Dynamic OFV Goal Adjustment in Radiation Treatment Optimization

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Solution Overview

Problem

Existing auto-planning approaches for radiation treatment planning fail to adequately capture patient-to-patient variability and may struggle with difficult or impossible objective goals, leading to suboptimal dose distribution and sparing of critical organs at risk.

Innovation Solution

The method involves performing multiple optimization loops with adjustable objective function value (OFV) goals, allowing for dynamic adjustment of OFV goals based on the compliance of the dose distribution with the current OFV goals, and updating these goals between optimization loops to improve the balance and robustness of the radiation treatment plan.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Extent of automation

If conventional auto-planning approaches are used with fixed objective function value goals, then the planning process is automated, but the system fails to capture patient-to-patient variability and struggles with difficult or impossible objective goals

Engineering Contradiction:
Improveautomation of radiation treatment planningVSAvoidadaptability to patient-specific variability
Core Design Contradiction:
Extent of automationVSAdaptability or versatility

Solution Approach 1:

The patent implements dynamic adjustment of OFV goals across multiple optimization loops. The system transitions from static, fixed OFV goals to dynamic goals that are updated based on compliance metrics from each optimization loop, enabling the system to adapt to patient-specific variability while maintaining automation.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The patent introduces feedback mechanisms where compliance metrics from each optimization loop are used to update OFV goals for subsequent loops. This feedback loop allows the system to learn from previous optimization results and adjust goals accordingly, improving adaptability to difficult or impossible objectives while maintaining automated operation.

Inventive Principle:
Principle #23Feedback

2Adaptability or versatility

If multiple optimization loops with dynamic OFV goal adjustment are implemented, then adaptability to patient-specific variability improves, but the computational complexity and time increase

Engineering Contradiction:
Improveadaptability to patient-specific variabilityVSAvoidoptimization computation time
Core Design Contradiction:
Adaptability or versatilityVSLoss of time

Solution Approach 1:

The patent implements a multi-loop optimization process where the system performs multiple optimization loops with dynamic OFV goal adjustment. This partial action approach allows the system to achieve better adaptability through iterative improvement, balancing the increased computational time against the significant gains in treatment plan quality and patient-specific adaptability.

Inventive Principle:
Principle #16Partial or excessive action

Data Source

PatentUS11517766B2Tuning mechanism for OAR and target objectives during optimization
Publication Date: 2022.12.06 ELEKTA AB
  • US11517766B2 patent drawing
  • US11517766B2 patent drawing
  • US11517766B2 patent drawing

AI summary

In radiation treatment planning, a plurality of optimization loops are performed. In each optimization loop computes a dose distribution (60) in a patient represented by a planning image (42) with regions of interest (ROIs) defined in the planning image. Weights (64) for objective functions (50) are determined from objective function value (OFV) goals (52) for the objective functions. An optimized dose distribution is produced by adjusting the plan parameters to optimize the computed dose distribution respective to composite objective function (62). At least one optimization loop may include updating (70) at least one OFV goal to be used in at least the next performed optimization loop. At least one optimization loop may include updating an objective function quantifying compliance with a target dose for a target ROI based on a comparison of a metric of coverage of the target ROI and a desired coverage of the target ROI.