The use of aperture shape controller and convergence mode in radiotherapy treatment planning

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Aim: Studying the use of Aperture Shape Controller (ASC) and Convergence Mode (CM) in Eclipse (Varian Medical System) in terms of plan quality and complexity of volumetric modulated arc therapy (VMAT). Materials and methods: Forty VMAT plans were re-optimised for the prostate, prostate + lymph nodes, breast and head & neck patients retrospectively, changing the ASC settings (off, moderate, very high) and CM settings (off, on and extended). Results: Using 'on' or 'extended' CM increased plan quality in terms of planning target volume homogeneity and low-dose spread to the organs at risk (OAR). 'Extended' CM increased the optimisation time 4·3-fold compared to 'on', and deteriorated the plan quality in several simple planning cases. 'Moderate' ASC decreased plan complexity with minor effect on plan quality compared to 'off', but 'very high' ASC had larger adverse dosimetric effects. However, the ASC decreased the plan complexity only if the CM was turned 'on'. Findings: Using 'on' CM increases the plan quality but using 'extended' CM is not recommended. The 'moderate' ASC decreased complexity without significant adverse effects on plan quality, and even 'very high' ASC may be used when plan simplicity is prioritised. However, if CM is not used, the ASC should also be turned off.

Original languageEnglish
JournalJournal of Radiotherapy in Practice
DOIs
Publication statusE-pub ahead of print - 11 Dec 2020
Publication typeA1 Journal article-refereed

Keywords

  • Aperture shape controller
  • convergence mode
  • plan complexity
  • plan quality

Publication forum classification

  • Publication forum level 0

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Oncology

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