A mathematical formulation for volume expansions in contouring for radiotherapy planning

J Cancer Res Ther. 2021 Jul-Sep;17(4):1125-1131. doi: 10.4103/jcrt.JCRT_614_19.

Abstract

Context: This research describe the characteristic volume expansion of a moving target as a function of differential margins.

Aim: We aimed to ascertain the volume change after giving margin for clinical and set up uncertainties including generating internal target volume (ITV) for moving target.

Materials and methods: Settings and Design - Spheres of diameter (0.5-10 cm) with differential expansion of 1-15 mm were generated using a mathematical formula. Moving targets of radius 1-5 cm were generated, and the resultant volume envelopes with incremental motion from 1 to 20 mm were obtained. All relative volume change results were fitted with mathematical functions to obtain a generalized mathematical formula.

Statistical analysis used: None.

Results: The percentage increase in volume (%ΔVp) was much more pronounced for smaller radius target. For moving target with relatively smaller radius, %ΔVp is predominant over the absolute volume change and vice versa in case of larger radius. Mathematical formulae were obtained for %ΔVp as a function of radius and expansion and for %ΔVp in ITV volume as a function of radius and tumor movement.

Conclusions: This study provides an idea of volume change for various expansions for various size targets and/or moving target for different range of movements. It establishes a correlation of these volume changes with the changing target size and range of movements. Finally, a clinically useful mathematical formulation on volume expansion has been developed for rapid understanding of the consequence of volume expansion.

Keywords: Margins; radiotherapy; target; volume.

MeSH terms

  • Humans
  • Lung Neoplasms / pathology*
  • Lung Neoplasms / surgery*
  • Models, Theoretical*
  • Movement
  • Radiosurgery / methods*
  • Radiotherapy Planning, Computer-Assisted / methods*
  • Respiration
  • Tomography, X-Ray Computed
  • Tumor Burden*