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The Gamma Knife Problem 351
The Gamma Knife Problem
Darin W. Gillis
David R. Lindstone
Aaron T. Windfield
University of Colorado
Boulder, CO
Advisor: Anne M. Dougherty
Abstract
Noninvasive gamma-knife radiosurgery treatment attacks brain tumors using
spherical radiation dosages (shots). We develop methods to design optimized
treatment plans using four fixed-diameter dosages. Our algorithms strictly adhere
to the following rule: Shots cannot violate tumor boundaries or overlap each other.
From a mathematical perspective, the problem becomes a matter of filling an
irregularly-shaped target volume with a conglomeration of spheres. We make
no assumptions about the size and shape of the tumor; by maintaining complete
generality, our algorithms are flexible and robust. The basic strategies of the
algorithms are deepest-sphere placement, steepest descent, and adaptation.
We design representative 3D models to test our algorithms. We find that
the most efficient packing strategy is an adaptive algorithm that uses steepest
descent, with an average coverage percentage of 40% over 100 test cases while not
threatening healthy tissue. One variation covered 56% of one test case but had a
large standard deviation across 100 test cases. It also produced results four times
as fast as the adaptive method.
Background
Brain Tumors
The average volume of a tumor operable by radiosurgery is about 15 cm3
[Lee et al. 2002]. We generate 3D tumor models of approximately this volume
with varying physical dimensions.
The Gamma Knife
The gamma knife unit consists of 201 individual cobalt-60 radiation sources
situated in a helmet. The 201 beams converge at an isocenter creating a spherical
c
The UMAP Journal 24 (3) (2003) 351–363. Copyright 2003 by COMAP, Inc. All rights
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