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Two non-parametric methods for derivation of constraints from radiotherapy dose-histogram data.
Phys. Med. Biol. 59, N101-N111 (2014)
Dose constraints based on histograms provide a convenient and widely-used method for informing and guiding radiotherapy treatment planning. Methods of derivation of such constraints are often poorly described. Two non-parametric methods for derivation of constraints are described and investigated in the context of determination of dose-specific cut-points-values of the free parameter (e.g., percentage volume of the irradiated organ) which best reflect resulting changes in complication incidence. A method based on receiver operating characteristic (ROC) analysis and one based on a maximally-selected standardized rank sum are described and compared using rectal toxicity data from a prostate radiotherapy trial. Multiple test corrections are applied using a free step-down resampling algorithm, which accounts for the large number of tests undertaken to search for optimal cut-points and the inherent correlation between dose-histogram points. Both methods provide consistent significant cut-point values, with the rank sum method displaying some sensitivity to the underlying data. The ROC method is simple to implement and can utilize a complication atlas, though an advantage of the rank sum method is the ability to incorporate all complication grades without the need for grade dichotomization.
Impact Factor
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Times Cited
Times Cited
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2.922
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2
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Radiotherapy ; Dose Volume Histograms ; Treatment Complications ; Toxicity ; Constraints; Late Rectal Toxicity; 03.04 Radar Trial; Prostate-cancer; Conformal Radiotherapy; Volume Histograms; Optimal Cutpoints; Statistics; Grade-2; System; Impact
Language
english
Publication Year
2014
HGF-reported in Year
2014
ISSN (print) / ISBN
0031-9155
e-ISSN
1361-6560
Journal
Physics in Medicine and Biology
Quellenangaben
Volume: 59,
Issue: 13,
Pages: N101-N111
Publisher
Institute of Physics Publishing (IOP)
Publishing Place
Bristol
Reviewing status
Peer reviewed
Institute(s)
Institute of Computational Biology (ICB)
POF-Topic(s)
30205 - Bioengineering and Digital Health
Research field(s)
Enabling and Novel Technologies
PSP Element(s)
G-503800-001
WOS ID
WOS:000338424800001
Scopus ID
84902490624
Erfassungsdatum
2014-08-04