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Choosing an Algorithm

Know the limitations of the surrogate/feature

As distance from surrogate ↑, uncertainty increases ↑

Variability localization/delineation = uncertainty

These feed into PTV margins!

Be skeptical: Are automated algorithms helping

Are you closer to the desired clinical result?

Is manual matching always required after automated?

Magnitude? Do you need small or large adjustments?

No? Review goals of registration vs. underlying metric

Practical Considerations