ArticleJournal of applied clinical medical physics2026
Comparison of two close-packing methods for vertex placement in lattice radiotherapy (LRT).
Article in Journal of applied clinical medical physics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundLattice Radiation Therapy (LRT) is characterized by its 3D-mouldated spatial dose distribution of vertices inside the lattice volume with high peak-to-valley dose ratio (PVDR) for enhancing tumor control and reducing normal tissue toxicity. While face-centered cubic (FCC) and hexagonal close-packed (HCP), both achieving maximum spatial packing density, have been used for vertex placement, a direct comparative analysis of their dosimetric performance is lacking. PURPOSE: This study aimed to systematically compare FCC and HCP methods for vertex placement under identical conditions to determine which yields superior dosimetric outcomes, specifically regarding the peak-to-valley dose ratio (PVDR), and to provide data supporting the standardization of LRT planning. MATERIALS AND
methodsThis study was retrospectively conducted on 10 patients with large gross tumor volumes (GTV) (GTV; median [IQR] GTV volume: 916.59[609.37] cm
resultsVertex parameters (number, volume, spacing) showed no significant difference between Plan_FCC and Plan_HCP (P > 0.05). Dosimetric analysis revealed a statistically significant increase in PVDR (lattice volume D
conclusionsUnder matched radiation delivery technique, geometric constraints and identical dose-volume objectives, the FCC vertex arrangement yields a statistically significantly higher peak-to-valley dose ratio (lattice volume D
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