A fully flexible joint lattice position and dose optimization method for LATTICE therapy

Fuente: arXiv
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Main Authors: Tong, Xin, Zhang, Weijie, Zhu, Ya-Nan, Hong, Xue, Wang, Chao, Setianegara, Jufri, Lin, Yuting, Gao, Hao
Format: Preprint
Published: 2025
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_version_ 1866918025481945088
author Tong, Xin
Zhang, Weijie
Zhu, Ya-Nan
Hong, Xue
Wang, Chao
Setianegara, Jufri
Lin, Yuting
Gao, Hao
author_facet Tong, Xin
Zhang, Weijie
Zhu, Ya-Nan
Hong, Xue
Wang, Chao
Setianegara, Jufri
Lin, Yuting
Gao, Hao
contents Lattice radiotherapy (LATTICE) is a form of spatially fractionated radiation therapy (SFRT) designed to deliver high doses to tumor regions while sparing surrounding tissues. Traditional LATTICE uses rigid vertex patterns, limiting adaptability for irregular tumors or those near critical organs. This study introduces a novel planning method with flexible vertex placement and joint optimization of vertex positions and dose distribution, enhancing treatment precision. The method integrates vertex positioning with other treatment variables within a constrained optimization framework, allowing dynamic adjustments. Results showed that plans generated with the new method (NEW) demonstrated superior or comparable quality to conventional LATTICE plans, with improvements in the optimization objective and peak-to-valley dose ratio (PVDR). This approach offers significant improvements in target dose conformity and OAR sparing, providing an enhanced LATTICE technique.
format Preprint
id arxiv_https___arxiv_org_abs_2505_08679
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A fully flexible joint lattice position and dose optimization method for LATTICE therapy
Tong, Xin
Zhang, Weijie
Zhu, Ya-Nan
Hong, Xue
Wang, Chao
Setianegara, Jufri
Lin, Yuting
Gao, Hao
Medical Physics
Lattice radiotherapy (LATTICE) is a form of spatially fractionated radiation therapy (SFRT) designed to deliver high doses to tumor regions while sparing surrounding tissues. Traditional LATTICE uses rigid vertex patterns, limiting adaptability for irregular tumors or those near critical organs. This study introduces a novel planning method with flexible vertex placement and joint optimization of vertex positions and dose distribution, enhancing treatment precision. The method integrates vertex positioning with other treatment variables within a constrained optimization framework, allowing dynamic adjustments. Results showed that plans generated with the new method (NEW) demonstrated superior or comparable quality to conventional LATTICE plans, with improvements in the optimization objective and peak-to-valley dose ratio (PVDR). This approach offers significant improvements in target dose conformity and OAR sparing, providing an enhanced LATTICE technique.
title A fully flexible joint lattice position and dose optimization method for LATTICE therapy
topic Medical Physics
url https://arxiv.org/abs/2505.08679