Flipping Book - ATP

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ART: Within our grasp, beyond our means?
 Tools
 IGRT, deformable registration, contouring?, dose accumulation
 Do we have benchmarks/standards?
 Workflow
 Efficient management of cases, scheduling of replans
 New skills, changing roles
 Need requirements
 and adequate confidence they can be satisfied (QA)
 Infrastructure - Data transfer and storage
 Additional effort, changing roles
 Uncertainties inherent to ART:
 Patient localization
 Implementation – timing/delays, machine limits
Yan IJROBP 71 (1) S28–S32, 2008