Effect of energy in IMRT planning
▪
6 MV, 10MV, 18MV
-
sharp gradients can only be created using the beam penumbra
so, 6 MV often results in the best plan, in terms of OAR sparing
-
however, the volume treated with low dose differs a lot between
different energies
-
6 MV in pelvic region??
-
combination of different energies is a good option
(computer based choice?)