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Study of Asymmetric Margins in Prostate Cancer Radiation Therapy Using Fuzzy Logic
PURPOSE: The purpose of present study is to estimate asymmetric margins of prostate target volume based on biological limitations with help of knowledge based fuzzy logic considering the effect of organ motion and setup errors. MATERIALS AND METHODS: A novel application of fuzzy logic modelling tech...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7416865/ https://www.ncbi.nlm.nih.gov/pubmed/32831491 http://dx.doi.org/10.4103/jmp.JMP_110_19 |
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author | Patnaikuni, Santosh Kumar Saini, Sapan Mohan Chandola, Rakesh Mohan Chandrakar, Pradeep Chaudhary, Vivek |
author_facet | Patnaikuni, Santosh Kumar Saini, Sapan Mohan Chandola, Rakesh Mohan Chandrakar, Pradeep Chaudhary, Vivek |
author_sort | Patnaikuni, Santosh Kumar |
collection | PubMed |
description | PURPOSE: The purpose of present study is to estimate asymmetric margins of prostate target volume based on biological limitations with help of knowledge based fuzzy logic considering the effect of organ motion and setup errors. MATERIALS AND METHODS: A novel application of fuzzy logic modelling technique considering radiotherapy uncertainties including setup, delineation and organ motion was used in this study to derive margins. The new margin was applied in prostate cancer treatment planning and the results compared very well to current techniques Here volumetric modulated arc therapy treatment plans using stepped increments of asymmetric margins of planning target volume (PTV) were performed to calculate the changes in prostate radiobiological indices and results were used to formulate the rule based and membership function for Mamdani-type fuzzy inference system. The optimum fuzzy rules derived from input data, the clinical goals and knowledge-based conditions imposed on the margin limits. The PTV margin obtained using the fuzzy model was compared to the commonly used margin recipe. RESULTS: For total displacement standard errors ranging from 0 to 5 mm the fuzzy PTV margin was found to be up to 0.5 mm bigger than the vanHerk derived margin, however taking the modelling uncertainty into account results in a good match between the PTV margin calculated using our model and the one based on van Herk et al. formulation for equivalent errors of up to 5 mm standard deviation (s. d.) at this range. When the total displacement standard errors exceed 5 mm s. d., the fuzzy margin remained smaller than the van Herk margin. CONCLUSION: The advantage of using knowledge based fuzzy logic is that a practical limitation on the margin size is included in the model for limiting the dose received by the critical organs. It uses both physical and radiobiological data to optimize the required margin as per clinical requirement in real time or adaptive planning, which is an improvement on most margin models which mainly rely on physical data only. |
format | Online Article Text |
id | pubmed-7416865 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-74168652020-08-20 Study of Asymmetric Margins in Prostate Cancer Radiation Therapy Using Fuzzy Logic Patnaikuni, Santosh Kumar Saini, Sapan Mohan Chandola, Rakesh Mohan Chandrakar, Pradeep Chaudhary, Vivek J Med Phys Original Article PURPOSE: The purpose of present study is to estimate asymmetric margins of prostate target volume based on biological limitations with help of knowledge based fuzzy logic considering the effect of organ motion and setup errors. MATERIALS AND METHODS: A novel application of fuzzy logic modelling technique considering radiotherapy uncertainties including setup, delineation and organ motion was used in this study to derive margins. The new margin was applied in prostate cancer treatment planning and the results compared very well to current techniques Here volumetric modulated arc therapy treatment plans using stepped increments of asymmetric margins of planning target volume (PTV) were performed to calculate the changes in prostate radiobiological indices and results were used to formulate the rule based and membership function for Mamdani-type fuzzy inference system. The optimum fuzzy rules derived from input data, the clinical goals and knowledge-based conditions imposed on the margin limits. The PTV margin obtained using the fuzzy model was compared to the commonly used margin recipe. RESULTS: For total displacement standard errors ranging from 0 to 5 mm the fuzzy PTV margin was found to be up to 0.5 mm bigger than the vanHerk derived margin, however taking the modelling uncertainty into account results in a good match between the PTV margin calculated using our model and the one based on van Herk et al. formulation for equivalent errors of up to 5 mm standard deviation (s. d.) at this range. When the total displacement standard errors exceed 5 mm s. d., the fuzzy margin remained smaller than the van Herk margin. CONCLUSION: The advantage of using knowledge based fuzzy logic is that a practical limitation on the margin size is included in the model for limiting the dose received by the critical organs. It uses both physical and radiobiological data to optimize the required margin as per clinical requirement in real time or adaptive planning, which is an improvement on most margin models which mainly rely on physical data only. Wolters Kluwer - Medknow 2020 2020-07-20 /pmc/articles/PMC7416865/ /pubmed/32831491 http://dx.doi.org/10.4103/jmp.JMP_110_19 Text en Copyright: © 2020 Journal of Medical Physics http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Patnaikuni, Santosh Kumar Saini, Sapan Mohan Chandola, Rakesh Mohan Chandrakar, Pradeep Chaudhary, Vivek Study of Asymmetric Margins in Prostate Cancer Radiation Therapy Using Fuzzy Logic |
title | Study of Asymmetric Margins in Prostate Cancer Radiation Therapy Using Fuzzy Logic |
title_full | Study of Asymmetric Margins in Prostate Cancer Radiation Therapy Using Fuzzy Logic |
title_fullStr | Study of Asymmetric Margins in Prostate Cancer Radiation Therapy Using Fuzzy Logic |
title_full_unstemmed | Study of Asymmetric Margins in Prostate Cancer Radiation Therapy Using Fuzzy Logic |
title_short | Study of Asymmetric Margins in Prostate Cancer Radiation Therapy Using Fuzzy Logic |
title_sort | study of asymmetric margins in prostate cancer radiation therapy using fuzzy logic |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7416865/ https://www.ncbi.nlm.nih.gov/pubmed/32831491 http://dx.doi.org/10.4103/jmp.JMP_110_19 |
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