Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-05-18T08:33:20.860Z Has data issue: false hasContentIssue false
  • English
  • Français

Single catheter 3D volume-based hybrid inverse planning optimisation in IVBT can improve organ sparing

Published online by Cambridge University Press:  16 October 2023

Bijay Kumar Barik Open the ORCID record for Bijay Kumar Barik [Opens in a new window] ,
Juliepriya Jena ,
Dillip Kumar Sahoo ,
Anupam Kumar Muraleedharan ,
Santosh Kumar Parida ,
Bikash Ranjan Mohapatra ,
Sandip Kumar Barik ,
Deepak Kumar Das ,
Saroj Kumar Das Majumdar  and
Dillip Kumar Parida
Bijay Kumar Barik*
Affiliation:
Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, India
Juliepriya Jena
Affiliation:
Army Hospital Research and Referral, New Delhi, India
Dillip Kumar Sahoo
Affiliation:
Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, India
Anupam Kumar Muraleedharan
Affiliation:
Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, India
Santosh Kumar Parida
Affiliation:
Department of Physics, ITER, Siksha O Anusandhan Deemed to be University, Bhubaneswar, India
Bikash Ranjan Mohapatra
Affiliation:
Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, India
Sandip Kumar Barik
Affiliation:
Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, India
Deepak Kumar Das
Affiliation:
Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, India
Saroj Kumar Das Majumdar
Affiliation:
Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, India
Dillip Kumar Parida
Affiliation:
Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, India
*
Corresponding author: Bijay Kumar Barik; Email: bijaybarik007@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Purpose:

To analyse the dosimetric benefit of the hybrid inverse planning optimisation (HIPO) planning method over the graphical optimisation (GrO) planning method for 3D volume-based intravaginal brachytherapy (IVBT) in a mono-centre patient cohort.

Material and methods:

Twenty-five patients surgically staged with endometrial cancer were considered for the study. All the patients had received adjuvant IVBT for three fractions with one-time computed tomography image-based planning. The data on the patient, tumour, plan, and treatment characteristics were retrieved from the database. All the plans were re-optimised with GrO and HIPO techniques for this comparison study. The different dosimetric parameters were compared between the two methods, and the collected data were tabulated and shown graphically. The statistical evaluation was performed with IBM SPSS version 26, and Origin Pro 8.5 was employed for plots.

Results:

HIPO plans show similar target coverage in terms of D 90(%), V 95(%) and conformity index with no significant statistical difference from the GrO plans with an acceptable increase in homogeneity index (0·087 ± 0·062%). It succeeds in achieving a statistically significant reduction of dose to organs at risk such as D0·1 cc, D1·0 cc and D2·0 cc for the bladder (11·59%, 4·8% and 3·99%), rectum (41·33%, 16·9% and 16·05%) and sigmoid (20·97%, 13·53% and 11·21%), respectively, in comparison with GrO optimisation.

Conclusion:

Considering the dosimetric outcome of 3D-based IVBT, it is suggested to adopt inverse optimisation techniques like HIPO over GrO to achieve higher quality treatment plan in terms of adequate target dose and lesser dose to OARs.

Keywords

DVH – dose volume histogramgraphical optimisationhybrid inverse planning optimisationintravaginal brachytherapyorgans at risk
Type
Original Article
Information
Journal of Radiotherapy in Practice , Volume 22 , 2023 , e111
Check for updates
Copyright
© The Author(s), 2023. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Article last updated 13 November 2023

*

This article has been updated since original publication. A notice detailing the change has also been published

