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The conventional approach to intensity-modulated radiation therapy treatment planning involves two distinct strategies: optimizing an evaluation function while accounting for dose constraints, and solving feasibility problems using feasibility-seeking projection methods that incorporate inequality constraints. This paper introduces a novel iterative scheme within the framework of continuous dynamical systems, wherein constraint conditions dynamically evolve to enhance the optimization process. The validity of dynamically varying dose constraints is theoretically established through the foundation of continuous-time dynamical systems theory. In particular, we formalize a system of differential equations, with both beam coefficients and dose constraints modeled as state variables. The asymptotic stability of the system's equilibrium is rigorously proven, ensuring convergence to a solution. In practical terms, we leverage a discretized iteration formula derived from the continuous-time system to achieve rapid computational speed. The mathematical structure of the proposed approach, which directly incorporates dose-volume constraints into the objective function, facilitates significant computational efficiency and solution refinement. The proposed method has an inherent dynamics that approaches more desirable solutions within the set of solutions when the solution to the optimization problem is not an isolated point. This property guarantees the identification of optimal solutions that respect the prescribed dose-volume constraints while enhancing accuracy when such constraints are feasible. By treating dose constraints as variables and concurrently solving the optimization problem with beam coefficients, we can achieve more accurate results when compared with using fixed values for prescribed dose conditions. [ABSTRACT FROM AUTHOR]

In this paper, we propose a method for optimizing the parameter values in iterative reconstruction algorithms that include adjustable parameters in order to optimize the reconstruction performance. Specifically, we focus on the power divergence-based expectation-maximization algorithm, which includes two power indices as adjustable parameters. Through numerical and physical experiments, we demonstrate that optimizing the evaluation function based on the extended power-divergence and weighted extended power-divergence measures yields high-quality image reconstruction. Notably, the optimal parameter values derived from the proposed method produce reconstruction results comparable to those obtained using the true image, even when using distance functions based on differences between forward projection data and measured projection data, as verified by numerical experiments. These results suggest that the proposed method effectively improves reconstruction quality without the need for machine-learning techniques in parameter selection. Our findings also indicate that this approach is useful for enhancing the performance of iterative reconstruction algorithms, especially in medical imaging, where high-accuracy reconstruction under noisy conditions is required. [ABSTRACT FROM AUTHOR]

Computed tomography (CT) imaging plays a crucial role in various medical applications, but noise in projection data can significantly degrade image quality and hinder diagnosis accuracy. Iterative algorithms for tomographic image reconstruction outperform transform methods, especially in scenarios with severe noise in projections. In this paper, we propose a method to dynamically adjust two parameters included in the iterative rules during the reconstruction process. The algorithm, named the parameter-extended expectation-maximization based on power divergence (PXEM), aims to minimize the weighted extended power divergence between the measured and forward projections at each iteration. Our numerical and physical experiments showed that PXEM surpassed conventional methods such as maximum-likelihood expectation-maximization (MLEM), particularly in noisy scenarios. PXEM combines the noise suppression capabilities of power divergence-based expectation-maximization with static parameters at every iteration and the edge preservation properties of MLEM. The experimental results demonstrated significant improvements in image quality in metrics such as the structural similarity index measure and peak signal-to-noise ratio. PXEM improves CT image reconstruction quality under high noise conditions through enhanced optimization techniques. [ABSTRACT FROM AUTHOR]