Full Monte Carlo-Based Biologic Treatment Plan Optimization System for Intensity Modulated Carbon Ion Therapy on Graphics Processing Unit.

Purpose: One of the major benefits of carbon ion therapy is enhanced biological effectiveness at the Bragg peak region. For intensity modulated carbon ion therapy (IMCT), it is desirable to use Monte Carlo (MC) methods to compute the properties of each pencil beam spot for treatment planning, becaus...

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Published in:International Journal of Radiation Oncology, Biology, Physics Vol. 100; no. 1; pp. 235 - 244
Main Authors: Qin, Nan, Shen, Chenyang, Tian, Zhen, Pompos, Arnold, Jiang, Steve B., Jia, Xun, Tsai, Min-Yu, Pinto, Marco, Dedes, Georgios, Parodi, Katia
Format: research Journal Article
Published: Pergamon Press - An Imprint of Elsevier Science Jan2018
Online Access:View this record in EBSCOhost
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      dt: Jan2018
      vid: 100
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      pub: Pergamon Press - An Imprint of Elsevier Science
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        atl: Full Monte Carlo-Based Biologic Treatment Plan Optimization System for Intensity Modulated Carbon Ion Therapy on Graphics Processing Unit.
      aug:
        au:
          Qin, Nan
          Shen, Chenyang
          Tian, Zhen
          Pompos, Arnold
          Jiang, Steve B.
          Jia, Xun
          Tsai, Min-Yu
          Pinto, Marco
          Dedes, Georgios
          Parodi, Katia
        affil: Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas
      sug:
        subj:
          Radiotherapy, Computer-Assisted Methods
          Radiotherapy, Conformal Methods
          Radiotherapy Methods
          Systems Analysis
          Therapeutics Methods
          Radiation Dosage
          Male
          Radiotherapy, Conformal Standards
          Radiotherapy, Computer-Assisted Standards
          Body Regions
          Radiotherapy Standards
          Linear Regression
          Therapeutics Standards
          User-Computer Interface
          Pancreatic Neoplasms
          Pancreatic Neoplasms Radiotherapy
          Prostatic Neoplasms Radiotherapy
          Algorithms
          Prostatic Neoplasms
          Human
          Funding Source
          Male
      ab: Purpose: One of the major benefits of carbon ion therapy is enhanced biological effectiveness at the Bragg peak region. For intensity modulated carbon ion therapy (IMCT), it is desirable to use Monte Carlo (MC) methods to compute the properties of each pencil beam spot for treatment planning, because of their accuracy in modeling physics processes and estimating biological effects. We previously developed goCMC, a graphics processing unit (GPU)-oriented MC engine for carbon ion therapy. The purpose of the present study was to build a biological treatment plan optimization system using goCMC.Methods and Materials: The repair-misrepair-fixation model was implemented to compute the spatial distribution of linear-quadratic model parameters for each spot. A treatment plan optimization module was developed to minimize the difference between the prescribed and actual biological effect. We used a gradient-based algorithm to solve the optimization problem. The system was embedded in the Varian Eclipse treatment planning system under a client-server architecture to achieve a user-friendly planning environment. We tested the system with a 1-dimensional homogeneous water case and 3 3-dimensional patient cases.Results: Our system generated treatment plans with biological spread-out Bragg peaks covering the targeted regions and sparing critical structures. Using 4 NVidia GTX 1080 GPUs, the total computation time, including spot simulation, optimization, and final dose calculation, was 0.6 hour for the prostate case (8282 spots), 0.2 hour for the pancreas case (3795 spots), and 0.3 hour for the brain case (6724 spots). The computation time was dominated by MC spot simulation.Conclusions: We built a biological treatment plan optimization system for IMCT that performs simulations using a fast MC engine, goCMC. To the best of our knowledge, this is the first time that full MC-based IMCT inverse planning has been achieved in a clinically viable time frame.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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