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Taking patient specific QA further…

“none of the approaches tested to verify IMRT plans by means of gamma

analysis using 3%/3 mm or 2%/2 mm criteria solve the problem of

evaluating treatment plans. Neither is it clear whether global 3D gamma

analysis is superior to local 3D gamma analysis.” - Carrasco et al 2012

“a suitable alternative for evaluating and reporting the measured planar

differences is to transfer their impact to the plan DVH and then to compare

the resulting DVHs with the clinical tolerances of the PTV and OAR.” -

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Carrasco et al 2012

“the essence of patient-specific IMRT QA is to ensure that the dose

distribution that is going to be delivered to the patient is of the same

comparable quality as the approved plan, and such quality is evaluated by

patient dose statistics and DVH curves.” - Zhen – et al 2011

“The evolution from gamma passing rates to DVH based metrics is natural

in this way.” – Zhen –et al 2011

Utrecht 2016