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Conclusion
Finding the ‘best’ plan is a real challenge
Pareto navigation tools are very helpful in exploring the
solution area, however, navigation should be done in a
sensitive way
Keep track of the end result of each navigation to improve
the standard input
Treatment delivery time should be part of Pareto navigation
Lack of systematic differences between navigated and
deliverable plans makes it difficult to predict the dosimetric
change, its direction and its magnitude.