Optimization of radiation therapy fractionation schedules in the presence of tumor repopulation
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Publication:2802256
DOI10.1287/IJOC.2015.0659zbMATH Open1338.90440arXiv1312.1332OpenAlexW1612099526MaRDI QIDQ2802256FDOQ2802256
Jan Unkelbach, John N. Tsitsiklis, Jagdish Ramakrishnan, Thomas Bortfeld
Publication date: 25 April 2016
Published in: INFORMS Journal on Computing (Search for Journal in Brave)
Abstract: We analyze the effect of tumor repopulation on optimal dose delivery in radiation therapy. We are primarily motivated by accelerated tumor repopulation towards the end of radiation treatment, which is believed to play a role in treatment failure for some tumor sites. A dynamic programming framework is developed to determine an optimal fractionation scheme based on a model of cell kill due to radiation and tumor growth in between treatment days. We find that faster tumor growth suggests shorter overall treatment duration. In addition, the presence of accelerated repopulation suggests larger dose fractions later in the treatment to compensate for the increased tumor proliferation. We prove that the optimal dose fractions are increasing over time. Numerical simulations indicate potential for improvement in treatment effectiveness.
Full work available at URL: https://arxiv.org/abs/1312.1332
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Cited In (12)
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- Spatiotemporally Optimal Fractionation in Radiotherapy
- Optimal Fractionation in Radiotherapy
- Adjustable robust treatment-length optimization in radiation therapy
- Optimization of antitumor radiotherapy fractionation via mathematical modeling with account of 4 R's of radiobiology
- Temporal optimization of radiation therapy to heterogeneous tumour populations and cancer stem cells
- Repopulation of Tumour Cells during Radiotherapy Is Doubled during Treatment Gaps
- The evolution of tumour composition during fractionated radiotherapy: implications for outcome
- Operator splitting for adaptive radiation therapy with nonlinear health dynamics
- Analytical solution to the radiotherapy fractionation problem including dose bound constraints
- Optimizing Chemoradiotherapy to Target Metastatic Disease and Tumor Growth
- Robust spatiotemporally integrated fractionation in radiotherapy
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