References

Koskas, M, Amant, F, Mirza, MR, Creutzberg, CL. Cancer of the corpus uteri: 2021 update. Int J Gynaecol Obstet. 2021; 155(Suppl 1): 45–60. https://doi.org/10.1002/ijgo.13866.CrossRefGoogle ScholarPubMed
Concin, N, Matias-Guiu, X, Vergote, I, Cibula, D, Mirza, MR, Marnitz, S, Ledermann, J, Bosse, T, Chargari, C, Fagotti, A, Fotopoulou, C, Martin, AG, Lax, S, Lorusso, D, Marth, C, Morice, P, Nout, RA, O’Donnell, D, Querleu, D, Raspollini, MR, Sehouli, J, Sturdza, A, Taylor, A, Westermann, A, Wimberger, P, Colombo, N, Planchamp, F, Creutzberg, CL. ESGO/ESTRO/ESP guidelines for the management of patients with endometrial carcinoma. Int J Gynecol Cancer. 2021; 31: 12–39. https://doi.org/10.1136/ijgc-2020-002230.CrossRefGoogle ScholarPubMed
Kogevinas, M, Porta, M. Socioeconomic differences in cancer survival: a review of the evidence. IARC Sci Publ. 1997; 138: 177–206.Google ScholarPubMed
Benoit, L, Pauly, L, Phelippeau, J, Koskas, M. Impact of sociodemographic characteristics on the quality of care in the surgical management of endometrial cancer: an analysis of a national database in the United States. Gynecol Obstet Invest. 2020; 85: 222–228. https://doi.org/10.1159/000506048.CrossRefGoogle ScholarPubMed
Treatment by Cancer Type. NCCN n.d. https://www.nccn.org/guidelines/category_1 (accessed May 8, 2023).Google Scholar
Nag, S, Erickson, B, Parikh, S, Gupta, N, Varia, M, Glasgow, G. The American brachytherapy society recommendations for high-dose-rate brachytherapy for carcinoma of the endometrium. Int J Radiat Oncol Biol Phys. 2000; 48: 779–790. https://doi.org/10.1016/s0360-3016(00)00689-1.CrossRefGoogle ScholarPubMed
Anderson, JM, Stea, B, Hallum, AV, Rogoff, E, Childers, J. High-dose-rate postoperative vaginal cuff irradiation alone for stage IB and IC endometrial cancer. Int J Radiat Oncol Biol Phys. 2000; 46: 417–425. https://doi.org/10.1016/s0360-3016(99)00427-7.CrossRefGoogle ScholarPubMed
Russo, JK, Armeson, KE, Richardson, S. Comparison of 2D and 3D imaging and treatment planning for postoperative vaginal apex high-dose rate brachytherapy for endometrial cancer. Int J Radiat Oncol Biol Phys. 2012; 83: e75–e80. https://doi.org/10.1016/j.ijrobp.2011.11.029.CrossRefGoogle ScholarPubMed
200901119jeyaanth.pdf n.d.Google Scholar
Kim, H, Kim, H, Houser, C, Beriwal, S. Is there any advantage to three-dimensional planning for vaginal cuff brachytherapy? Brachytherapy. 2012; 11: 398–401. https://doi.org/10.1016/j.brachy.2011.12.009.CrossRefGoogle ScholarPubMed
Jamema, SV, Sharma, S, Mahantshetty, U, Engineer, R, Shrivastava, SK, Deshpande, DD. Comparison of IPSA with dose-point optimization and manual optimization for interstitial template brachytherapy for gynecologic cancers. Brachytherapy. 2011; 10: 306–312. https://doi.org/10.1016/j.brachy.2010.08.011.CrossRefGoogle ScholarPubMed
Bahadur, YA, Constantinescu, C, Hassouna, AH, Eltaher, MM, Ghassal, NM, Awad, NA. Single versus multichannel applicator in high-dose-rate vaginal brachytherapy optimized by inverse treatment planning. J Contemp Brachytherapy. 2015; 6: 362–370. https://doi.org/10.5114/jcb.2014.47816.Google ScholarPubMed
Fu, Q, Xu, Y, Zuo, J, An, J, Huang, M, Yang, X, Chen J, Yan H, Dai J. Comparison of two inverse planning algorithms for cervical cancer brachytherapy. J Appl Clin Med Phys. 2021; 22: 157–165. https://doi.org/10.1002/acm2.13195.CrossRefGoogle ScholarPubMed
ICRU Report 89, Prescribing, Recording, and Reporting Brachytherapy for Cancer of the Cervix – ICRU n.d. https://www.icru.org/report/icru-report-89-prescribing-recording-and-reporting-brachytherapy-for-cancer-of-the-cervix/ (accessed May 8, 2023).Google Scholar
Qi, XS, Ruan, D, Lee, SP, Pham, A, Kupelian, P, Low, DA, Steinberg, M, Demarco, J. Dependence of achievable plan quality on treatment technique and planning goal refinement: a head-and-neck intensity modulated radiation therapy application. Int J Radiat Oncol Biol Phys. 2015; 91: 817–824. https://doi.org/10.1016/j.ijrobp.2014.11.037.CrossRefGoogle ScholarPubMed
Jamema, SV, Kirisits, C, Mahantshetty, U, Trnkova, P, Deshpande, DD, Shrivastava, SK, Pötter R. Comparison of DVH parameters and loading patterns of standard loading, manual and inverse optimization for intracavitary brachytherapy on a subset of tandem/ovoid cases. Radiother Oncol. 2010; 97: 501–506. https://doi.org/10.1016/j.radonc.2010.08.011.CrossRefGoogle ScholarPubMed
Major, T, Fröhlich, G, Polgar, C. Assessment of dose homogeneity in conformal interstitial breast brachytherapy with special respect to ICRU recommendations. J Contemp Brachytherapy. 2011; 3: 150–155. https://doi.org/10.5114/jcb.2011.24822.CrossRefGoogle ScholarPubMed
Westerveld, H, Schmid, MP, Nout, RA, Chargari, C, Pieters, BR, Creutzberg, CL, Sturdza, A, Lindegaard, JC, van Kesteren, Z, Mazeron, R, Nesvacil, N, Fokdal, LU. Image-guided adaptive brachytherapy (IGABT) for primary vaginal cancer: results of the international multicenter RetroEMBRAVE cohort study. Cancers (Basel). 2021; 13: 1459.CrossRefGoogle ScholarPubMed
Holloway, C, Macklin, E A, Cormack, R, Viswanathan, A. Should the organs at risk be contoured in vaginal cuff brachytherapy? Brachytherapy. 2010; 10: 313–317. https://doi.org/10.1016/j.brachy.2010.10.005.CrossRefGoogle ScholarPubMed