

General purpose vs dedicated
devices
Advantages of dedicated devices should be weighted vs
Impossibility of decoupling TPS, imaging & delivery
system (and Oncology Information Systems?)
-
Highly ‘integrated’ devices designed to work on their own,
simple needs (e.g. summing plans) may not have a simple
solution
Operational issues
-
multiple planning, delivery and imaging systems in the
department
-
Availability may not be as good as for linac. (What are you
going to do in case of treatment failures?)