Evidence map›Paper›PMID 36155212›Full record

ArticleInternational journal of radiation oncology, biology, physics2023

TVL1-IMPT: Optimization of Peak-to-Valley Dose Ratio Via Joint Total-Variation and L1 Dose Regularization for Spatially Fractionated Pencil-Beam-Scanning Proton Therapy.

Weijie Zhang, Wangyao Li, Yuting Lin, Fen Wang, Ronald C Chen, Hao Gao

Open access · greenAbstract read
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 29 citations in OpenAlex.

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  13. Proton minibeam radiotherapy: a review.Frontiers in oncology · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Weijie ZhangDepartment of Radiation Oncology, University of Kansas Medical Center, Kansas City, Kansas.
Wangyao LiDepartment of Radiation Oncology, University of Kansas Medical Center, Kansas City, Kansas.
Yuting LinDepartment of Radiation Oncology, University of Kansas Medical Center, Kansas City, Kansas.
Fen WangDepartment of Radiation Oncology, University of Kansas Medical Center, Kansas City, Kansas.
Ronald C ChenDepartment of Radiation Oncology, University of Kansas Medical Center, Kansas City, Kansas.
Hao GaoDepartment of Radiation Oncology, University of Kansas Medical Center, Kansas City, Kansas. Electronic address: hgao2@kumc.edu.
University of Kansas Medical Center · US

Funding

Novel Optimization Methods and Treatment Planning System for Clinically-Deliverable Truly-Hybrid Proton-Photon RadiotherapyR37CA250921 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Hao Gao · 2021 to 2026
$2.2M
Simultaneous dose and dose rate optimization for clinical FLASH proton radiotherapyR01CA261964 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GAO, HAO · 2022 to 2025
$2.0M
NCI NIH HHS R01 CA261964NCI NIH HHS R37 CA250921
6 · The paper itself

Abstract

purposeProton minibeam radiation therapy (pMBRT) is a novel proton modality of spatially fractionated RT. pMBRT can reduce the radiation damage to normal tissues via biological dose sparing of high peak-to-valley dose ratio (PVDR). This work will develop a new spatially fractionated IMPT treatment planning method for pMBRT that jointly optimizes the plan quality and maximizes the PVDR.

methodsThe new optimization method simultaneously maximizes the normal-tissue PVDR and optimizes the dose distribution at tumor targets and organs at risk. The PVDR maximization is through the joint total variation (TV) and L1 regularization with respect to the normal-tissue dose. That is, the beam-eye view projects dose slices of several depths for each beam angle; the TV of dose is maximized, corresponding to the PVDR maximization; and the L1 of dose is minimized, corresponding to the minimization of the organs-at-risk dose and maximization of survival fraction (SF).

resultsThe new IMPT method with TV and L1 regularization was validated in comparison with the conventional IMPT method for pMBRT in several clinical cases. The results show that TVL1 provided larger PVDR and SF than the conventional IMPT method for biological sparing of normal tissues, with preserved plan quality in terms of physical dose distribution.

conclusionsA new spatially fractionated IMPT treatment planning method was developed for pMBRT that can optimize and improve normal-tissue PVDR and SF by incorporating TV and L1 dose regularization with properly chosen regularization parameters into IMPT.

Indexed as

Proton TherapyRadiotherapy, Intensity-ModulatedHumansOrgans at RiskProtonsRadiotherapy DosageRadiotherapy Planning, Computer-AssistedProtons

Identifiers

PMID36155212
PMCPMC10155885
OpenAlexW4296691843

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.