A multiobjective beam angle optimization framework for intensity-modulated radiation therapy

Radiation therapy treatment planning is inherently a multiobjective problem, aiming to obtain the best tradeoffs between irradiating the tumor with the prescribed dose and sparing as much as possible the surrounding healthy organs. Many different multiobjective approaches have been proposed for the optimization of radiation intensities for fixed beam irradiation directions. However, multiobjective beam angle optimization is seldom considered. The purpose of this paper is to introduce a new multiobjective optimization framework that explicitly and simultaneously considers the optimization of intensities and also beam directions. Whilst multiobjective optimization of radiation intensities considering a fixed set of beam directions gives rise to a single Pareto front, beam angle optimization gives rise to the appearance of multiple Pareto fronts, each one associated with a given beam angle set. Our framework proposes a beam angle set choice based on the evaluation of non-dominated solutions belonging to different Pareto fronts, using a tree-based approach and a performance indicator to assess the quality of each Pareto front. The proposed approach, illustrated by head-and-neck cancer cases, allows for more flexibility in the calculation of solutions and a better understanding of the existing compromises between different objectives.