论文标题

比较使用不同目标的放射治疗患者调度的优化方法

Comparing Optimization Methods for Radiation Therapy Patient Scheduling using Different Objectives

论文作者

Frimodig, Sara, Enqvist, Per, Carlsson, Mats, Mercier, Carole

论文摘要

放射疗法(RT)是杀死癌细胞或收缩肿瘤的医疗。手动安排患者进行RT是一项耗时且具有挑战性的任务。通过使用优化,可以自动创建RT的患者时间表。本文介绍了一项研究,用于建模和解决RT患者调度问题的不同优化方法,在实践中实施自动调度算法时,可以用作决策支持。我们介绍了整数编程(IP)模型,列生成IP模型(CG-IP)和约束编程模型。考虑其优先级的治疗,会话持续时间和允许的机器,将患者安排在多种机器类型上。预期的未来患者到达作为占位符患者。由于不同的癌症中心可以具有不同的调度目标,因此使用多个目标功能进行比较模型,包括最大程度地减少等待时间,并最大程度地提高患者对治疗时间的偏好。该测试数据是从比利时最大的癌症中心Iridium Netwerk的历史数据中生成的,该中心具有10个线性加速器。结果表明,CG-IP模型可以在一小时内解决所有不同的问题实例,达到平均最佳差距小于1%。所提出的方法为RT处理的自动调度提供了一种工具,通常可以应用于RT中心。

Radiation therapy (RT) is a medical treatment to kill cancer cells or shrink tumors. To manually schedule patients for RT is a time-consuming and challenging task. By the use of optimization, patient schedules for RT can be created automatically. This paper presents a study of different optimization methods for modeling and solving the RT patient scheduling problem, which can be used as decision support when implementing an automatic scheduling algorithm in practice. We introduce an Integer Programming (IP) model, a column generation IP model (CG-IP), and a Constraint Programming model. Patients are scheduled on multiple machine types considering their priority for treatment, session duration and allowed machines. Expected future patient arrivals are included in the models as placeholder patients. Since different cancer centers can have different scheduling objectives, the models are compared using multiple objective functions, including minimizing waiting times, and maximizing the fulfillment of patients' preferences for treatment times. The test data is generated from historical data from Iridium Netwerk, Belgium's largest cancer center with 10 linear accelerators. The results demonstrate that the CG-IP model can solve all the different problem instances to a mean optimality gap of less than 1% within one hour. The proposed methodology provides a tool for automated scheduling of RT treatments and can be generally applied to RT centers.

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