Fluence Map Optimization Using Accelerated Proximal Gradient

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Solution Overview

Problem

Current methods for fluence map optimization in radiation treatment planning, such as interior point methods and gradient-based methods, face limitations in handling large-scale problems and nondifferentiable objective functions, leading to computational intensity and restricted treatment plan quality.

Innovation Solution

The implementation of a proximal gradient method, specifically an accelerated proximal gradient method like FISTA, with smoothed-out nondifferentiable penalty functions to compute fluence maps that ensure precise radiation delivery to target regions while minimizing exposure to organs-at-risk, using penalty functions like Li-type or L2-type penalties.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If interior point methods are used to solve fluence map optimization problems, then small and medium-size problems can be solved effectively, but large-scale problems become prohibitively computationally intensive

Engineering Contradiction:
Improveoptimization accuracyVSAvoidcomputation speed
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The patent transforms the fluence map optimization problem by changing the parameter representation and objective function formulation. Instead of using traditional linear or quadratic programming formulations that require solving large linear systems, the patent reformulates the problem with a different objective function that can be solved using gradient-based methods, thereby improving computational efficiency for large-scale problems while maintaining optimization accuracy

Inventive Principle:
Principle #35Parameter changes

Solution Approach 2:

The patent replaces the mechanical/mathematical system of interior point methods (which require solving large linear systems of equations) with a gradient-based optimization approach. This substitution eliminates the need to solve large linear systems at each iteration, significantly reducing computational intensity for large-scale fluence map optimization problems

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Productivity

If gradient-based methods are used for fluence map optimization, then computational efficiency improves for large-scale problems, but the ability to handle nondifferentiable objective functions and complex constraints is lost

Engineering Contradiction:
Improvecomputation speedVSAvoidhandling capability
Core Design Contradiction:
ProductivityVSAdaptability or versatility

Solution Approach 1:

The patent changes the parameter formulation of the objective function to make it differentiable while preserving the essential optimization goals. By reformulating nondifferentiable penalty functions (such as those based on L1 norms or other non-smooth constraints) into differentiable forms, the patent enables the use of gradient-based methods without losing the ability to handle complex constraints and objective functions

Inventive Principle:
Principle #35Parameter changes

Solution Approach 2:

The patent introduces intermediary differentiable functions that approximate nondifferentiable objective functions and constraints. These intermediary functions serve as mediators that allow gradient-based methods to operate effectively while still capturing the essential behavior of the original nondifferentiable problem, thereby maintaining handling capability for complex constraints

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentEP3426345B1Fluence map generation methods for radiotherapy
Publication Date: 2021.06.23 REFLEXION MEDICAL INC
  • EP3426345B1 patent drawingFigure 1A
  • EP3426345B1 patent drawingFigure 1B
  • EP3426345B1 patent drawingFigure 1C

AI summary

Described herein are methods for fluence map generation or fluence map optimization (FMO) for radiation therapy. One variation of a method for generating a fluence map comprises smoothing out nondifferentiable penalty functions and using an accelerated proximal gradient method (e.g., FISTA) to compute a fluence map that may be used by a radiotherapy system to apply a selected dose of radiation to one or more regions of interest (ROI) or volumes of interest (VOI).