Novel Approaches to Radiotherapy Planning and Scheduling in the NHS

Lead Research Organisation: Coventry University
Department Name: Mathematical and Information Sciences

Abstract

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Publications

10 25 50
 
Description Different approaches to scheduling of radiotherapy pretreatment and treatment appointments were developed considering various medical and scheduling constraints and different objectives, such as minimisation of number of patients who do not meet their waiting time targets, minimisation of usage of overtime slots, minimisation of machines idle time, and so on. Motivated by heuristics developed for production scheduling problems, novel heuristics-based methods were developed for four unites that comprised the whole radiotherapy process. Another approach was based on genetic algorithms (GAs) which optimised the whole radiotherapy process .
Different experiments were carried out to analyse the performance of the two radiotherapy scheduling approaches. It was shown that both approaches created schedules of good performance with respect to waiting times and percentages of late patients of different categories.
Exploitation Route Radiotherapy scheduling problems can be adapted and modified for other problems of patient scheduling, in particular those where meeting the waiting time targets is of interest.
Further on, the developed models and approaches can be applied to a variety of scheduling problems which are characterised by the presence of multiple resource types, dynamic arrivals of tasks/activities/jobs to be scheduled, different importance of tasks/activities/jobs, various types of uncertainties that are inherent in real-world scheduling and multiple criteria to measure the quality of schedules.
Sectors Healthcare

Manufacturing

including Industrial Biotechology

 
Description The hospitals expressed a high level of interest in the results achieved throughout the project. They were provided with a prototype software package for radiotherapy scheduling.
 
Description Nottingham City Hospital 
Organisation Nottingham City Hospital
Country United Kingdom 
Sector Hospitals 
Start Year 2006
 
Description Walsgrave General Hospital 
Organisation University Hospitals Coventry and Warwickshire NHS Trust
Department Walsgrave General Hospital
Country United Kingdom 
Sector Hospitals 
PI Contribution Development of new scheduling models and of prototype decision support systems for scheduling of radiotherapy patients. A successful outcome of the research can potentially lead to (a) an increased ability to respond to greater complexities of treatments within the operational resource constraints and thereby improving the quality of treatments, (b) increased patient throughput, reducing waiting time and waiting lists for treatments, (c) smoother operation of radiotherapy clinics, thus reducing stress levels in patients and improving consistency in terms of dose delivery, and (d) most of all, a potential increase in the survival rate of cancer patients by reducing the waiting time for radiotherapy treatments.
Collaborator Contribution Radiologists in the Arden cancer Centre in the University Hospitals Coventry and Warwickshire NHS Trust provided us with their expertise in patients scheduling and patient data which were used in our developed prototype systems for scheduling of radiotherapy patients.
Impact Outputs of this research include a number of novel radiotherapy patients scheduling optimisation models disseminated to medical, operational research and computer science audience. They are published in 1 international peer reviewed journals, 2 reviewed chapters in edited books and 9 papers in proceedings of international conferences. Two prototype decision support systems for scheduling of radiotherapy patients are developed.
Start Year 2006