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Formal Components of IMRT Treatment

Treatment goals - objectives and constraints:

physical (dose, dose-volume).

biological (NTCP,TCP,EUD, P+)

machine limitations

Method for plan evaluation (optimization)

Tools

:

Physical Model – planning for each type of delivery has a

means of decomposing intensity distributions into deliverable

elements

Parameters – variables for a given treatment technique (search

space)

Constraints – Physical machine limits (e.g. leaf speed, width)

Manage complexity with automation / robotics in delivery