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Computer treatment planning systems (TPS), inverse planning approaches and
optimizer algorithms were in their early days
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Dependence on another new technology at that time, the multi-leaf collimator
(MLC), which was initially designed to replace cerobend blocks
“A handful of research oriented centers developed their own
custom build solution of
rotational therapy solutions
(IMAT, …).”
-William Beaumont Hospital group, USA, C. Yu et al.
-UZ Gent, Belgium, De Neve et al.
-…
Issues with early solutions