Estimation of parameters of dose-volume models and their confidence limits

التفاصيل البيبلوغرافية
العنوان: Estimation of parameters of dose-volume models and their confidence limits
المؤلفون: T C Delvigne, P van Luijk, Jacobus M. Schippers, C. Schilstra
المصدر: Physics in Medicine and Biology, 48(13):PII S0031-9155(03)56371-0, 1863-1884. IOP PUBLISHING LTD
سنة النشر: 2003
مصطلحات موضوعية: CERVICAL SPINAL-CORD, Monte Carlo method, CONFORMAL RADIOTHERAPY, PROTON, Standard deviation, TISSUE COMPLICATION PROBABILITIES, Statistics, Humans, Radiology, Nuclear Medicine and imaging, Radiometry, OPTIMIZATION, Probability, Mathematics, Propagation of uncertainty, X-RAY THERAPY, ARCHITECTURE, Models, Statistical, Radiological and Ultrasound Technology, Covariance matrix, Radiotherapy Planning, Computer-Assisted, Dose-Response Relationship, Radiation, Confidence interval, PROSTATE-CANCER, IRRADIATION, Ranking, Probability distribution, RADIATION, Radiotherapy, Conformal, Monte Carlo Method, Jackknife resampling
الوصف: Predictions of the normal-tissue complication probability (NTCP) for the ranking of treatment plans are based on fits of dose-volume models to clinical and/or experimental data. In the literature several different fit methods are used. In this work frequently used methods and techniques to fit NTCP models to dose response data for establishing dose-volume effects, are discussed. The techniques are tested for their usability with dose-volume data and NTCP models. Different methods to estimate the confidence intervals of the model parameters are part of this study. From a critical-volume (CV) model with biologically realistic parameters a primary dataset was generated, serving as the reference for this study and describable by the NTCP model. The CV model was fitted to this dataset. From the resulting parameters and the CV model, 1000 secondary datasets were generated by Monte Carlo simulation. All secondary datasets were fitted to obtain 1000 parameter sets of the CV model. Thus the 'real' spread in fit results due to statistical spreading in the data is obtained and has been compared with estimates of the confidence intervals obtained by different methods applied to the primary dataset. The confidence limits of the parameters of one dataset were estimated using the methods, employing the covariance matrix, the jackknife method and directly from the likelihood landscape. These results were compared with the spread of the parameters, obtained from the secondary parameter sets. For the estimation of confidence intervals on NTCP predictions, three methods were tested. Firstly, propagation of errors using the covariance matrix was used. Secondly, the meaning of the width of a bundle of curves that resulted from parameters that were within the one standard deviation region in the likelihood space was investigated. Thirdly, many parameter sets and their likelihood were used to create a likelihood-weighted probability distribution of the NTCP. It is concluded that for the type of dose response data used here, only a full likelihood analysis will produce reliable results. The often-used approximations, such as the usage of the covariance matrix, produce inconsistent confidence limits on both the parameter sets and the resulting NTCP values.
اللغة: Dutch; Flemish
تدمد: 0031-9155
DOI: 10.1088/0031-9155/48/13/301
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::50d577a0ceeb414aaf298a984d78317f
https://doi.org/10.1088/0031-9155/48/13/301
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....50d577a0ceeb414aaf298a984d78317f
قاعدة البيانات: OpenAIRE
الوصف
تدمد:00319155
DOI:10.1088/0031-9155/48/13/301