论文标题
建模具有最短路径和扩散模型的肿瘤前沿的传播 - 对临床目标体积的定义的影响
Modeling the propagation of tumor fronts with shortest path and diffusion models -- implications for the definition of the clinical target volume
论文作者
论文摘要
目的:总体目标是使辐射肿瘤学中临床目标体积(CTV)的定义较少主观和基于科学。这项研究的具体目的是研究模拟肿瘤模型超出可见的总肿瘤体积(GTV)的两种方法之间的相似性和差异:1。最短路径模型,这是添加几何GTV-CTV缘的标准方法,以及2。反应 - 散发模型。 方法:以数学术语定义并比较了这两个捕获无形肿瘤“火锋”的模型。将模型应用于代表具有解剖屏障的不均匀和各向异性培养基中肿瘤扩散的示例病例。 主要结果:这两个看似不同的模型带来了可能与GTV向外肿瘤生长有关的行进波。两种模型的前部形状都相似。在由于解剖屏障而降低扩散流以及在复杂的空间不均匀情况下,可以看到差异。扩散模型通常会导致更光滑的前部。平滑度可以通过由扩散系数和增殖速率的比率定义的参数来控制。 意义:定义CTV已被描述为放射疗法链的最弱环节。在数学描述中有许多相似之处和常见几何GTV-CTV扩展方法的行为,以及通过反应 - 扩散模型的CTV肿瘤前端的定义。它的机械基础和可控的平滑度使扩散模型成为标准GTV-CTV边距模型的有吸引力替代品。
Objective: The overarching objective is to make the definition of the clinical target volume (CTV) in radiation oncology less subjective and more scientifically based. The specific objective of this study is to investigate similarities and differences between two methods that model tumor spread beyond the visible gross tumor volume (GTV): 1. The shortest path model, which is the standard method of adding a geometric GTV-CTV margin, and 2. The reaction-diffusion model. Approach: These two models to capture the invisible tumor "fire front" are defined and compared in mathematical terms. The models are applied to example cases that represent tumor spread in non-uniform and anisotropic media with anatomical barriers. Main Results: The two seemingly disparate models bring forth traveling waves that can be associated with the front of tumor growth outward from the GTV. The shape of the fronts is similar for both models. Differences are seen in cases where the diffusive flow is reduced due to anatomical barriers, and in complex spatially non-uniform cases. The diffusion model generally leads to smoother fronts. The smoothness can be controlled with a parameter defined by the ratio of the diffusion coefficient and the proliferation rate. Significance: Defining the CTV has been described as the weakest link of the radiotherapy chain. There are many similarities in the mathematical description and the behavior of the common geometric GTV-CTV expansion method, and the definition of the CTV tumor front via the reaction-diffusion model. Its mechanistic basis and the controllable smoothness make the diffusion model an attractive alternative to the standard GTV-CTV margin model.