AbstractObjective To investigate the predictive value of dose-volume histograms (DVHs) of organs at risk (OARs) including the bladder, rectum, and small intestine in volumetric modulated arc therapy (VMAT) plans for cervical cancer. Methods A total of 100 VMAT plans for cervical cancer were assigned into the learning group. The correlation of the anatomical information with the V30, V40, and V50 values of the bladder, rectum, and small intestine was evaluated in the group. The support vector regression (SVR) algorithm was used to establish the correspondence between the anatomical information and the DVHs of OARs. The DVHs of OARs in the verification group containing 20 VMAT plans were predicted based on the anatomical information. Results The DVHs of the bladder, rectum, and small intestine were likely to be influenced mainly by the spatial relationship between these OARs and target volume. In the verification group, the prediction errors of V30,V40 and V50 by SVR algorithm were-2.4%±3.5%,-2.5%±3.8%, and-1.5%±4.9% for the bladder, 0.5%±2.6%,-1.5%±5.1%, and-2.0%±7.4% for the rectum, and-2.9%±5.3%, 2.7%±7.7%, and 5.3%±11.1% for the small intestine, respectively. Conclusions After learning the correlation between the anatomical information and the DVHs of OARs from prior VMAT plans for cervical cancer, SVR algorithm can precisely predict the DVHs of the bladder, rectum, and small intestine based on the anatomical information.
Corresponding Authors:
Bai Sen,Email:baisen@scu.edu.cn
E-mail: baisen@scu.edu.cn
Cite this article:
Wang Qiang,Li Guangjun,Song Ying et al. Predictive value of dose-volume histograms of organs at risk in volumetric modulated arc therapy plans for cervical cancer[J]. Chinese Journal of Radiation Oncology, 2016, 25(8): 839-842.
Wang Qiang,Li Guangjun,Song Ying et al. Predictive value of dose-volume histograms of organs at risk in volumetric modulated arc therapy plans for cervical cancer[J]. Chinese Journal of Radiation Oncology, 2016, 25(8): 839-842.
[1] Portelance L,Chao KSC,Grigsby PW,et al. Intensity-modulated radiation therapy (IMRT) reduces small bowel,rectum,and bladder doses in patients with cervical cancer receiving pelvic and para-aortic irradiation[J].Int J Radiat Oncol Biol Phys,2001,51(1):261-266.DOI:10.1016/S0360-3016(01)01664-9 [2] Fernandez-Ots A,Crook J.The role of intensity modulated radiotherapy in gynecological radiotherapy:present and future[J].Rep Prac Oncol Radiother,2013,18(6):363-370.DOI:10.1016/j.rpor.2013.08.001 [3] Cozzi L,Dinshaw KA,Shrivastava SK,et al. A treatment planning study comparing volumetric arc modulation with RapidArc and fixed field IMRT for cervix uteri radiotherapy[J].Radiother Oncol,2008,89(2):180-191.DOI:10.1016/j.radonc.2008.06.013 [4] 杨波,庞廷田,孙显松,等.宫颈癌术后盆腔容积调强弧形治疗与固定野调强放疗计划的剂量学研究[J].中华放射肿瘤学杂志,2012,21(6):543-545.DOI:10.3760/cma.j.issn.1004-4221.2012.06.018 Yang B,Pang TT,Sun XS,et al. Dosimetric study of volumetric intensity-modulated arc therapy and fixed field intensity-modulated radiotherapy for cervix cancer[J].Chin J Radiat Oncol,2012,21(6):543-545.DOI:10.3760/cma.j.issn.1004-4221.2012.06.018 [5] Zhu XF,Ge YR,Li TR,et al. A planning quality evaluation tool for prostate adaptive IMRT based on machine learning[J].Med Phys,2011,38(2):719-726.DOI:10.1118/1.3539749 [6] Pelckmans K,Suykens JAK,Van Gestel T,et al. LS-SVMlab:a MATLAB/c toolbox for least squares support vector machines[R].Internal Report 02-44,ESAT-SISTA,K.U.Leuven,2002 [7] Njeh CF,Parker BC,Orton CG,et al. Evaluation of treatment plans using target and normal tissue DVHs is no longer appropriate[J].Med Phys,2015,42(5):2099-2102.DOI:10.1118/1.4903902 [8] Chanyavanich V,Das SK,Lee WR,et al. Knowledge-based IMRT treatment planning for prostate cancer[J].Med Phys,2011,38(5):2515-2522.DOI:10.1118/1.3574874 [9] Yuan LL,Ge YR,Lee WR,et al. Quantitative analysis of the factors which affect the interpatient organ-at-risk dose sparing variation in IMRT plans[J].Med Phys,2012,39(11):6868-6878.DOI:10.1118/1.4757927 [10] MooreKL,Brame RS,Low DA,et al.Experience-based quality control of clinical intensity-modulated radiotherapy planning[J].Int J Radiat Oncol Biol Phys,2011,81(2):545-551.DOI:10.1016/j.ijrobp.2010.11.030