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Shelling Tumors with Caution and Wiggles 365
Shelling Tumors with Caution and
Wiggles
Luke Winstrom
Sam Coskey
Mark Blunk
University of Washington
Seattle, WA
Advisor: James Allen Morrow
Abstract
We discuss a simple model for tumor growth, which results in realistic tumor
shapes. We then address the question of efficient irradiation of tumors in terms
of packing their volume with disjoint spheres of given radii. We develop three
algorithms, based on a shelling method, which give recommendations for optimal
sphere-packings. We interpret these packings as treatment plans, and we examine
the corresponding radiation dosages for various qualities.
We analyze the effectiveness of our algorithms in recommending optimal
dosage plans. Several problems with the algorithms are addressed. Finally, we
conclude that all of our algorithms have a common difficulty covering very large
tumors, and that while one of our algorithms is effective as a means of packing
the volume with spheres, it does not translate into an efficient treatment plan.
Introduction
The gamma knife is a highly effective means of destroying tumor tissue. A
collection of 201 beams, which send ionizing radiation produced by cobalt-60
sources, converge and deliver to a specific region a powerful dose of radiation
without harming the surrounding tissue.
It is necessary to determine where the beams should converge, so the pa-
tient’s brain is scanned with an MRI or CT imaging device to produce a three-
dimensional image of the tumor. An optimal treatment plan is determined by
analyzing this image and deriving a collection of points inside the tumor. Doses
concentrated at those points are administered by the gamma knife. Selecting
an optimum treatment plan can be lengthy and difficult.
We seek to automate the process of selecting an op
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