Jl. Bedford et al., METHODS FOR TRANSFERRING PATIENT AND PLAN DATA BETWEEN RADIOTHERAPY TREATMENT PLANNING SYSTEMS, British journal of radiology, 70(835), 1997, pp. 740-749
The effectiveness of conformal radiotherapy can ultimately only be ass
essed by the use of clinical trials. As large multicentre clinical tri
als become more widespread, methods of transferring patient and plan d
ata between radiotherapy treatment planning systems become increasingl
y important. In this paper, the general strategy for the transfer of d
ata is discussed, and also illustrated with reference to two specific
systems: TARGET 2 (GE Medical Systems) and VOXELPLAN (DKFZ-Heidelberg)
. The transfer method involves using a computer program to translate t
he data formats used by each of the two systems for CT scans, patient
outlines, plan information and block descriptions. This paper does not
address the question of transferring beam data between systems: beam
data must first be entered separately into both machines. The physical
concepts encountered when transferring plans are described, with spec
ific reference to the two planning systems used. Differences in the st
rategies used by the two planning systems for definition of irregular
field shapes are compared. The dose calculations used by the two syste
ms are also briefly evaluated. Isodoses produced by VOXELPLAN around a
circular target volume are found to be up to 3 mm different in locati
on to those produced by TARGET 2, owing to the use of a smooth field s
hape contour as opposed to a stepped field shape which closely models
the leaves of a multileaf collimator. In general, dose distributions g
enerated by both systems are comparable, but some differences are foun
d in the presence of large tissue inhomogeneities. It is concluded tha
t the transfer of patient and plan data between two different treatmen
t planning systems is feasible, provided that any differences in field
shape definition methods or dose calculation methods between the two
systems are understood.