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Treatment planning and safty

Mandatory (minimum)

Requirements

Recommend for best

practice

Treatment

planning

3D conformal treatment planning

Type B algorithms

Respiration correlated 4D-CT imaging

ITV based motion management

strategy

Dynamic IMRT planning

(VMAT)

Use of a fixed dose

inhomogeneity in PTV

Dose and

fractionation

Risk adapted fractionation schemes

for peripheral and central tumors and

tumors with broad chest wall contact

Inter- and

intra- fraction

image guidance

Daily pre-treatment volumetric image

guidance

Daily pre-treatment 4D

volumetric image-guidance

(in-room 4D-CT, 4D-CBCT