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What’s the catch?

•

Adaptive strategies allow us to recalculate daily dose and see the

immediate effect of deformations or geometrical uncertainties.

•

Since this was a “buzzword” vendors were aching to have us

spend our cash on these expensive options.

•

Are they feasible in clinical routine?

•

MVCT : Duchateau

et al

2010

Phys. Med. Biol.

55

N329

•

ConeBeamCT

•

Daily calibration

•

Check contouring

•

Missing information

Limited

FOV