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Physical optimisations

Limitations

Quadratic dose difference may not reflect clinical objective

Properly ranking plans based on dose-volume objectives may fail

Objective: 50% of volume is to receive <50 G

y

Score: Plan 1:

10

/100

×

(

100 – 50

)

2

= 250

Plan 2:

50

/100

×

(

60 – 50

)

2

= 50

Result: Plan 1 is rejected!

Courtesy of Aswin Hoffmann