Evaluation of plan quality improvements in PlanIQ-guided Autoplanning
| Autor: | Harikrishna Etti Sundaresan, Natarajan Ramar, Vaitheeswaran Ranganathan, S. R. Meher, Bojarajan Perumal, Gipson Joe Anto |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Computer science media_common.quotation_subject Original research article Plan (drawing) 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Workflow Oncology 030220 oncology & carcinogenesis Organ at risk medicine Radiology Nuclear Medicine and imaging Quality (business) Medical physics media_common |
| Zdroj: | Rep Pract Oncol Radiother |
| ISSN: | 1507-1367 |
| DOI: | 10.1016/j.rpor.2019.08.003 |
| Popis: | Aim Philips recently integrated PlanIQ with Autoplan® in Pinnacle3 TPS (V16.2). The objective of the present work is to quantitatively demonstrate how this integration improves the plan quality. Background Pinnacle3 Autoplan® is the tool that generates the treatment plans with clinically acceptable plan quality with less manual intervention. In the recent past, a new tool called PlanIQ (Sun Nuclear Corp.) was introduced for a priori estimation of the best possible sparing of an organ at risk (OAR) for a given patient anatomy. Philips has recently integrated PlanIQ tool with Autoplan® for a seamless and efficient planning workflow. Materials and methods We have performed this evaluation in Pinnacle3 TPS (V.16.2) for the VMAT treatment technique. All plans were created using Varian True beam machine with the dual arc technique. Basically, we created two sets of VMAT plans using 6 MV photons. In the first set of VMAT plans (AP_RTOG), we used OAR goals from either RTOG guidelines to perform optimization using Autoplan®. Subsequently, we exported the same dataset to the PlanIQ system to perform feasibility analysis on the OAR goals. These newly obtained OAR goals from PlanIQ were used to generate the other set of plans (AP_PlanIQ plans). We compared the dosimetric results from these two sets of plans in five cases, such as brain, head & neck, lung, abdomen and prostate. Results We compared the dosimetric results for AP_RTOG and AP_PlanIQ plans. We used RTOG guidelines to evaluate the plans and observed that while both sets of plans were meeting the RTOG guidelines in terms of OAR sparing, the AP_PlanIQ plans were significantly better in terms of OAR sparing as compared to AP_RTOG plans without any compromise in the target coverage. Conclusion The results indicate that, although Autoplan helps achieve the user-defined goals without much manual intervention, the plan quality (OAR sparing) can be significantly improved without taking many iterative steps when PlanIQ suggested clinical goals are used in the Autoplan-based optimization. Advances in knowledge At present, there are no published material available about the efficacy of the integration of PlanIQ with Autoplanning®. In the present work, our objective is to evaluate the improvements in plan quality resulting from this integration. |
| Databáze: | OpenAIRE |
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