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Optimal Chemotherapy for Brain Tumor Growth in a Reaction-Diffusion Model
SIAM Journal on Applied Mathematics ( IF 1.9 ) Pub Date : 2021-06-03 , DOI: 10.1137/20m135995x
Mohsen Yousefnezhad , Chiu-Yen Kao , Seyyed Abbas Mohammadi

SIAM Journal on Applied Mathematics, Volume 81, Issue 3, Page 1077-1097, January 2021.
In this paper we address the question of determining optimal chemotherapy strategies to prevent the growth of brain tumor population. To do so, we consider a reaction-diffusion model which describes the diffusion and proliferation of tumor cells and a minimization problem corresponding to it. We shall establish that the optimization problem admits a solution and obtain a necessary condition for the minimizer. In a specific case, the optimizer is calculated explicitly, and we prove that it is unique. Then, a gradient-based efficient numerical algorithm is developed in order to determine the optimizer. Our results suggest a bang-bang chemotherapy strategy in a cycle which starts at the maximum dose and terminates with a rest period. Numerical simulations based upon our algorithm on a real brain image show that this is in line with the maximum tolerated dose (MTD), a standard chemotherapy protocol.


中文翻译:

反应扩散模型中脑肿瘤生长的最佳化疗

SIAM Journal on Applied Mathematics,第 81 卷,第 3 期,第 1077-1097 页,2021 年 1 月。
在本文中,我们解决了确定最佳化疗策略以防止脑肿瘤种群增长的问题。为此,我们考虑了一个反应扩散模型,该模型描述了肿瘤细胞的扩散和增殖以及与之对应的最小化问题。我们将确定优化问题有一个解并获得最小化器的必要条件。在特定情况下,优化器是显式计算的,我们证明它是唯一的。然后,开发了一种基于梯度的高效数值算法以确定优化器。我们的研究结果表明,在一个循环中采用 bang-bang 化疗策略,从最大剂量开始,以休息期结束。
更新日期:2021-06-15
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