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Conclusions

• CT remains the preferred image modality

• CT calibration curves and tissue segmentation key to accurate dose

calculation

– More important for Protons and keV (and Brachytherapy)

– Some common practices to establish tissue characterization can

introduce systematic errors into dose planning

• Dw and Dm debate continues but important to specify medium in

literature

Numerous approximations whose impact on

the final dose accuracy should not be ignored!