Optimization under uncertainty in radiation therapy

Thesis (Ph. D.)--Massachusetts Institute of Technology, Sloan School of Management, Operations Research Center, 2007.

Bibliographic Details
Main Author: Chan, Timothy Ching-Yee
Other Authors: John N. Tsitsiklis.
Format: Thesis
Language:eng
Published: Massachusetts Institute of Technology 2008
Subjects:
Online Access:http://hdl.handle.net/1721.1/40302
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author Chan, Timothy Ching-Yee
author2 John N. Tsitsiklis.
author_facet John N. Tsitsiklis.
Chan, Timothy Ching-Yee
author_sort Chan, Timothy Ching-Yee
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description Thesis (Ph. D.)--Massachusetts Institute of Technology, Sloan School of Management, Operations Research Center, 2007.
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spelling mit-1721.1/403022019-04-11T13:40:37Z Optimization under uncertainty in radiation therapy Chan, Timothy Ching-Yee John N. Tsitsiklis. Massachusetts Institute of Technology. Operations Research Center. Massachusetts Institute of Technology. Operations Research Center. Operations Research Center. Thesis (Ph. D.)--Massachusetts Institute of Technology, Sloan School of Management, Operations Research Center, 2007. This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections. Includes bibliographical references (p. 175-182). In the context of patient care for life-threatening illnesses, the presence of uncertainty may compromise the quality of a treatment. In this thesis, we investigate robust approaches to managing uncertainty in radiation therapy treatments for cancer. In the first part of the thesis, we study the effect of breathing motion uncertainty on intensity-modulated radiation therapy treatments of a lung tumor. We construct a robust framework that generalizes current mathematical programming formulations that account for motion. This framework gives insight into the trade-off between sparing the healthy tissues and ensuring that the tumor receives sufficient dose. With this trade-off in mind, we show that our robust solution outperforms a nominal (no uncertainty) solution and a margin (worst-case) solution on a clinical case. Next, we perform an in-depth study into the structure of different intensity maps that were witnessed in the first part of the thesis. We consider parameterized intensity maps and investigate their ability to deliver a sufficient dose to the tumor in the presence of motion that follows a Gaussian distribution. We characterize the structure of optimal intensity maps in terms of certain conditions on the problem parameters. (cont.) Finally, in the last part of the thesis, we study intensity-modulated proton therapy under uncertainty in the location of maximum dose deposited by the beamlets of radiation. We provide a robust formulation for the optimization of proton-based treatments and show that it outperforms traditional formulations in the face of uncertainty. In our computational experiments, we see evidence that optimal robust solutions use the physical characteristics of the proton beam to create dose distributions that are far less sensitive to the underlying uncertainty. by Timothy Ching-Yee Chan. Ph.D. 2008-02-27T20:36:33Z 2008-02-27T20:36:33Z 2007 2007 Thesis http://hdl.handle.net/1721.1/40302 191106158 eng M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. http://dspace.mit.edu/handle/1721.1/7582 182 p. application/pdf Massachusetts Institute of Technology
spellingShingle Operations Research Center.
Chan, Timothy Ching-Yee
Optimization under uncertainty in radiation therapy
title Optimization under uncertainty in radiation therapy
title_full Optimization under uncertainty in radiation therapy
title_fullStr Optimization under uncertainty in radiation therapy
title_full_unstemmed Optimization under uncertainty in radiation therapy
title_short Optimization under uncertainty in radiation therapy
title_sort optimization under uncertainty in radiation therapy
topic Operations Research Center.
url http://hdl.handle.net/1721.1/40302
work_keys_str_mv AT chantimothychingyee optimizationunderuncertaintyinradiationtherapy