The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapy

Radiation therapy is one of the important treatment procedures of cancer. The day-to-day delivered dose to the tissue in radiation therapy often deviates from the planned fixed dose per fraction. This day-to-day variation of radiation dose is stochastic. Here, we have developed the mathematical form...

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Main Authors: Subhadip Paul, Prasun Kumar Roy
Format: Article
Language:English
Published: AIMS Press 2015-09-01
Series:Mathematical Biosciences and Engineering
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Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2016.13.159
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author Subhadip Paul
Prasun Kumar Roy
author_facet Subhadip Paul
Prasun Kumar Roy
author_sort Subhadip Paul
collection DOAJ
description Radiation therapy is one of the important treatment procedures of cancer. The day-to-day delivered dose to the tissue in radiation therapy often deviates from the planned fixed dose per fraction. This day-to-day variation of radiation dose is stochastic. Here, we have developed the mathematical formulation to represent the day-to-day stochastic dose variation effect in radiation therapy. Our analysis shows that that the fixed dose delivery approximation under-estimates the biological effective dose, even if the average delivered dose per fraction is equal to the planned dose per fraction. The magnitude of the under-estimation effect relies upon the day-to-day stochastic dose variation level, the dose fraction size and the values of the radiobiological parameters of the tissue. We have further explored the application of our mathematical formulation for adaptive dose calculation. Our analysis implies that, compared to the premise of the Linear Quadratic Linear (LQL) framework, the Linear Quadratic framework based analytical formulation under-estimates the required dose per fraction necessary to produce the same biological effective dose as originally planned. Our study provides analytical formulation to calculate iso-effect in adaptive radiation therapy considering day-to-day stochastic dose deviation from planned dose and also indicates the potential utility of LQL framework in this context.
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spelling doaj-art-de9d172d390444af927ee552ec01e3532025-01-24T02:34:05ZengAIMS PressMathematical Biosciences and Engineering1551-00182015-09-0113115917010.3934/mbe.2016.13.159The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapySubhadip Paul0Prasun Kumar Roy1National Brain Research Centre, Manesar, Gurgaon, Haryana-122051National Brain Research Centre, Manesar, Gurgaon, Haryana-122051Radiation therapy is one of the important treatment procedures of cancer. The day-to-day delivered dose to the tissue in radiation therapy often deviates from the planned fixed dose per fraction. This day-to-day variation of radiation dose is stochastic. Here, we have developed the mathematical formulation to represent the day-to-day stochastic dose variation effect in radiation therapy. Our analysis shows that that the fixed dose delivery approximation under-estimates the biological effective dose, even if the average delivered dose per fraction is equal to the planned dose per fraction. The magnitude of the under-estimation effect relies upon the day-to-day stochastic dose variation level, the dose fraction size and the values of the radiobiological parameters of the tissue. We have further explored the application of our mathematical formulation for adaptive dose calculation. Our analysis implies that, compared to the premise of the Linear Quadratic Linear (LQL) framework, the Linear Quadratic framework based analytical formulation under-estimates the required dose per fraction necessary to produce the same biological effective dose as originally planned. Our study provides analytical formulation to calculate iso-effect in adaptive radiation therapy considering day-to-day stochastic dose deviation from planned dose and also indicates the potential utility of LQL framework in this context.https://www.aimspress.com/article/doi/10.3934/mbe.2016.13.159stochasticbiological effectjensen's inequalityradiation therapy.daily dose
spellingShingle Subhadip Paul
Prasun Kumar Roy
The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapy
Mathematical Biosciences and Engineering
stochastic
biological effect
jensen's inequality
radiation therapy.
daily dose
title The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapy
title_full The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapy
title_fullStr The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapy
title_full_unstemmed The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapy
title_short The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapy
title_sort consequence of day to day stochastic dose deviation from the planned dose in fractionated radiation therapy
topic stochastic
biological effect
jensen's inequality
radiation therapy.
daily dose
url https://www.aimspress.com/article/doi/10.3934/mbe.2016.13.159
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