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This thesis introduces so-called cone scalarising functions. They are by construction compatible with a partial order for the outcome space given by a cone. The quality of the parametrisations of the efficient set given by the cone scalarising functions are then investigated. Here, the focus lies on the (weak) efficiency of the generated solutions, the reachability of effiecient points and continuity of the solution set. Based on cone scalarising functions Pareto Navigation a novel, interactive, multiobjective optimisation method is proposed. It changes the ordering cone to realise bounds on partial tradeoffs. Besides, its use of an equality constraint for the changing component of the reference point is a new feature. The efficiency of its solutions, the reachability of efficient solutions and continuity is then analysed. Potential problems are demonstrated using a critical example. Furthermore, the use of Pareto Navigation in a two-phase approach and for nonconvex problems is discussed. Finally, its application for intensity-modulated radiotherapy planning is described. Thereby, its realisation in a graphical user interface is shown.
For the last decade, optimization of beam orientations in intensity-modulated radiation therapy (IMRT) has been shown to be successful in improving the treatment plan. Unfortunately, the quality of a set of beam orientations depends heavily on its corresponding beam intensity profiles. Usually, a stochastic selector is used for optimizing beam orientation, and then a single objective inverse treatment planning algorithm is used for the optimization of beam intensity profiles. The overall time needed to solve the inverse planning for every random selection of beam orientations becomes excessive. Recently, considerable improvement has been made in optimizing beam intensity profiles by using multiple objective inverse treatment planning. Such an approach results in a variety of beam intensity profiles for every selection of beam orientations, making the dependence between beam orientations and its intensity profiles less important. This thesis takes advantage of this property to accelerate the optimization process through an approximation of the intensity profiles that are used for multiple selections of beam orientations, saving a considerable amount of calculation time. A dynamic algorithm (DA) and evolutionary algorithm (EA), for beam orientations in IMRT planning will be presented. The DA mimics, automatically, the methods of beam's eye view and observer's view which are recognized in conventional conformal radiation therapy. The EA is based on a dose-volume histogram evaluation function introduced as an attempt to minimize the deviation between the mathematical and clinical optima. To illustrate the efficiency of the algorithms they have been applied to different clinical examples. In comparison to the standard equally spaced beams plans, improvements are reported for both algorithms in all the clinical examples even when, for some cases, fewer beams are used. A smaller number of beams is always desirable without compromising the quality of the treatment plan. It results in a shorter treatment delivery time, which reduces potential errors in terms of patient movements and decreases discomfort.