Influence of Segment Shape Optimization Parameter in Radiotherapy Volumetric Modulated Arc Therapy Planning of Cervical Cancer

Introduction: The aim of this study is to find out the influence of different Segment shape optimization (SSO) parameters in radiotherapy Volumetric Modulated Arc therapy (VMAT) planning of Cervical Cancer and to find out the optimized value for cervical cancer patients.Material and Methods: It was...

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Main Authors: Nidhi Jain, Alok Kumar, Ashok Kumar
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2024-07-01
Series:Iranian Journal of Medical Physics
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Online Access:https://ijmp.mums.ac.ir/article_25065_9b27e8f4a5ed797034fd815a1b2d5e20.pdf
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author Nidhi Jain
Alok Kumar
Ashok Kumar
author_facet Nidhi Jain
Alok Kumar
Ashok Kumar
author_sort Nidhi Jain
collection DOAJ
description Introduction: The aim of this study is to find out the influence of different Segment shape optimization (SSO) parameters in radiotherapy Volumetric Modulated Arc therapy (VMAT) planning of Cervical Cancer and to find out the optimized value for cervical cancer patients.Material and Methods: It was a retrospective study of 20 Ca cervix patients. Every patient had six plans named SL1, SL5, SL10, SL15, SL20, and NSL. In each case, the value of the shaping loop will be changed during the VMAT plan, while the other optimization parameters and constraint functions will remain the same in each case. All Dosimetric parameters have been measured and analysed for Planning Target Volume (PTV) and Organ at risk (OAR) dose, Monitor Unit (MU), memory, Plan Delivery Time (PDT), and Gamma Passing Rate (GPR) for comparison purposes.Results: In NSL cases, the PTV dose derived from the DVH did not meet the clinical standards D95% = 86.8% (<95%) with a poorer homogeneity index (HI = 0.2). As the SL value increases, plan quality increases, monitor units increase slightly and plan delivery time decreases while there is a parallel increase in memory consumption. There is no statistical difference in target dose and OAR dose between the SL5 and SL1 plans (P > 0.05) compared with the other groups. SL5 has the least plan memory compared to other SL values.Conclusion: Based on the plan quality, the dose accuracy, and the efficiency of delivery, SL1 and SL5 have similar characteristics in cervical cancer cases. Both SL1 and SL5 values should recommend for cervical cancer VMAT planning.
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spelling doaj-art-85168ce722cd496fb910d3135d2c3f632025-01-18T07:32:32ZengMashhad University of Medical SciencesIranian Journal of Medical Physics2345-36722024-07-0121425826410.22038/ijmp.2023.69271.222025065Influence of Segment Shape Optimization Parameter in Radiotherapy Volumetric Modulated Arc Therapy Planning of Cervical CancerNidhi Jain0Alok Kumar1Ashok Kumar2Department of Physics, AIAS, Amity University, U.P., IndiaDepartment of Radiation Oncology, Netaji Subhas Chandra Bose Cancer Hospital and Institute, Kolkata, West Bengal, IndiaDepartment of Physics, AIAS, Amity University, U.P., IndiaIntroduction: The aim of this study is to find out the influence of different Segment shape optimization (SSO) parameters in radiotherapy Volumetric Modulated Arc therapy (VMAT) planning of Cervical Cancer and to find out the optimized value for cervical cancer patients.Material and Methods: It was a retrospective study of 20 Ca cervix patients. Every patient had six plans named SL1, SL5, SL10, SL15, SL20, and NSL. In each case, the value of the shaping loop will be changed during the VMAT plan, while the other optimization parameters and constraint functions will remain the same in each case. All Dosimetric parameters have been measured and analysed for Planning Target Volume (PTV) and Organ at risk (OAR) dose, Monitor Unit (MU), memory, Plan Delivery Time (PDT), and Gamma Passing Rate (GPR) for comparison purposes.Results: In NSL cases, the PTV dose derived from the DVH did not meet the clinical standards D95% = 86.8% (<95%) with a poorer homogeneity index (HI = 0.2). As the SL value increases, plan quality increases, monitor units increase slightly and plan delivery time decreases while there is a parallel increase in memory consumption. There is no statistical difference in target dose and OAR dose between the SL5 and SL1 plans (P > 0.05) compared with the other groups. SL5 has the least plan memory compared to other SL values.Conclusion: Based on the plan quality, the dose accuracy, and the efficiency of delivery, SL1 and SL5 have similar characteristics in cervical cancer cases. Both SL1 and SL5 values should recommend for cervical cancer VMAT planning.https://ijmp.mums.ac.ir/article_25065_9b27e8f4a5ed797034fd815a1b2d5e20.pdfcervical cancervmatsequencing parametervolumetric modulated arc therapy
spellingShingle Nidhi Jain
Alok Kumar
Ashok Kumar
Influence of Segment Shape Optimization Parameter in Radiotherapy Volumetric Modulated Arc Therapy Planning of Cervical Cancer
Iranian Journal of Medical Physics
cervical cancer
vmat
sequencing parameter
volumetric modulated arc therapy
title Influence of Segment Shape Optimization Parameter in Radiotherapy Volumetric Modulated Arc Therapy Planning of Cervical Cancer
title_full Influence of Segment Shape Optimization Parameter in Radiotherapy Volumetric Modulated Arc Therapy Planning of Cervical Cancer
title_fullStr Influence of Segment Shape Optimization Parameter in Radiotherapy Volumetric Modulated Arc Therapy Planning of Cervical Cancer
title_full_unstemmed Influence of Segment Shape Optimization Parameter in Radiotherapy Volumetric Modulated Arc Therapy Planning of Cervical Cancer
title_short Influence of Segment Shape Optimization Parameter in Radiotherapy Volumetric Modulated Arc Therapy Planning of Cervical Cancer
title_sort influence of segment shape optimization parameter in radiotherapy volumetric modulated arc therapy planning of cervical cancer
topic cervical cancer
vmat
sequencing parameter
volumetric modulated arc therapy
url https://ijmp.mums.ac.ir/article_25065_9b27e8f4a5ed797034fd815a1b2d5e20.pdf
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AT alokkumar influenceofsegmentshapeoptimizationparameterinradiotherapyvolumetricmodulatedarctherapyplanningofcervicalcancer
AT ashokkumar influenceofsegmentshapeoptimizationparameterinradiotherapyvolumetricmodulatedarctherapyplanningofcervicalcancer