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Main Authors: Boroujeni, Nasim Mirzavand, Richard, Jean-Philippe P., Sterling, David, Wilke, Christopher
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2503.06000
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author Boroujeni, Nasim Mirzavand
Richard, Jean-Philippe P.
Sterling, David
Wilke, Christopher
author_facet Boroujeni, Nasim Mirzavand
Richard, Jean-Philippe P.
Sterling, David
Wilke, Christopher
contents High dose rate brachytherapy (HDR-BT) is an appealing treatment option for superficial cancers that permits the delivery of higher local doses than other radiation modalities without a significant increase in toxicity. In order for HDR-BT to be used in these situations, needles through which the radiation source is passed must be strategically placed in close proximity to the patient's body. Currently, this crucial step is performed manually by physicians or medical physicists. The use of 3D-printed masks customized for individual patients has been advocated as a way to more precisely and securely position these needles, with the potential of producing better and safer treatment plans. In this paper, we propose optimization approaches for positioning needles within 3D-printed masks for HDR-BT, focusing on skin cancers. We numerically show that the models we propose efficiently generate more homogeneous plans than those derived manually and provide an alternative to manual placement that can save planning time and enhance plan quality.
format Preprint
id arxiv_https___arxiv_org_abs_2503_06000
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Optimization models for needle placement in 3D-printed masks for high dose rate brachytherapy
Boroujeni, Nasim Mirzavand
Richard, Jean-Philippe P.
Sterling, David
Wilke, Christopher
Medical Physics
Optimization and Control
High dose rate brachytherapy (HDR-BT) is an appealing treatment option for superficial cancers that permits the delivery of higher local doses than other radiation modalities without a significant increase in toxicity. In order for HDR-BT to be used in these situations, needles through which the radiation source is passed must be strategically placed in close proximity to the patient's body. Currently, this crucial step is performed manually by physicians or medical physicists. The use of 3D-printed masks customized for individual patients has been advocated as a way to more precisely and securely position these needles, with the potential of producing better and safer treatment plans. In this paper, we propose optimization approaches for positioning needles within 3D-printed masks for HDR-BT, focusing on skin cancers. We numerically show that the models we propose efficiently generate more homogeneous plans than those derived manually and provide an alternative to manual placement that can save planning time and enhance plan quality.
title Optimization models for needle placement in 3D-printed masks for high dose rate brachytherapy
topic Medical Physics
Optimization and Control
url https://arxiv.org/abs/2503.06000