An optimization framework for three-dimensional conformal radiation therapy is presented. In this type of therapy, beams of radiation are ap- plied to a patient from dieren t directions, where the aperture through which the beam is delivered from each direction is chosen to match the shape of the tumor, as viewed from that direction. Given a set of eq- uispaced beam angles, a mixed-integer linear
... [Show full abstract] program can be solved to determine the most eectiv e angles to be used in a treatment plan, and the weight (exposure time) to be used for each beam. This model can be enhanced to account for the use of wedge lters, which may be placed in front of a beam to produce a gradient in beam intensity across the aper- ture. Several techniques for strengthening the formulation (and there- fore reducing the solution time) are described, and methods to control the dose-volume histogram implicitly for various parts of the treatment region using hot- and cold-spot control parameters are presented. The paper concludes with computational results that show the eectiv eness of the proposed approach on two practical data sets.