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Treatment Planning System Accuracy Out-of-field

• Calculation of dose volume histograms (DVHs) to

organs at risk (OARs)

• Dose optimisation

• Calculation of dose to implanted devices or foetus

• Studies have shown Eclipse AAA may

underestimate the (local) dose out-of-field >50%

• Implication of incorrect modelling of out-of-field

dose can also influence dose to the target (Kim et

al. 2001 Med. Phys) – contributes >10%