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Treatment plans were generated for all patients using the<jats:styled-content style=\"fixed-case\">POGS<\/jats:styled-content>method and the commercially available solver<jats:styled-content style=\"fixed-case\">IBM ILOG CPLEX<\/jats:styled-content>. The rectum, bladder, sigmoid colon, high\u2010risk clinical target volume (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CTV<\/jats:styled-content>), and<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CTV<\/jats:styled-content>boundary were the structures included in our optimization, which applied an asymmetric dose\u2010volume optimization with smoothness control. Dose calculation resolution was 1 \u00d7 1 \u00d7 3 mm<jats:sup>3<\/jats:sup>for all cases. The H\u2010<jats:styled-content style=\"fixed-case\">RSBT<\/jats:styled-content>applicator had 6 helices, with 33.3 mm of translation along the applicator per helical rotation and 1.7 mm spacing between dwell positions, yielding 17.5\u00b0 emission angle spacing per 5 mm along the applicator.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For each patient,<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CTV<\/jats:styled-content><jats:italic>D<\/jats:italic><jats:sub>90<\/jats:sub>,<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CTV<\/jats:styled-content><jats:italic>D<\/jats:italic><jats:sub>100<\/jats:sub>, rectum<jats:italic>D<jats:sub>2cc<\/jats:sub><\/jats:italic>, sigmoid<jats:italic>D<jats:sub>2cc<\/jats:sub><\/jats:italic>, and bladder<jats:italic>D<jats:sub>2cc<\/jats:sub><\/jats:italic>matched within 1% for<jats:styled-content style=\"fixed-case\">CPLEX<\/jats:styled-content>and<jats:styled-content style=\"fixed-case\">POGS<\/jats:styled-content>methods. Also, similar<jats:styled-content style=\"fixed-case\">EQD<\/jats:styled-content>2 values between<jats:styled-content style=\"fixed-case\">CPLEX<\/jats:styled-content>and<jats:styled-content style=\"fixed-case\">POGS<\/jats:styled-content>methods were obtained.<jats:styled-content style=\"fixed-case\">POGS<\/jats:styled-content>was around 18 times faster than<jats:styled-content style=\"fixed-case\">CPLEX<\/jats:styled-content>. For all patients, total optimization times were 32.1\u201365.4 s for<jats:styled-content style=\"fixed-case\">CPLEX<\/jats:styled-content>and 2.1\u20133.9 s for<jats:styled-content style=\"fixed-case\">POGS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">POGS<\/jats:styled-content>reduced treatment plan optimization time approximately 18 times for<jats:styled-content style=\"fixed-case\">RSBT<\/jats:styled-content>with similar<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CTV<\/jats:styled-content><jats:italic>D<\/jats:italic><jats:sub>90<\/jats:sub>, organ at risk (<jats:styled-content style=\"fixed-case\">OAR<\/jats:styled-content>)<jats:italic>D<jats:sub>2cc<\/jats:sub><\/jats:italic>values, and<jats:styled-content style=\"fixed-case\">EQD<\/jats:styled-content>2 values compared to<jats:styled-content style=\"fixed-case\">CPLEX<\/jats:styled-content>, which is significant progress toward clinical translation of<jats:styled-content style=\"fixed-case\">RSBT<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mp.12486","type":"journal-article","created":{"date-parts":[[2017,7,26]],"date-time":"2017-07-26T08:42:43Z","timestamp":1501058563000},"page":"5384-5392","source":"Crossref","is-referenced-by-count":10,"title":["Fast dose optimization for rotating shield brachytherapy"],"prefix":"10.1002","volume":"44","author":[{"given":"Myung","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Electrical and Computer Engineering University of Iowa 4016 Seamans Center Iowa City IA 52242 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaodong","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Electrical and Computer Engineering University of Iowa 4016 Seamans Center Iowa City IA 52242 USA"},{"name":"Department of 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