method for predicting the average dose of organs at risk in intensity-modulated radiotherapy and specific applications of the prediction method. Background technique [0002] At present, the most important treatment methods for malignant tumors include surgery, chemotherapy and radiation therapy. Especially for patients with advanced cancer, radiation therapy accounts for a large proportion; and among radiation therapy methods, nearly two One of the most widely used treatment methods at home and abroad in the past ten years is intensity-modulated radiotherapy. [0003] Intensity-modulated radiation therapy, that is, intensity-modulated conformal radiation therapy, is a kind of three-dimensional conformal radiation therapy, which requires the dose intensity in the radiation field to be adjusted according to certain requirements, referred to as intensity-modulat...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61N5/10
CPCA61N5/1031
Inventor 孙小杨庞皓文杨波
Owner THE AFFILIATED HOSPITAL OF SOUTHWEST MEDICAL UNIV
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