Model-based approach
4 steps
STEP 1: NTCP model
–
Multivariable NTCP-models
STEP 2: Individual dose comparison
–
Dose reduction (
D
Dose
): relevant DVH
parameters?
STEP 3: Estimate NTCP reduction (ΔNTCP)
–
Translate
D
Dose
to
D
NTCP
STEP 4: Validation
–
External validation NTCP-model with new
technology
Langendijk, et al. Radiother Oncol 2013