RT Journal Article SR Electronic T1 Improved Algorithm for Estimation of Linear Energy Transfer in Carbon Ion Radiotherapy Plans JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 2975 OP 2984 DO 10.21873/anticanres.16468 VO 43 IS 7 A1 ANAKURA, MAI A1 KUBOTA, YOSHIKI A1 OIKE, TAKAHIRO A1 MATSUMURA, AKIHIKO A1 SAKAI, MAKOTO A1 KANEMATSU, NOBUYUKI A1 TASHIRO, MUTSUMI A1 OHNO, TATSUYA YR 2023 UL http://ar.iiarjournals.org/content/43/7/2975.abstract AB Background/Aim: This study aimed to develop an improved algorithm for linear energy transfer (LET) estimation in carbon ion radiotherapy (CIRT) using relative biological effectiveness (RBE) and to establish a clinical pipeline for LET assessment. Materials and Methods: New approximation functions for LET versus RBE were developed for the overkill region. LET estimation performance was examined at two facilities (A and B) using archival- and Monte Carlo simulation-derived LET data, respectively, as a reference. A clinical pipeline for LET assessment was developed using Python and treatment planning systems (TPS). Results: In dataset A, LET estimation accuracy in the overkill region was improved by 80.0%. In dataset B, estimation accuracy was 2.3%±0.67% across 5 data points examined. LET distribution and LET-volume histograms were visualized for multiple CIRT plans. Conclusion: The new algorithm showed a greater LET estimation performance at multiple facilities using the same TPS. A clinical pipeline for LET assessment was established.