A nonconvex optimization approach to IMRT planning with dose-volume constraints

 Maass, K., Kim, M., & Aravkin, A. (2020). A nonconvex optimization approach to IMRT planning with dose-volume constraints. arXiv preprint arXiv:1907.10712. 

Fluence map optimization for intensity-modulated radiation therapy planning can be formulated as a large-scale inverse problem with multi-objectives on the tumors and organs-at-risk. Unfortunately, clinically relevant dose-volume constraints are nonconvex, so convex formulations and algorithms cannot be directly applied to the problem. We propose a novel approach to handle dose-volume constraints while preserving their nonconvexity, as opposed to previous efforts which focused on convex approximations. We develop efficient, provably convergent algorithms based on partial minimization, and show how to adapt them to handle maximum-dose constraints and infeasible problems. We demonstrate our approach using the CORT dataset, and show that it is easily adaptable to radiation treatment planning with dose-volume constraints for multiple tumors and organs-at-risk.

Status of Research
Forthcoming
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