2017_SBRT_Course Book

Treatment planning and safty

Mandatory (minimum) Requirements

Recommend for best practice Dynamic IMRT planning (VMAT) Use of a fixed dose inhomogeneity in PTV

Treatment planning

3D conformal treatment planning Type B algorithms Respiration correlated 4D-CT imaging ITV based motion management strategy Risk adapted fractionation schemes for peripheral and central tumors and tumors with broad chest wall contact Daily pre-treatment volumetric image guidance

Dose and fractionation

Inter- and intra- fraction image guidance

Daily pre-treatment 4D volumetric image-guidance (in-room 4D-CT, 4D-CBCT