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Rotational IMRT (VMAT / RapidArc)

Volume-modulated Arc Therapy (VMAT)

Efficient delivery in a single gantry arc

High dose conformation/modulation

using a full 360 deg range of gantry rotation

Engineer dose computation to support accurate high-

resolution sampling of all beam directions during

planning.

Planning includes

efficiency constraints

to coordinate:

leaf motion/speed

gantry speed

dose rate.

Otto, Med. Phys. 35(1) 310 (2008)

Bzdusek et al, Med. Phys. 36(5) 2328 (2009)