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Planning paradigm

Number of recalculations

CRT forward

1

PTV based IMRT

100

Probabilistic planning

100000

Future role of pencil kernel(beam) algorithms?

- fast algorithms for probabilistic planning!!

Tilly and Ahnesjö (2015). Phys. Med. Biol. 60: 5439-54.

….a speedup of over 1000 times compared

to the full pencil kernel calculations. The

speedup versus collapsed cone would be

greater…