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J Korean Soc Ther Radiol > Volume 12(1); 1994 > Article
Journal of the Korean Society for Therapeutic Radiology 1994;12(1): 109-116.
Rapid Optimization of Multiple Isocenters Using Computer Search for Linear Accelerator-based Stereotactic Radiosurgery
Tae Suk Suh, Charn Il Park, Sung Whan Ha, Sei Chul Yoon, Moon Chart Kim, Yong Whee Bahk, Kyung Sub Shinn
1Department of Radiology, Kang-nam St, Mary's Hospital, Catholic University Medical College, Seoul, Korea.
2Department of Neurosurgery, Kang-nam St, Mary's Hospital, Catholic University Medical College, Seoul, Korea.
3Department of Therapeutic Radiology, College of Medicine Seoul National University, Seoul, Korea.
The purpose of this paper is to develop an efficient method for the quick determination of multiple isocenters plans to provide optimal dose distribution in stereotactic radiosurgery. A Spherical dose model was developed through the use of fit to the exact dose data calculated in a 18cm diameter of spherical head phantom. It computes dose quickly for each spherical part and is useful to estimate dose distribution for multiple isocenter. An automatic computer search algorithm was developed using the relationship between the isocenter move and the change of dose shape, and adapted with a spherical dose model to determine isocenter separation and collimator sizes quickly and automatically. A spherical dose model shows a comparable isodose distribution with exact dose data and permits rapid calculation of 3-D isodoses. The computer search can provide reasonable isocenter settings more quickly than trial and error types of plans, while producing steep dose gradient around target boundary. A spherical dose model can be used for the quick determination of the multiple isocenter plans with a computer automatic search. Our guideline is useful to determine the initial multiple isocenter plans.
Key Words: Stereotactic Radiosurgery, Multiple Isocenter, Dose Model, Optimization
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