Convex methods for radiation treatment planning

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Abstract/Contents

Abstract
Upwards of 1.6 million cases of cancer are diagnosed each year in the US alone, and two-thirds of those patients receive radiation therapy (RT). For each such patient, clinicians design an individualized treatment plan based on anatomy scans and the capabilities of their clinic's radiation delivery hardware. Treatment planning involves fundamental tensions between tumor coverage and toxicity to surrounding healthy tissues. Increasingly sophisticated RT hardware and planning algorithms have been designed to address these challenges, but come with commensurate increases in computational burden. This thesis addresses two planning challenges common to all modern RT modalities: (1) efficiently solving large scale intensity optimization problems, and (2) satisfying the (nonconvex) radiation dose constraints derived from clinical trials. We formulate the treatment planning problem as a convex minimization. We introduce methods for approximately solving treatment planning problems at dramatically reduced computational cost, and appeal to our convex problem formulation and duality theory to obtain bounds on the suboptimality of these approximations. We then present a framework for handling all desired clinical objectives via convex surrogates. We implement these methods as open-source software packages that make use of modern, general purpose convex solvers. Collectively, this thesis lays the groundwork for a core, modality-agnostic, intensity optimization module that can incorporated as-is into virtually all planning algorithms used in current practice or proposed in the literature.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2019; ©2019
Publication date 2019; 2019
Issuance monographic
Language English

Creators/Contributors

Author Ungun, Baris
Degree supervisor Xing, Lei
Thesis advisor Xing, Lei
Thesis advisor Altman, Russ
Thesis advisor Boyd, Stephen P
Degree committee member Altman, Russ
Degree committee member Boyd, Stephen P
Associated with Stanford University, Department of Bioengineering.

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Baris Ungun.
Note Submitted to the Department of Bioengineering.
Thesis Thesis Ph.D. Stanford University 2019.
Location electronic resource

Access conditions

Copyright
© 2019 by Baris Ungun
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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