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Thoughts

If IGRT is not level I proven better than IMRT shoud

we be using it?

Quality assurance?

If you can have better vision with glasses do you need

Radiotherapy

to prove that you are a better driver?

Nevertheless:

reducing margins

will need

clinical proof, Similar when from conformal to IMRT

(Eisbruch, Heemsbergen) we will enter an era where

marginal misses due to better technology comes on

our doorstep. This is bad for the individual patient but

can be good for the group provided you close the

feedback loop.