Flipping Book - ATP

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Strategies to Mitigate Uncertainty
 Consensus documents
 Contouring
 Planning protocols
 Treatment procedures
 Immobilization
 Vac-loc, Masks, ABC
 Patient Education
 Cooperation
 Diet
 Understand the nature of the
uncertainty
 Frequent Imaging
 Multiple modalities
 Measurement
 On-line correction
 Off-line correction
 Gated Therapy, Tracking
 Plan for uncertainty:
 Appropriate use of margins
 “4D ”optimization